First Aid Box Inspection

• Department:

  Select

• Date:

  Date

• Done by:

• Document No.

Location

• Location of First Aid Boxes

  Media

• First aid box number:

First Aid Box

• 1. Wound Cleaner/Antiseptic (100ml)

  Yes

  No

• Wound cleaner expired?

  Yes

  No

• 2. Swabs for cleaning wound

  Yes

  No

• 3. Cotton wool for padding (100g)

  Yes

  No

• 4. Sterile Gauze (minimum quantity of 10)

  Yes

  No

• 5. 1 Pair of forceps (for splinters)

  Yes

  No

• 6. 1 Pair of scissors (minimum size 100mm)

  Yes

  No

• 7. 1 Set of safety pins

  Yes

  No

• 8. 4 Triangular bandages

  Yes

  No

• 9. 4 Roller bandages (75mm x 5m)

  Yes

  No

• 10. 4 Roller bandages (100mm x 5m)

  Yes

  No

• 11. 1 Roll of elastic adhesive (25mm x 3m)

  Yes

  No

• 12. 1 Non-allergenic adhesive strip (25mm x 3m)

  Yes

  No

• 13. 1 Packet of adhesive dressing strips (minimum quantity of 10 assorted sizes)

  Yes

  No

• 14. 4 First aid dressings (75mm x 100mm)

  Yes

  No

• 15. 4 First aid dressings (150mm x 200mm)

  Yes

  No

• 16. 2 Straight splints

  Yes

  No

• 17. 2 Pairs LARGE and 2 pairs MEDIUM disposable latex gloves

  Yes

  No

• 18. 2 CPR mouth pieces or similar devices

  Yes

  No

• 19. First Aid Register Available

  Yes

  No

• 20. First Aider(s) Name(s) and number Displayed on the First Aid Box

  Yes

  No

• 21. First Aid Box Locked

  Yes

  No

• Where is the key kept?

• 22. Signage in Place

  Yes

  No

General Comments/Observations:

• Comments/Observations

Action

• Action to be taken: By Whom: Target Date:

Signatures:

• First Aider Name & Surname:

  Sign

Rev:03