FIRST AID CHECKLIST

• Conducted on

  Date

• Checked by

• Location
  Address

Staff Entry

Bag One

• Dressing Pads (Non-stick) / S x 4 & L x 2

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Dressing Pads (Adhesive) / S x 2 & L x 2

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Jelonet Pads - 1 Packet

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

Bag Two

• Bandages / S x 2, M x 2, L x 1 & XL x 1

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

First Aid Kit

• Band aids / 10 BLUE & 10 BROWN

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Eye Bandages 2 Patches

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Sterile Saline Ampoule 4 Bottles

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Triangular Bandage 1 Packet

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Medi Swabs 10 Wipes

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Gauze Squares 2 Packets

  Yes

  No

• Has it been replaced

  Yes

  No

• Amount replaced

• Micropore Tapes 2 Rolls

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Steri Strips 1 Packet

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Hazardous Bags - 5 Plastic Bags

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Finger Cots - 5 Cots

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Sick Bags - 5 Bags

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Face Shields / 2 Packets & 1 Pocket Mask

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Basic Dressing Packs - 3 Packs

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replace

• Disposable Gloves - At least 5 Pairs

  Yes

  No

• Has it been replace?

  Yes

  No

• Amount replaced

• Scissors & Tweezers - One of each

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Incident Booklets - 5 Books

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

Defibrillator & Oxygen

• Only check if there's green light flashing. Do not open the cover!

  Yes

  No

• Oxygen Bag Ventilator

  Yes

  No

• Disposable Gloves - 1 Box

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Oxygen Masks / 2 x Adult & 1 x Child

  Yes

  No

• Oxygen Level - 1 Full, 1/2 Full, 3/4 Full or Full

Elizabeth Street

Bag One

• Dressing Pads (Non-stick) / S x 4 & L x 2

  Yes

  No

• Has it been replaced?

  Yes

  No

• Amount replaced

• Dressing Pads (Adhesive) / S x 2 & L x 2

  Yes

  No

• Has it been replaced?

  Yes

  No

• Jelonet Pads - 1 Packet

  Yes

  No

• Has it been replaced?

  Yes

  No

Bag Two

• Bandages / S x 2, M x 2, L x 1 & XL x 1

  Yes

  No

• Has it been replaced?

  Yes

  No

First Aid Kit

• Yes

  No

Queen Street

First Aid Room

Oxygen Bottles (Occ Health Room)

• How many full bottles?

• How many empty bottles?

Ben Linen & Bin

• Is the bed linen clean?

  Yes

  No

• Have you change it?

  Yes

  No

• Is the bin empty?

  Yes

  No

• Checked and Completed by

  Sign

• Shift Duty Manager

  Sign