First Aid Kit Checklist : Class-A

• Client / Site

• Kit Type

  Type I

  Type II

  Type III

  Type IV

• Kit Number

• Inspected Date and Time

  Date

• Inspected by

• Location
  Address

General Information

• Number of Employees

• Description of work

• Take a photo of first aid kit

  Media

First aid kit contents

• 1" x 3" Adhesive Bandages • Qty : 16

  Sufficient

  Insufficient

  N/A

• 2.5 yd Adhesive Tape • Qty : 1

  Sufficient

  Insufficient

  N/A

• 1/57 oz Antibiotic Treatment Application • Qty : 10

  Sufficient

  Insufficient

  N/A

• 1/57 oz Antiseptic Applications • Qty : 10

  Sufficient

  Insufficient

  N/A

• Breathing Barrier • Qty : 1

  Sufficient

  Insufficient

  N/A

• 4" x 4" Burn Dressing, gel soaked • Qty : 1

  Sufficient

  Insufficient

  N/A

• 1/32 oz Burn Treatment • Qty : 10

  Sufficient

  Insufficient

  N/A

• Cold Pack • Qty : 1

  Sufficient

  Insufficient

  N/A

• Eye Covering • Qty : 2

  Sufficient

  Insufficient

  N/A

• 1 oz. Eye Wash • Qty : 1

  Sufficient

  Insufficient

  N/A

• 0.9g Hand Sanitizer • Qty : 6

  Sufficient

  Insufficient

  N/A

• Exam Gloves • Qty : 2 pairs

  Sufficient

  Insufficient

  N/A

• 2" x 4 yds Roller Bandage • Qty : 1

  Sufficient

  Insufficient

  N/A

• 4" x 24" Splint • Qty : 1

  Sufficient

  Insufficient

  N/A

• 3" x 3" Sterile Pad • Qty : 2

  Sufficient

  Insufficient

  N/A

• 5" x 9" Trauma Pad • Qty : 2

  Sufficient

  Insufficient

  N/A

• Tourniquet • Qty : 1

  Sufficient

  Insufficient

  N/A

• 40" x 40" x 56" Triangular Bandage • Qty : 1

  Sufficient

  Insufficient

  N/A

• 8" x 10" Gauze pads • Qty : 2

  Sufficient

  Insufficient

  N/A

• Blanket • Qty : 1

  Sufficient

  Insufficient

  N/A

• Tweezers • Qty : 1 pair

  Sufficient

  Insufficient

  N/A

• Elastic wraps • Qty : 2

  Sufficient

  Insufficient

  N/A

• Scissors • Qty : 1 pair

  Sufficient

  Insufficient

  N/A

• First Aid Guide • Qty : 1

  Sufficient

  Insufficient

  N/A

Quality Check

• REFERENCE: First Aid Kit with good quality contents
  [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]

  

• Is there any defective item/s?

  Yes

  No

• Take photo of the defective items

  Media

• Is there any medicine and treatment solution that are out-of-date?

  Yes

  No

• Take photo of the expired items

  Media

Recommendation

• Write down recommendations and safety tips

Completion

• Inspector's Name and Signature

  Sign