First Aid Kit checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• Department:

• Name of PI (if applicable)

General Information

• Name of First Aiders

• Are name, photo and contact no. being displayed?

  Yes

  No

  N/A

• Number of first Aid box

• Location of box 1

• Individually wrapped sterile adhesive dressings - 20 no

  Yes

  No

  N/A

• Crepe bandage (5 cm) - 1 no

  Yes

  No

  N/A

• Crepe bandage (10cm) - 1 no.

  Yes

  No

  N/A

• Absorbent gauze (packet of 10 pieces) - 5 No.

  Yes

  No

  N/A

• Hypoallergenic tape - 1 No.

  Yes

  No

  N/A

• Scissor - 1 pair

  Yes

  No

  N/A

• Safety pins - 4 nos

  Yes

  No

  N/A

• Disposable gloves (pairs) - 2 pairs

  Yes

  No

  N/A

• Eye shield - 2 nos

  Yes

  No

  N/A

• Eye pad - 2 nos.

  Yes

  No

  N/A

• Resuscitation mask (one-way) - 1 no.

  Yes

  No

  N/A

• Sterile water or saline in 100ml disposable containers (only when tap water is not available) - 1 no.

  Yes

  No

  N/A

• Torch light (ensure working) - 1 no.

  Yes

  No

  N/A

• Treatment log

  Yes

  No

  N/A

• Other items ( e.g. Antidotes etc)

• Location of box 2

• Individually wrapped sterile adhesive dressings - 20 nos.

  Yes

  No

  N/A

• Crepe bandage (5cm) - 1 no.

  Yes

  No

  N/A

• Crepe bandage (10 cm) - 1 no.

  Yes

  No

  N/A

• Absorbent gauze (packets of 10) - 5 no.

  Yes

  No

  N/A

• Hypoallergenic tape - 1 no.

  Yes

  No

  N/A

• Triangular bandages - 4 nos.

  Yes

  No

  N/A

• Scissors - 1 pair

  Yes

  No

  N/A

• Safety pins - 4 nos

  Yes

  No

  N/A

• Disposable gloves (pairs) - 2 nos.

  Yes

  No

  N/A

• Eye shield - 2 nos

  Yes

  No

  N/A

• Eye pad - 2 nos.

  Yes

  No

  N/A

• Resuscitation mask (one-way) - 1 no.

  Yes

  No

  N/A

• Sterile water or saline in 100ml disposable containers (only when tap water is not available) - 1 no.

  Yes

  No

  N/A

• Torch light (ensure working) - 1 no.

  Yes

  No

  N/A

• Treatment log

  Yes

  No

  N/A

• Other item (e.g. Antidotes)

• Location of box 3

• Individually wrapped sterile adhesive dressings - 20 nos.

  Yes

  No

  N/A

• Crepe bandage (5cm) - 1 no.

  Yes

  No

  N/A

• Crepe bandage (10 cm) - 1 no.

  Yes

  No

  N/A

• Absorbent gauze (packets of 10) - 5 no.

  Yes

  No

  N/A

• Hypoallergenic tape - 1 no.

  Yes

  No

  N/A

• Triangular bandages - 4 nos.

  Yes

  No

  N/A

• Scissors - 1 pair

  Yes

  No

  N/A

• Safety pins - 4 nos

  Yes

  No

  N/A

• Disposable gloves (pairs) - 2 nos.

  Yes

  No

  N/A

• Eye shield - 2 nos

  Yes

  No

  N/A

• Eye pad - 2 nos.

  Yes

  No

  N/A

• Resuscitation mask (one-way) - 1 no.

  Yes

  No

  N/A

• Sterile water or saline in 100ml disposable containers (only when tap water is not available) - 1 no.

  Yes

  No

  N/A

• Torch light (ensure working) - 1 no.

  Yes

  No

  N/A

• Treatment log

  Yes

  No

  N/A

• Other item (e.g. Antidotes)