Title Page

  • Document Number

  • Audit Title

  • Site

  • Conducted on

  • Completed By

ITEMS TO CHECK

  • 1. Resuscitation face mask

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  • 2. Gloves, disposable, single use

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  • 3. Gauze pieces 7.5 cm x 7.5 cm (3 per pack)

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  • 4. Sterile eyewash solution, 15ml single use (Check expiry dates)

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  • 5. Swabs, pre packed, antiseptic, packs of 10 (Check for expiry dates)

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  • 6. Adhesive plastic dressing strips, sterile, packet of 50

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  • 7. Splinter forceps, disposable

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  • 8. Tweezers / forceps

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  • 9. Antiseptic liquid spray 50ml

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  • 10. Non-adherent wound dressing 5 cm x 5 cm (small)

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  • 11. Non-adherent wound dressing 7.5 cm x 7.5 cm (medium)

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  • 12. Non-adherent wound dressing 10 cm x 10 cm (large)

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  • 13. Conforming cotton bandage 5cm width

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  • 14. Conforming cotton bandage 7.5 cm width

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  • 15. Crepe bandage 10cm

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  • 16. Scissors, blunt/short nosed

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  • 17. Non-stretch, hypoallergenic adhesive tape 2.5cm wide

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  • 18. Safety pins, packets

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  • 19. BPC wound dressing No. 14 medium

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  • 20. PBC wound dressing No. 15 large

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  • 21. Dressing - combine pad 9 x 20cm

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  • 22. Plastic bags - clip seal

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  • 23. Triangular bandages, minimum 90cm

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  • 24. Rescue blanket, silver space

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  • 25. Eye pad (single use)

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  • 26. Hydro gel 3.5gm sachets

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  • 27. Instant ice pack

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  • 28. Instructions for providing first aid

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  • 29. Note book and pen

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  • 30. Hygienic hand cleanser

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  • 31. Disposable paper towels

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  • 32. Examination bed with disposable sheets

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  • 33. Examination lamp with magnifier

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  • 34. Cupboard for storage

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  • 35. Container with disposable lining for solid waste

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  • 36. Container for the safe disposal of sharps

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  • 37. A bowl or bucket (minimum 2L)

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  • 38. Electric Power Points

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  • 39. A chair and a desk

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  • 40. Telephone

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  • 41. The names and contact details for emergencies

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  • 42. Entrance clearly marked with first aid signage

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.