First Aid Kit Inspection

• Location

• Inspected By

• Inspection Date

  Date

Band-Aids

• Are there at least 16 1"x3" Adhesive Bandages in the First Aid kit?

  Yes

  No

  N/A

• Are there at least 16 knuckle Adhesive Bandages in the First Aid kit?

  Yes

  No

  N/A

• Are there at least 16 Fingertip Adhesive Bandages in the First Aid kit?

  Yes

  No

  N/A

• Are there 16 Sheer or 3/8 inch bandages in the First Aid kit?

  Yes

  No

  N/A

• Are there 16 2"x4" bandages in the First Aid kit?

  Yes

  No

  N/A

• Is there adhesive tape in the kit?

  Yes

  No

  N/A

Ointments

• Is there at least 6 Hand Sanitizer Packets in the First Aid Kit?

  Yes

  No

  N/A

• Is there at least 10 Burn Cream Packets in the First Aid Kit?

  Yes

  No

  N/A

• Is there at least 10 antibiotic packets in the First Aid kit?

  Yes

  No

  N/A

• Is there at least 10 Hydrocortisone packets in the First Aid kit?

  Yes

  No

  N/A

• Is there a Burn Dressing (GEL PAD) in the First Aid Kit?

  Yes

  No

  N/A

• Is there a breathing barrier in the First Aid Kit?

  Yes

  No

  N/A

• Are there antiseptic wipes in the First Aid Kit?

  Yes

  No

  N/A

• Is there a cold compress in the kit?

  Yes

  No

  N/A

• Are there eye pads inside the First Aid Kit?

  Yes

  No

  N/A

• Is there eye wash inside the First Aid Kit?

  Yes

  No

  N/A

• Is there a First Aid Handbook in the First Aid Kit?

  Yes

  No

  N/A

• Is there at least 2 pairs of medical gloves in the kit?

  Yes

  No

  N/A

• Is there at lest 2 rolls of COBAN inside the First Aid Kit?

  Yes

  No

  N/A

• Is there rolled gauze in the kit?

  Yes

  No

  N/A

• Is there a pair of scissors in the First Aid Kit?

  Yes

  No

  N/A

• Are there at least 2 large gauze pads (4"x4") in the kit?

  Yes

  No

  N/A

• Are there at least 2 5"x9" ABD/ Trauma Pads?

  Yes

  No

  N/A

• Is there a triangular bandage in the First Aid Kit?

  Yes

  No

  N/A

• Is the Bloodborne Pathogen Kit Present?

  Yes

  No

  N/A

• Does the Bloodborne Pathogen Kit contain a package of nitrile gloves?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Does the Bloodborne Pathogen Kit contain a poly apron?

  Yes

  No

  N/A

• Does the Bloodborne Pathogen Kit contain a plastic scoop?

  Yes

  No

  N/A

• Does the Bloodborne Pathogen Kit contain a face mask?

  Yes

  No

  N/A

• Does the Bloodborne Pathogen Kit contain a packet of Red-Z fluid solidifier?

  Yes

  No

  N/A

• Does the Bloodborne Pathogen Kit contain a red biohazard bag and is it in good condition?

  Yes

  No

  N/A