UCLan SHE Team First aid room inspection form

• Conducted on

  Date

• Conducted by

• Location (Building and Room number)
  Address

Contents of First Aid room - please confirm that these items are present and in a good condition.

• Telephone for communication purposes

  Yes

  No

  N/A

• Treatment couch with paper roll and step stool

  Yes

  No

  N/A

• Easy chair(s)

  Yes

  No

  N/A

• Sink with running water

  Yes

  No

  N/A

• Ambulance/carry chair

  Yes

  No

  N/A

• First aid guidance notes/poster

  Yes

  No

  N/A

• Accident/Incident/Near miss, First aid administered and other appropriate forms

  Yes

  No

  N/A

• Stocked first aid kit - see below for minimum content list

  Yes

  No

  N/A

First aid kit contents - this is a standard list of items as per the first aid policy - please confirm that these items are present. Any missing items should be replenished via a request to SHE Section

• Leaflet giving guidance on first aid

  Yes

  No

  N/A

• 20 assorted adhesive plasters (blue for catering areas)

  Yes

  No

  N/A

• 2 sterile eye pads

  Yes

  No

  N/A

• 4 triangular bandages

  Yes

  No

  N/A

• 6 safety pins

  Yes

  No

  N/A

• 6 medium wound dressings

  Yes

  No

  N/A

• 2 large wound dressings

  Yes

  No

  N/A

• 1 extra large wound dressings

  Yes

  No

  N/A

• 2 pairs of disposable gloves (blue nitrile - non powdered, non latex)

  Yes

  No

  N/A

• 10 non alcohol based cleansing wipes

  Yes

  No

  N/A

• Resuscitation face shield

  Yes

  No

  N/A

• Any others items needed.

• Equipment Cupboard - see below for content list for cupboard

  Yes

  No

  N/A

The cupboard should contain the following items. Please confirm that these items are present. Any missing items should be replenished via a request to the SHE Section

• A minimum of one blanket

  Yes

  No

  N/A

• A minimum of one pillow

  Yes

  No

  N/A

• Vomit/sick bowls

  Yes

  No

  N/A

• General housekeeping - is the room generally clean and tidy?

  Yes

  No

  N/A

• Any other comments