ENSURE ALL required quantities are available and any items which will be out of date prior to the next months Audit, must be replacement.

1 X Resuscitation Face Mask / Face Shield

5 Pairs X Disposable Examination Gloves

Are all pairs of gloves in good condition and not damaged?

5 X Sterile Gauze Pieces (7.5 x 7.5 cm, 5 pieces per pack)

Sterile Gauze Pieces Expiry Date

8 X Saline (10 ml)

Saline Expiry Date

1 X Elastoplast Plain (packet of 50)

1 X Band-Aids (packet of 50)

1 X Tweezers / Forceps

Tweezers / Forceps in good condition and not damaged

1 X Antiseptic Liquid / Spray / Cream (50 ml)

Antiseptic Liquid / Spray / Cream Expiry Date

6 X Small Low-Adherent Wound Dressing / Pad (5 x 5 cm)

3 X Medium Low-Adherent Wound Dressing / Pad (7.5 x 10 cm)

1 X Large Low-Adherent Wound Dressing / Pad (10 x 10 cm)

3 X Conforming Cotton Bandage (7.5 cm wide)

1 X Scissors

Are the Scissors in good condition and not damaged

1 x Hypoallergenic Adhesive Tape (2.5 cm wide)

1 X Safety Pins (Packet of 6)

Are all the Safety Pins in good condition and not rusty or damaged?

1 X BPC Medium Wound Dressings (No. 14)

1 X BPC Large Wound Dressings (No. 15)

1 X Dressing – Roll

1 X Clip Seal Plastic bag

Is the Clip Seal Plastic Bag in good condition and not damaged?

2 X Triangular Bandage (calico or cotton minimum width 90 cm)

1 X Emergency Rescue Blanket (for shock or hypothermia)

4 x Eye Pad (single use only)

Eye Pad Expiry Date

1 X Instant Ice Pack (single use only)

Instant Ice Pack Expiry Date

Do you have an Eye Wash Station?

Is there close access to at least 20 minutes of clean running water

Is the water flowing freely in the Eye Wash Station

Reported this issue to your Operations Manager or SHEQ Representative IMMEDIATELY


Enter any Comments or Notes

Audit Conducted By
Date Completed
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.