First Aid Kit Monthly Inspection Form

• Site conducted

• Conducted on

  Date

• Prepared by

• Location

Kit number 1 Position: Boning Room Dry Goods Store

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 2: Slaughter Floor Dry Store

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 3: Security Hut

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 4: Canteen

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 5: HR Outside 1st aid Room

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 6: Maintenance Workshop

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 7: Rendering Plant Office

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 8: Tractor

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 9: Grab and Carry - 1st aid room

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 10: Spare Large Wall Mount Kit Treatment Room

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 11; QA Lab

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 12: Carton Loadout

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 13: Box Room

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 14: Boiler House

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 15: Kluger (Vehicle)

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 16: Night Cleaners Shed

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 17: Main Admin

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Kit Number 18: Yards

• Is the kit clear and accessible?

  Media

• Is the kit in place and signage clear & visible?

  Yes

  No

  N/A

• Are the contents complete as per the list of contents? (If not, replenish)

  Yes

  No

  N/A

• Are the contents in good order? (No packages opened etc)

  Yes

  No

  N/A

• Are the contents within their use by dates?

  Yes

  No

  N/A

Defibrillator (Outside Admin)

• Is the kit clear and accessible?

  Media

• Is the AED in Place

  Yes

  No

  N/A

• Is Signage Visible?

  Yes

  No

  N/A

• Date Of Electrode Pads

  Compliant

  Non-Compliant

  N/A

• Is there any signs or damage, tampering and deterioration?

  No

  Yes

• Supporting materials are sealed and unused within expiration? – face shield, scissors, gloves, razor, alcohol wipes

  Compliant

  Non-Compliant

  N/A

Sign Off

• Inspection Completed By

• Date

  Date

• Signature

  Sign