Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • What is the exact site location of the 1st aid box

  • First aid box number

  • Location

Checklist

  • Is there a red security tag on the first aid kit?

First Aid Checklist

  • Medium first aid dressing, 12 x 12cm - sterile

  • Large first aid dressing 18cm x 18cm - sterile

  • Disposable triangular bandage, 90 x 90 x 130cm - non-sterile

  • First aid finger dressing, 3.5 x 3.5cm - sterile

  • Conforming bandage, 7.5cm x 4.5m - single

  • Safety pins, assorted sizes - pack of 6

  • Eye pad first aid dressing - sterile

  • Washproof plasters assorted-pk10

  • Sterile Cleansing Wipes (pk 10)

  • Microporous tape, 2.25cm x 10m - single

  • Powder Free Gloves

  • Revive-Aid

  • Disposable heat retaining adult foil blanket

  • Tuff Kut Scissors

  • Disposable coveralls

  • Face shield

  • Disposable face mask

  • What date was the First Aid kit last fully inspected for out of date consumables?

  • Is there an up to date list of the current First Aiders on site together with their contact numbers?

  • A poster with this key information will speed up the time it takes for a first aider response!

  • Is there a COVID secure PPE bag with the first aid kit?

  • Do you have alternative access to masks, face shields, gloves and aprons to be covid secure whilst administering first aid?

  • ppe bag and content.jpg

Eye Wash Stations

  • Do you have a separate eye wash station?

  • Is the eye wash sealed and untampered?

  • What is the Expiry Date of the Eye Wash solution?

  • Raise POT and Action to order new eye wash solution from Click Shop

AED (automated external defibrillator)

  • Is there an AED (automated external defibrillator) onsite?

  • Is the green light, check mark, or status showing it is ready?

  • What is the expiry date of the pads?

  • Is an AED responder kit available with the AED?

  • If the AED is in a separate location to the First Aid Boxes, consider purchasing a Responder Kit. A responder kit contains - Reusable face masks, Alcohol free wipes, Emergency Blankets, Clothing cutters, 3ply pocket tissues and disposable razors.

  • If the AED is in a separate location to the First Aid Boxes, a poster with a list of trained staff together with their telephone numbers is required.

  • AED devices have a proven track record of helping to save lives in both public and workplaces. By having these devices on site saves precious treatment time.

Sign off

  • First Aider Sign Off

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.