Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Inspected by

  • Location

Bleeding and Wounds

  • Various size regular bandages

  • Steri-strips

  • Finger / knuckle bandaids

  • Gauze Dressing Pads (2x2, 4x4)

  • Trauma pads

  • Triangular bandage

  • Surgical scissors

  • Eyewash (for wound irrigation)

Burns

  • Burn Jel

  • Burn Dressing (4x4ish)

Fever / Pain

  • Thermometer

Sprain / Break

  • Flexible Splint

  • Cold Packs

  • Elastic bandages (3")

Dehydration

  • Medi-Lyte

  • Oral IV

Other

  • Eye pad

  • CM Shield

  • Nitrile gloves

  • 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.