Monthly First Aid Kit Inspection

• Office / Vessel

• Kit Location

• Inspected by

• Inspection Date

  Date

Sterile Gauze Pads

• Are there at least 4 each Sterile Large Gauze Pads in the First Aid kit?

  Yes

  No

  N/A

• Are there at least 4 each Sterile Medium Gauze pads in the First Aid kit?

  Yes

  No

  N/A

• Are there at least 4 each Small Sterile Gauze Pads in the First Aid kit?

  Yes

  No

  N/A

• Are there At least 4 each Non-Sterile Gauze pads in the First Aid kit?

  Yes

  No

  N/A

Triangular Bandage

• Are there at least 2 each Triangular Bandage in the First Aid Kit?

  Yes

  No

  N/A

Dressing

• Are there 2 each Eye Pad Sterile Dressing in the First Aid Kit?

  Yes

  No

  N/A

• Are there 2 each Sterile finger Dressing in the first Aid kit?

  Yes

  No

  N/A

• are there 2 each burn dressing in the First Aid kit?

  Yes

  No

  N/A

Bandage

• Are there 2 each Conforming / Elasticated Bandage in the First Aid kit?

  Yes

  No

  N/A

• Are there 2 each Roller Bandage in the first Aid kit?

  Yes

  No

  N/A

Nitril Gloves

• Are there 6 pairs Nitril Disposable Gloves in the First aid kit?

  Yes

  No

  N/A

Shield / Pocket Mask

• Are there 2 each Resuscitation Shield / Pocket Mask in the first Aid kit?

  Yes

  No

  N/A

Foil Blanket

• Is there 1 each foil Blanket in the First aid kit?

  Yes

  No

  N/A

Cutters / EMT Shears

• Is there 1 each Clothing Cutters / EMT Shears in the First Aid kit?

  Yes

  No

  N/A

Plaster

• Are there 40 each Assorted Plasters in the first Aid Kit?

  Yes

  No

  N/A

• Is there Adhesive Plaster in the First Aid Kit?

  Yes

  No

  N/A

• Is there 1 each Adhesive Tape roll in the First Aid kit?

  Yes

  No

  N/A

Wipes

• Are there 20 each Alcohol free moist cleansing wipes in the First Kit?

  Yes

  No

  N/A

• Are there 10 each Anti Septic wipes in the First Aid Kit?

  Yes

  No

  N/A

• Are there Soap wipes in the First Aid Kit?

  Yes

  No

  N/A

Cold Pack

• Are there 2 each Instant Cold Pack in the First Aid kit?

  Yes

  No

  N/A

First Aid Guidance Leaflet

• Is there a First Aid Guidance Leaflet in the First Aid kit?

  Yes

  No

  N/A

Emergency Contact List

• is There an Emergency Contact list in the first Aid kit?

  yes

  no

  N/A

OTHERS

(Additional in the First Aid Kit)

• Plastic Tong

• Safety Pin

• Blood test pin

• Rayon Ball

• Thermometer

• Alcohol Anti Septic disinfectant

• Anti Septic Solution (Betadine)