PP-108-09-10-FM Monthly First Aid Inspection Record

• Site conducted

  Select

• Conducted on

  Date

• Completed by

• Location
  Address

• What is the First Aid Kit size

  1 person / travel

  Small (up to 25 people)

  Medium (up to 100 people)

  Large (over 100 people)

• The following checks are to be based on the contents required for the size of first aid kit identified above, see PP-108-09-04-FM for specific details. Missing, defective, or expired items must be replaced immediately.

• Is the container / box undamaged and easily accessible?

  Yes

  No

• Contents list present?

  Yes

  No

• Pocket first aid guidance card present?

  Yes

  No

• Sterile powder and latex free gloves of various sizes present?

  Yes

  No

• Skin / hand disinfectant gels / cleaner?

  Yes

  No

• Disposable apron present?

  Yes

  No

• Biological waste disposal bag present?

  Yes

  No

• Round ended scissors / shears present?

  Yes

  No

• Resuscitation face shield present (sterile or wrapped disposable)?

  Yes

  No

• Hypoallergenic plasters present?

  Yes

  No

• Quantity?

• Finger dressing?

  Yes

  No

• Quantity?

• Eye dressing?

  Yes

  No

• Quantity?

• Medium sterile dressing?

  Yes

  No

• Quantity?

• Large sterile dressings?

  Yes

  No

• Quantity?

• Sterile burns dressing (gel type)?

  Yes

  No

• Quantity?

• Triangular bandages?

  Yes

  No

• Quantity?

• Conforming bandages?

  Yes

  No

  N/A

• Quantity?

• Roller / crepe bandages?

  Yes

  No

  N/A

• Quantity?

• Sterile wipes (alcohol free)

  Yes

  No

• Quantity?

• Safety pins?

  Yes

  No

• Adhesive tape (hypoallergenic)?

  Yes

  No

• Sterile eye wash pods (if access to fresh running water or a emergency shown mark as yes)?

  Yes

  No

Additional Items identified by needs assessment

• Fracture splints

  Yes

  No

  N/A

• Automatic External Defibulator (AED)

  Yes

  No

  N/A

• AED shaving kit and sterile wipes

  Yes

  No

  N/A

• Spare AED pads

  Yes

  No

  N/A

• Wound closures / plastic stitches (various sizes)

  Yes

  No

  N/A

• Tweezers

  Yes

  No

  N/A

• Foil blankets

  Yes

  No

  N/A

• Blood stoppers

  Yes

  No

  N/A

• Wound flushing kit

  Yes

  No

  N/A

• Heat / cold packs

  Yes

  No

  N/A

• Torch

  Yes

  No

  N/A

• Thermometer (with sterile wipes)

  Yes

  No

  N/A