WORKPLACE INSPECTION NO 3: FIRST AID

• Inspector:

• Supervisor:

• Company:

• Location:
  Address

• Date:

  Date

INSPECTION

• Certified first aid personnel available on site

  Yes

  No

  N/A

• Emergency procedures / phone numbers displayed

  Yes

  No

  N/A

• Nearest emergency medical facility locations clearly identified

  Yes

  No

  N/A

• First Aid Box locations clearly identified (excluding vehicle kits)

  Yes

  No

  N/A

• Industrial First Aid Boxes contain a treatment register

  Yes

  No

  N/A

• Current first aid equipment list available in cabinet/box

  Yes

  No

  N/A

• Content of First Aid Kit within use by dates

  Yes

  No

  N/A

• First Aid Kits in vehicles and mobile plant are easily accessible for emergency response

  Yes

  No

  N/A

• Eye wash stations located in hazardous areas or as defined in risk assessment

  Yes

  No

  N/A

• Drench showers provided and operational (where required)

  Yes

  No

  N/A

• Copy of Safety Data Sheets readily available for First Aiders where applicable

  Yes

  No

  N/A

Inspection Team

• Signature:

  Sign

• Signature:

  Sign

• Signature:

  Sign