Title Page
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First Aid Kit ID.
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Inspected Date
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Inspected by
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Location
First Aid Kit contents and Muster list
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Complete this checklist for each first aid kit
First aid kit contents
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First Aid Guide book⢠QTY 1
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CPR Instructions / Flowchart QTY 1
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Notepad and Pencil QTY 1
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Mouth to mouth Resuscitation Device (CPR Mask or Face shield) QTY 1
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Disposable Nitrile examination gloves. QTY 5 PAIRS
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Sodium Chloride (Saline Solution) QTY 8
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Wound Cleaning wipe, single 1% Centrimide BP QTY 10
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Sterile guaze pieces. Three 7.5cm x 7.5cm per pack QTY 5 Packs
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Antibacterial Hand Sanitiser
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Antiseptic Liquid / Spray 50ml
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Sterile dressing scissors QTY 1
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Individual Adhesive wrapped sterile plasters x 20
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Splinter Probe (Single Use) QTY 5
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Sterile Tweezers / Forceps QTY 1
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Non-adherent wound dressing / pad <br>(5x5cm - small) QTY 6
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Non-adherent wound dressing / pad <br>(7.5x10cm - medium) QTY 3
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Non-adherent wound dressing / pad <br>(10x20cm - large) QTY 1
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Conforming Cotton bandage (5CM Width) QTY 2
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Conforming Cotton Bandage ( 7.5CM width) QTY 2
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Crepe bandage, 10 cm, for serious bleeding and <br>pressure application QTY 5
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Non Stretch hypoallergenic tape (2.5CM wide roll ) QTY 1
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BPC wound dressings No. 14, medium QTY 1
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BPC wound dressings No. 15, large QTY 1
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Dressing -- Combine Pad 9 x 20 cm QTY 1
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Plastic bags -- clip seal QTY 1
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Resources expended list
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Appropriate First Aid Kit storage and signage
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Disposable Triangular Bandages ( Min 90cm) QTY 5
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Large Wound Dressings QTY 3
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Safety Pins QTY 6
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Sterile eye pads QTY 4
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Instant Ice Pack QTY 1
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Emergency thermal blanket QTY 1
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Hydrogel, 3.5gram sachets QTY 5
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Arterial Torniquet
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Snake Bandage
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Stingose
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T-POD Pelvic Binder
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SAM SPLINT QTY 2
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First Aid Kit Contents list
Quality Check
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Is / Are there any defective item/s?
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Take photo of the defective items
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Is there any medicine and treatment solution that are out-of-date?
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Take photo of the expired items
Recommendation
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Number of non-conformances identified during this audit
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Recommendations and safety tips
Completion
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Have the findings / report been disseminated to the appropriate Management personnel.
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Auditors Name and Signature