Title Page

  • Building

  • Location

  • Inspected by

  • Inspection Date

Band-Aids

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

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

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

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

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

  • Is there adhesive tape in the kit?

Ointments

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

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

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

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

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

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

  • Are there antiseptic wipes in the First Aid Kit?

  • Is there a cold compress in the kit?

  • Does the cold compress appear to be soiled, dirty, or previously used?

  • Are there eye pads inside the First Aid Kit?

  • Is there eye wash inside the First Aid Kit?

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

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

  • Do the medical gloves appear to be used?

  • Are there any rips or tears in the gloves?

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

  • Are the Coban Bandages completely wrapped and free from damage?

  • Is there rolled gauze in the kit?

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

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

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

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

SHARPS CONTAINER CHECKS

  • Have you checked the Sharps Container?

  • Did you check the men's restroom?

  • Did you check the women's room?

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