Title Page
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Client / Site
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Kit Type
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Kit Number
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Date and Time of Inspection
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Inspected by
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Location
General Information
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Number of Employees
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Description of work
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Take a photo of first aid kit
First aid kit contents
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1" x 3" Adhesive Bandages • Qty : 50
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2.5 yd Adhesive Tape • Qty : 2
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1/57 oz Antibiotic Treatment Application • Qty : 25
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1/57 oz Antiseptic Applications • Qty : 50
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Breathing Barrier • Qty : 1
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4" x 4" Burn Dressing, gel soaked • Qty : 2
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1/32 oz Burn Treatment • Qty : 25
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Cold Pack • Qty : 2
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Eye Covering • Qty : 2
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4 oz. Eye Wash • Qty : 1
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0.9g Hand Sanitizer • Qty : 10
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Exam Gloves • Qty : 4 pairs
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2" x 4 yds Roller Bandage • Qty : 2
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4" x 4 yds Roller Bandage • Qty : 1
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4" x 24" Splint • Qty : 1
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3" x 3" Sterile Pad • Qty : 2
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5" x 9" Trauma Pad • Qty : 2
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Tourniquet • Qty : 1
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40" x 40" x 56" Triangular Bandage • Qty : 1
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8" x 10" Gauze pads • Qty : 2
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Blanket • Qty : 1
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Tweezers • Qty : 1 pair
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Elastic wraps • Qty : 2
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Scissors • Qty : 1 pair
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First Aid Guide • Qty : 1
Quality Check
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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?
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Take photo of the defective items
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Is there any medicine and treatment solution that are out-of-date?
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Take photo of the expired items
Recommendation
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Write down recommendations and safety tips
Completion
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Inspector's Name and Signature