Title Page

  • First Aid Kit ID.

  • Inspected Date

  • Inspected by

  • Location

First Aid Kit contents and Muster list

  • Complete this checklist for each first aid kit

First aid kit contents

  • First Aid Guide book• QTY 1

  • CPR Instructions / Flowchart QTY 1

  • Notepad and Pencil QTY 1

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

  • Disposable Nitrile examination gloves. QTY 5 PAIRS

  • Sodium Chloride (Saline Solution) QTY 8

  • Wound Cleaning wipe, single 1% Centrimide BP QTY 10

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

  • Antibacterial Hand Sanitiser

  • Antiseptic Liquid / Spray 50ml

  • Sterile dressing scissors QTY 1

  • Individual Adhesive wrapped sterile plasters x 20

  • Splinter Probe (Single Use) QTY 5

  • Sterile Tweezers / Forceps QTY 1

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

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

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

  • Conforming Cotton bandage (5CM Width) QTY 2

  • Conforming Cotton Bandage ( 7.5CM width) QTY 2

  • Crepe bandage, 10 cm, for serious bleeding and <br>pressure application QTY 5

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

  • BPC wound dressings No. 14, medium QTY 1

  • BPC wound dressings No. 15, large QTY 1

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

  • Plastic bags -- clip seal QTY 1

  • Resources expended list

  • Appropriate First Aid Kit storage and signage

  • Disposable Triangular Bandages ( Min 90cm) QTY 5

  • Large Wound Dressings QTY 3

  • Safety Pins QTY 6

  • Sterile eye pads QTY 4

  • Instant Ice Pack QTY 1

  • Emergency thermal blanket QTY 1

  • Hydrogel, 3.5gram sachets QTY 5

  • Arterial Torniquet

  • Snake Bandage

  • Stingose

  • T-POD Pelvic Binder

  • SAM SPLINT QTY 2

  • First Aid Kit Contents list

Quality Check

  • Is / Are there any defective item/s?

  • Take photo of the defective items

  • Is there any medicine and treatment solution that are out-of-date?

  • Take photo of the expired items

Recommendation

  • Number of non-conformances identified during this audit

  • Recommendations and safety tips

Completion

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

  • Auditors Name and Signature

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