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Monthly Refuge Station Check Sheet
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Eye Wash Station - Clean, not outdated, has not been used.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.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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