GBM Drakes Circus First Aid and Evacuation Bag Checks

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Control Room

• Is the First Aid Kit fully stocked as per the check list

  Yes

  No

  N/A

• Are the Eye Wash solution bottles in date

  Yes

  No

  N/A

Reception

• Is the First Aid Kit fully stocked as per the check list

  Yes

  No

  N/A

• Are the Eye Wash solution bottles in date

  Yes

  No

  N/A

Stair 3

• Is the First Aid Kit fully stocked as per the check list

  Yes

  No

  N/A

• Are the Eye Wash solution bottles in date

  Yes

  No

  N/A

Mess Room

• Is the First Aid Kit fully stocked as per the check list

  Yes

  No

  N/A

• Are the Eye Wash solution bottles in date

  Yes

  No

  N/A

Care Room CP 1

• Is the First Aid Kit fully stocked as per the check list

  Yes

  No

  N/A

Workshop

• Is the First Aid Kit fully stocked as per the check list

  Yes

  No

  N/A

• Are the Eye Wash solution bottles in date

  Yes

  No

  N/A

Under Ramp Workshop

• Is the First Aid Kit fully stocked as per the check list

  Yes

  No

  N/A

• Are the Eye Wash solution bottles in date

  Yes

  No

  N/A

Red Muster Point Emergency Kit Bag Contents

• Megaphone x1

  Yes

  No

  N/A

• Fog horn and horn attachment x 1

  Yes

  No

  N/A

• Orange Whistles x 1

  Yes

  No

  N/A

• Snap Light Sticks x 10

  Yes

  No

  N/A

• Torch x 1

  Yes

  No

  N/A

• Spare Batteries x 6

  Yes

  No

  N/A

• High Viz Vest x 1

  Yes

  No

  N/A

• Blanket x 1

  Yes

  No

  N/A

• Red and White emergency tape x 1

  Yes

  No

  N/A

• Hard Hats x 1

  Yes

  No

  N/A

• Pens x 2

  Yes

  No

  N/A

Red Muster Point Emergency Kit Bag Contents

• Megaphone x 1

  Yes

  No

  N/A

• Fog horn and horn attachment x 1

  Yes

  No

  N/A

• Orange Whistles x 1

  Yes

  No

  N/A

• Snap Light Sticks x 10

  Yes

  No

  N/A

• Spare batteries x 6

  Yes

  No

  N/A

• Torch x 1

  Yes

  No

  N/A

• High Viz Vest x 1

  Yes

  No

  N/A

• Blanket x 1

  Yes

  No

  N/A

• Red and White emergency tape x 1

  Yes

  No

  N/A

• Hard Hats x 1

  Yes

  No

  N/A

• Pen x 2

  Yes

  No

  N/A

Completed by

• Date and Time Completed

  Date

• Signature

  Sign