Information

  • Date:

  • Supervisor:

  • General Foreman:

Monthly Refuge Station Check Sheet

  • Check Sheet

  • Location:
  • Refuge Location:

  • Date:

  • Blankets - clean, folded/ready for use.

  • Emerg. Water - Locked boxes, undamaged, not leaking.

  • Emerg. Procedures - Present, Blank report forms.

  • Eye Wash Station - Clean, not outdated, has not been used.

  • First Aid Kit - Clean, sealed, top compartment stocked with band-aids.

  • Basket - Clean, proper splints, backboard.

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.