Title Page
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Site conducted
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Client / Site
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Kit Type
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Kit Number
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Inspected Date and Time
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Inspected by
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Location
General Information
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Complete this checklist for each first aid kit
Location / Vehicle Reg
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Box Number
Seal
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Is the seal present and intact
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Add media
First aid kit contents
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First Aid Guide • Qty : 1
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20 Individual wrapped sterile plasters
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2 Sterile eye pads
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4 Individually wrapped triangular bandages 90cmx90cmx127cm
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6 Safety pins
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2 Large individually wrapped sterile, unmedicated wound dressings 18cmx18cm
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6 Medium-sized individually wrapped, sterile, unmedicated wound dressings 12cmx12cm
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3 Pairs of disposable gloves
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2 Mouth to mouth Resuscitation Device
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6 Sterile wound cleansing wipes
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2 Emergency thermal blankets
Quality Check
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Is there any defective item/s?
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Take photo of the defective items
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Is there any medicine and treatment solution that are out-of-date?
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Take photo of the expired items
Recommendation
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Write down recommendations and safety tips
Completion
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Inspector's Name and Signature