RR&R First Aid Kit Checklist (GREEN BAG)

• First Aid Kit ID.

• Inspected Date

  Date

• Inspected by

• Location
  Address

First Aid Kit contents and Muster list

• Complete this checklist for each first aid kit

First Aid Facilities

• How many First Aid Officers are in the workplace

• Are First aid officers detailed on Workplace noticeboards

  Yes

  No

  N/A

• Is there a dedicated First Aid room and Does it comply with NSW First Aid Code of Practice Paragraph 3.4

  Yes

  No

  N/A

First aid kit contents

• First Aid Guide book• Qty : 1

  Yes

  No

• CPR Instructions / Flowchart QTY 1

  Yes

  No

• Notepad and Pencil QTY 1

  Yes

  No

• Mouth to mouth Resuscitation Device (CPR Mask or Face shield) QTY 1

  Yes

  No

• Disposable Nitrile examination gloves. QTY 2 PAIRS

  Yes

  No

• Sodium Chloride (Saline Solution) QTY 8

  Yes

  No

• Sterile guaze pieces. Three 7.5cm x 7.5cm per pack QTY 5 Packs

  Yes

  No

• Antibacterial Hand Sanitiser

  Yes

  No

• Antiseptic Liquid / Spray 50ml

  Yes

  No

• Sterile dressing scissors QTY 1

  Yes

  No

• Individual Adhesive wrapped sterile plasters x 20

  Yes

  No

• Splinter Probe (Single Use) QTY 5

  Yes

  No

• Sterile Tweezers / Forceps QTY 1

  Yes

  No

• Non-adherent wound dressing / pad <br>(5x5cm - small) QTY 6

  Yes

  No

• Non-adherent wound dressing / pad <br>(7.5x10cm - medium) QTY 3

  Yes

  No

• Non-adherent wound dressing / pad <br>(10x20cm - large) QTY 1

  Yes

  No

• Conforming Cotton bandage (5CM Width) QTY 2

  Yes

  No

• Conforming Cotton Bandage ( 7.5CM width) QTY 2

  Yes

  No

• Crepe bandage, 10 cm, for serious bleeding and <br>pressure application QTY 1

  Yes

  No

• Non Stretch hypoallergenic tape (2.5CM wide roll ) QTY 1

  Yes

  No

• BPC wound dressings No. 14, medium QTY 1

  Yes

  No

• BPC wound dressings No. 15, large QTY 1

  Yes

  No

• Dressing -- Combine Pad 9 x 20 cm QTY 1

  Yes

  No

• Plastic bags -- clip seal QTY 1

  Yes

  No

• Resources expended list

  Yes

  No

• Appropriate First Aid Kit storage and signage

  Yes

  No

• Disposable Triangular Bandages ( Min 90cm) QTY 1

  Yes

  No

• Large Wound Dressings QTY 3

  Yes

  No

• Safety Pins QTY 6

  Yes

  No

• Sterile eye pads QTY 4

  Yes

  No

• Instant Ice Pack QTY 1

  Yes

  No

• Emergency thermal blanket QTY 1

  Yes

  No

• Contents list affixed to first Aid Kit

  Yes

  No

Quality Check

• Is / Are there any defective item/s?

  Yes

  No

• Take photo of the defective items

  Media

• Is there any medicine and treatment solution that are out-of-date?

  Yes

  No

• Take photo of the expired items

  Media

Automated External Defibrilator

• Is the Defibrilator free from contamination and visible damage ?

  Yes

  No

  N/A

• Are the instructions for the AED ?

  Yes

  No

  N/A

• Is the functional indicator light flashing showing readiness ?

  Yes

  No

  N/A

• Are the pads in date and will they remain in life until the next scheduled inspection ?

  Yes

  No

  N/A

• Is the battery in life, and will remain in life until the next schedule inspection ?

  Yes

  No

  N/A

Recommendation

• Detailing any non-conformances identified during this audit

• Write down recommendations and safety tips

Completion

• Have the findings / report been disseminated to the appropriate Management personnel.

  Yes

  No

  N/A

• Auditors Name and Signature

  Sign