Dave Chase

Sysco St. Louis First Aid Kit Inspections

Monthly inspection of the stocked first aid kits

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Sysco St. Louis
Date/time of Inspection
3850 Mueller Rd. St. Charles, MO 63301
Which kit is being inspected?
Absorbent Compress (No side <4")
Adhesive Bandages (1x3")
Adhesive Tape (5 yards)
Antiseptic (0.5 g/ 0.14 fl Oz)
Burn Treatment (0.5g/0.14 fl Oz)
Medical Exam Gloves
Sterile Pads (3x3")
Triangular Bandage (40x40x56")
Instant Ice Pack
Elastic Bandage
Scissors
Tweezers
Safe Airway Mask
Acetaminophen (1000 mg)
Expiration Date
Ibuprofen (200 mg)
Expiration Date
Aspirin (650 mg)
Expiration Date
Antibiotic Ointment
Expiration Date
Eye Wash (Saline Solution)
Expiration Date
Comments:
Photos
Inspected By:

Dave Chase

Sysco St. Louis First Aid Kit Inspections

Monthly inspection of the stocked first aid kits

Use this Template

Print as PDF

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.