Information
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Conducted on
Monthly Fire Safety Check
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Date & Time Completed
Fire Safety Checks
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What to check on the Fire Exits, Fire Doors & Fire Extinguishers
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Main Area (Smoke Detector)
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1x 2kg (Extinguisher) - Replace In 2018
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Therapy Room 2 (Smoke Detector)
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Therapy Room 1 (Smoke Detector)
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Any Action Point / Further Comments / Information
Monthly First Aid Stock Check
First Aid Stock Check
First Aid Supplies
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Accident Forms & Head Injury Forms Are Saved Onto The System
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HSE Sterile Dressings (Large 18cm) (Min 3)
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Order Is Required
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HSE Sterile Dressings (Medium 12cm) (Min 3)
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Order Is Required
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Sterile Triangular Bandages (Min 2)
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Order Is Required
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Eye Pads (Min 2)
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Order Is Required
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Medi Wipes (Box) (Min Packs 1)
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Order Is Required
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Face Shields (Min 2)
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Order Is Required
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Safety Pins (Packs) (Min 1 Pack Of 6)
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Order Is Required
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Fabric Strapping (Individual Rolls) (Min 3)
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Order Is Required
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Eye Wash (Individual Sachets) (Min 5)
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Order Is Required
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Selection Of Plasters (1 Box)
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Order Is Required
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Heat Retaining Blankets (Min 2)
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Order Is Required
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Gloves (Box) (Min 1 Box)
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Order Is Required
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Ice Packs (Min 1 Box)
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Order Is Required
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First Aid Box Seals (Pack) (Min 1 Pack)
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Order Is Required
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Face Mask (Min 1)
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Order Is Required
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Spare AED Pads - Check & Record Expiry Dates (Min 1)
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Order Is Required
Bio-Hazard Kit Stock
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Bio Hazard Bags (Pk 25) (Min 1 Pack)
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Order Is Required
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Absorbent Granules (Min 1 Tube)
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Order Is Required
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One Use Body Fluid Kit (Min 2)
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Order Is Required
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Response Sharps Refill Kit (Min 2 Packs)
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Order Is Required
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Disinfectant Spray (Min 2)
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Order Is Required
General Protective Equipment Check
General Protective Equipment
Communal Gloves
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Are There Sufficient Disposable Gloves On Site In All Sizes?
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Order More Gloves
Preventative Maintenance Check
Planned Preventative Maintenance Check
Henry Hoover
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Are the casing and cables in good condition?
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Is the item clean? (check filters and blockages)
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Check operation
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Does the unit charge when plugged into the base?
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Signature
