Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Inspected by

  • Location

Bleeding and Wounds

  • Various size regular bandages

  • Butterfly bandages

  • Steri-strips

  • Compound tincture of benzoin

  • Liquid bandage (superglue)

  • Finger / knuckle bandages

  • Gauze Dressing Pads (2x2, 4x4)

  • Trauma pads

  • Triangular bandage

  • Hemostatic agent

  • Gauze roll bandages (2 in and 4 in)

  • Nylon sutures (#3 - #5)

  • Needle puller

  • Surgical scissors

  • Eyewash (for wound irrigation)

Burns

  • Burn Jel

  • Burn Dressing (4x4ish)

Fever / Pain

  • Thermometer

  • Aspirin, Ibuprofen, Tylenol, Excedrin

  • Pain relieving spray

  • Oral pain gel

  • Icy Hot

  • Cooling Towel

Other Creams / Sprays / Ointments

  • Sting / bite relief

  • Hydrocortisone

  • Antibiotic ointment

  • Povidone-iodine pads

  • Antiseptic pads

  • Antiseptic hand wipes

  • Lip ointment

  • Sunscreen

OTC Meds

  • Allergy medicine

  • Nausea / diarrhea meds

  • Cold medicine

  • Antacid

  • Cough drops

Sprain / Break

  • Flexible Splint

  • Finger Splint

  • Cold Packs

  • Elastic bandages (3")

Dehydration

  • Medi-Lyte

  • Oral IV

Other

  • Eye pad

  • CM Shield

  • Nitrile gloves

  • EMT Shears

  • Tweezers

  • Waterproof tape

Completion

  • Recommendations

  • Inspector (Name and Signature)

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.