Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Location:

  • Guidance Leaflet?

  • Medical scissors included?

  • Eye Pad included? Small Kit - 2, Medium Kit - 3, Large Kit - 4, Travel - 1

  • Medium Sterile Dressing? Small Kit - 4, Medium Kit - 6, Large Kit - 8, Travel - 1

  • Safety Pins included? Small Kit - 12, Medium Kit - 12, Large Kit - 24, Travel - 12

  • Large Sterile Dressing? Small Kit - 1, Medium Kit - 2, Large Kit - 2, Travel - 1

  • Adhesive Dressings included? Small Kit - 40, Medium Kit - 60, Large Kit - 100, Travel - 20

  • Triangular Bandage included? Small Kit - 2, Medium Kit - 3, Large Kit - 4, Travel - 2

  • Sterile Wet Wipes included? Small Kit - 20, Medium Kit - 30, Large Kit - 40, Travel - 4

  • Nitrile Gloves included? Small Kit - 6, Medium Kit - 9, Large Kit - 12, Travel - 1

  • Adhesive Tape included? Small Kit - 1, Medium Kit - 1, Large Kit - 1, Travel - 1

  • Face Shield included? Small Kit - 1, Medium Kit - 2, Large Kit - 3, Travel - 1

  • Foil Blanket included? Small Kit - 1, Medium Kit - 2, Large Kit - 3, Travel - 1

  • Burn Dressing 10x10 included? Small Kit - 1, Medium Kit - 2, Large Kit - 2, Travel - 1

  • Conforming Bandage included? Small Kit - 1, Medium Kit - 2, Large Kit - 2, Travel - 1

  • Finger Dressing included? Small Kit - 2, Medium Kit - 3, Large Kit - 4, Travel - 0

  • Eye Wash included? Travel Only - 1

  • Plasters included?

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.