First Aid Room Monthly Audit

• Document No.

• First Aid Room Audit - Monthly

• Client / Site

• Conducted on

  Date

• Prepared by

• Building
  Address

• Personnel

Furniture

• Couch?

  Safe

  At Risk

  N/A

• Desk?

  Safe

  At Risk

  N/A

• Chair?

  Safe

  At Risk

  N/A

• Clock?

  Yes

  No

  N/A

• First aid and useful contact numbers displayed?

  Yes

  No

  N/A

• Clinical waste bin

  Yes

  No

  N/A

• General waste bin?

  Yes

  No

  N/A

Equipment

• Blankets available?

  Yes

  No

  N/A

• Accident book and envelopes available?

  Yes

  No

  N/A

• Hand sanitizer available?

  Yes

  No

  N/A

• Disinfectant wipes available?

  Yes

  No

  N/A

• Nitrile gloves in small, medium and large sizes?

  Yes

  No

  N/A

• Saline eye wash solution 500ml x 2

  Yes

  No

  N/A

• Vomit bowls available?

  Yes

  No

  N/A

• Box of assorted plasters available?

  Yes

  No

  N/A

• Signature

  Sign