S193 - First Aid and Evacuation Box Checks

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FA1 First Aid Room

• 1 guidance leaflet

  Yes

  No

• 20 individual plasters

  Yes

  No

• 2 eye pads

  Yes

  No

• 4 triangle bandages

  Yes

  No

• 6 Safety pins

  Yes

  No

• 2 large wound dressings

  Yes

  No

• 6 medium wound dressings

  Yes

  No

• 1 resuscitation mask

  Yes

  No

• 2 pair of disposable gloves

  Yes

  No

• 5 antiseptic wipes

  Yes

  No

• 2 foil blankets

  Yes

  No

FA2 Pool Hall

• 1 guidance leaflet

  Yes

  No

• 20 individual plasters

  Yes

  No

• 2 eye pads

  Yes

  No

• 4 triangle bandages

  Yes

  No

• 6 Safety pins

  Yes

  No

• 2 large wound dressings

  Yes

  No

• 6 medium wound dressings

  Yes

  No

• 2 pair of disposable gloves

  Yes

  No

• 1 resuscitation mask

  Yes

  No

• 5 antiseptic wipes

  Yes

  No

• 2 foil blankets

  Yes

  No

FA3 Evacuation Box

• 1 guidance leaflet

  Yes

  No

• 20 individual plasters

  Yes

  No

• 2 eye pads

  Yes

  No

• 4 triangle bandages

  Yes

  No

• 6 Safety pins

  Yes

  No

• 2 large wound dressings

  Yes

  No

• 6 medium wound dressings

  Yes

  No

• 2 pair of disposable gloves

  Yes

  No

• 1 resuscitation mask

  Yes

  No

• 5 antiseptic wipes

  Yes

  No

• 2 foil blankets

  Yes

  No

FA4 Gym

• 1 guidance leaflet

  Yes

  No

• 20 individual plasters

  Yes

  No

• 2 eye pads

  Yes

  No

• 4 triangle bandages

  Yes

  No

• 6 Safety pins

  Yes

  No

• 2 large wound dressings

  Yes

  No

• 6 medium wound dressings

  Yes

  No

• 2 pair of disposable gloves

  Yes

  No

• 1 resuscitation mask

  Yes

  No

• 5 antiseptic wipes

  Yes

  No

• 2 foil blankets

  Yes

  No

FA5 Kitchen Burns Kit

• 1 guidance leaflet

  Yes

  No

• 2 pair of disposable gloves

  Yes

  No

• 12 Safety pins

  Yes

  No

• 2 burn dressing

  Yes

  No

• 1 clothing cutters

  Yes

  No

• 2 bandages

  Yes

  No

• 3 gel sachets

  Yes

  No

Evacuation Box Contents

• First aid box

  Yes

  No

• 75 foil blankets

  Yes

  No

• Touch

  Yes

  No

• 3 tabards

  Yes

  No

• Loud hailer

  Yes

  No

• SIMP

  Yes

  No

• Evacuation zones

  Yes

  No

• Utility cut off points

  Yes

  No

• Plan for chemical storage on site

  Yes

  No

AED

• Tuff cut scissors x1

  Yes

  No

  N/A

• Razor x1

  Yes

  No

  N/A

• Small towel x1

  Yes

  No

  N/A

• Pads that are in date x1

  Yes

  No

  N/A

• Pocket mask x1

  Yes

  No

  N/A

• Spare pads x1 (in date)

  Yes

  No

  N/A

• Spare battery x1

  Yes

  No

  N/A

Spinal Board

• Head strap

  Safe

  At Risk

  N/A

• Green strap

  Safe

  At Risk

  N/A

• Blue strap

  Safe

  At Risk

  N/A

• Orange strap

  Safe

  At Risk

  N/A

• White strap

  Safe

  At Risk

  N/A

• Back pad

  Yes

  No

  N/A

Mobile Phone

• Credit in pounds

Completed by

• Date and Time Completed

  Date

• Signature

  Sign

S193 First Aid And Evacuation Box Checks Issue 9 October 2013