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)


  • Burn Jel

  • Burn Dressing (4x4ish)

Fever / Pain

  • Thermometer

Sprain / Break

  • Flexible Splint

  • Cold Packs

  • Elastic bandages (3")


  • Medi-Lyte

  • Oral IV


  • Eye pad

  • CM Shield

  • Nitrile gloves

  • Tweezers

  • Waterproof tape


  • Recommendations

  • Inspector (Name and Signature)

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