Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

More than one auditor?

  • Additional auditors

  • Adequate certificated first aid personnel available for all shifts?

  • Emergency procedures/ phone numbers displayed adjacent to or in the First Aid boxes & kits?

  • Medical facility locations clearly identified on notice boards?

  • First Aid Box locations clearly identified (not vehicle kits)

  • Current first aid boxes contain a treatment register?

  • Content of First Aid Kit/ cabinet stored correctly and contents within use by dates?

  • First Aid Kits in vehicles and mobile plant are located to protect its content from heat and sunlight?

  • Contractors First Aid Facilities or treatment area available?

  • Eye wash stations inspected & tagged, located adjacent to hazardous areas or as defined in JSEA?

  • Drench showers provided and operational at chemical handling/storage areas or as defined in JSEA?

  • Trauma kits provided at identified HIgh Risk work areas?

  • Action required?
  • Action

  • Allocated to

  • Action due

  • Add location
  • Signed PoMC Representative:

  • Signed Principal Contractor Representative (optional):

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.