Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Inspected by

  • Location

Box Number 1 - Engineering Office

  • 6 Bandages, Triangular

  • 4 Dressings, Eye Pad

  • 3 Dressings, HSE Large

  • 9 Dressings, HSE Medium

  • 2 Gloves, Pairs

  • 1 Guidance Leaflet

  • 40 Plasters Waterproof

  • 12 Safety Pins

  • 10 Wipes Cleansing

Box Number 2 - Workshop

  • HypaCool Instant Cold Pack

  • Sterile Dressing Large

  • Sterile Dressing Medium

  • Sterile Eye Dressing 10 x 8

  • Sterile Eye Dressing

  • Triangular Bandages

  • Conforming Bandage

  • Sterile Moist Wipes

  • Foil Blanket

  • Biohazard Bags

  • HypaPlast

  • Burn Gel Large

  • Burn Gel Satchets

  • Nitrile Gloves

  • Scissors

Box Number 3 - Office

  • 1 Conforming bandage

  • 2 Triangular bandages

  • 1 Burn Dressing

  • 2 Eye pad dressings

  • 2 Finger Dressings

  • 2 HSE Medium Dressing

  • 2 HSE Large Dressing

  • 1 Foil Blanket

  • 6 Gloves, Pairs

  • 1 Guidance Leaflet

  • 40 Plasters, Washproof Assorted

  • 1 Resuscitation Face Shield

  • 1 Shears

  • 1 Tape, Microporous

  • 20 Wipes, Cleansing

Completion

  • Recommendations

  • Inspector (Name and Signature)

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