First Aid Box Inspection v0

• Site/ Department:

• Conducted on:

  Date

• Conducted by:

• Document No.

MAP:

• Location of First Aid Boxes

1. FIRST AID BOX

• 0. First Aid Box number:

• 1. Wound Cleaner/Antiseptic (100ml)

  Yes

  No

  N/A

• 2. Wound Cleaner/ antiseptic expired?

  Yes

  No

• 3. Swabs for cleaning wound

  Yes

  No

  N/A

• 4. Cotton wool for padding (100g)

  Yes

  No

  N/A

• 5. Sterile Gauze (minimum quantity of 10)

  Yes

  No

  N/A

• 6. 1 Pair of forceps (for splinters)

  Yes

  No

  N/A

• 7. 1 Pair of scissors (minimum size 100mm)

  Yes

  No

  N/A

• 8. 1 Set of safety pins

  Yes

  No

  N/A

• 9. 4 Triangular bandages

  Yes

  No

  N/A

• 10. 4 Roller bandages (75mm x 5m)

  Yes

  No

  N/A

• 11. 4 Roller bandages (100mm x 5m)

  Yes

  No

  N/A

• 12. 1 Roll of elastic adhesive (25mm x 3m)

  Yes

  No

  N/A

• 13. 1 Non-allergenic adhesive strip (25mm x 3m)

  Yes

  No

  N/A

• 14. 1 Packet of adhesive dressing strips (minimum quantity of 10 assorted sizes)

  Yes

  No

  N/A

• 15. 4 First aid dressings (75mm x 100mm)

  Yes

  No

  N/A

• 16. 4 First aid dressings (150mm x 200mm)

  Yes

  No

  N/A

• 17. 2 Straight splints

  Yes

  No

  N/A

• 18. 2 Pairs LARGE and 2 pairs MEDIUM disposable latex gloves

  Yes

  No

  N/A

• 19. 2 CPR mouth pieces or similar devices

  Yes

  No

  N/A

• 20. First Aid Register/ Little black book Available

  Yes

  No

  N/A

• 21. First Aider(s) Name(s) Displayed on the First Aid Box

  Yes

  No

  N/A

• 22. First Aid Box Locked

  Yes

  No

  N/A

• 23. Signage in Place

  Yes

  No

  N/A

General Comments/Observations:

• Comments/Observations

Inspection Conducted By:

• First Aider:

• Signature:

  Sign

• Manager:

• Signature:

  Sign