• Document No.

  • Conducted on

  • Prepared by


  • Photo of kit

  • First Aid kit number


  • Instructions for providing first aid - including CPR flow chart

  • Notebook & Pen

  • Resuscitation face mask or face shield

  • Disposable nitrile examination gloves

  • Gauze pieces 7.5 x 6.5cm, sterile (3 per pack)

  • Saline (15ml)

  • Wound cleaning wipe ( single 1% Cetrimide BP)

  • Adhesive dressing strips - plastic of fabric (pack of 50)

  • Splinter probes (single use, disposable)

  • Tweezers/Forceps

  • Antiseptic liquid/Spray (50ml)

  • Non-Adherent wound dressing / pad 5 x 5cm (small)

  • Non-Adherent wound dressing / pad 7.5 x 10cm (medium)

  • Non-Adherent wound dressing / pad 10 x 10cm (large)

  • Conforming cotton bandage, 5cm width

  • Conforming cotton bandage, 7.5cm width

  • Crepe bandage 10cm (for serious bleeding and pressure application)

  • Scissors

  • Non-stretch, hypoallergenic adhesive tape - 2.5cm wide roll

  • Safety pins (pk of 6)

  • BPC wound dressing No.14 (medium)

  • BPC wound dressing No. 15 (large)

  • Dressing - Combine pad 9 x 20cm

  • Plastic bags - clip seal

  • Triangular bandage (calico or cotton minimum width 90cm)

  • Emergency rescue blanket (for shock or hypothermia)

  • Eye pads (single use)

  • Access to 20min of clean running water ((if this is not available ) hydro gel 3.5ml sachets)

  • Instant ice pack (for treatment of soft tissue injuries and some stings)

EXTRAS (items required for all LV's, HV's, office & rig kits)

Outdoor work

  • Heavy Duty crepe bandage (10cm)

  • Sting relief cream, gel or spray (stingose)

Burns injuries

  • Burn treatment instructions on a water-proof instruction card

  • Hydro-gel (3.5gm sachets)

  • Hydro gel dressings

  • Clean polythene sheet (small)

  • Clean polythene sheet (medium)

  • Clean polythene sheet (large)

  • 7.5cm cotton conforming bandage

  • Items required to fill kit to standard

  • Person completing check

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.