YUKON FIRST AID KIT INSPECTION

• FIRST AID KIT SITE

  Select Aishihik Dawson City Faro Mayo Substation Whitehorse Other

  • Aishihik
  • Dawson City
  • Faro
  • Mayo
  • Substation
  • Whitehorse
  • Other

• FIRST AID KIT LOCATION

• Conducted on

  Date

• INSPECTED BY:

  Select Al Hammond Other

  • Al Hammond
  • Other

• Name:

• Comments

First Aid Kit

• Case type

  HARD

  SOFT

• Is kit type marked on case?

  Yes

  No

• Case in good condition?

  Yes

  No

• Inspection tag affixed?

  Yes

  No

• Kit seal in tact?

  Yes

  No

• If the seal is in tact, continue to next inspection item.

• If the seal is broken, continue with inspection. Press 'Add first aid kit'

• Are the antiseptic wipes expired?

  Yes

  No

• If antiseptic wipes are expired, continue with inspection. Press 'Add first aid kit'

• If antiseptic wipes are not expired, continue with inspection. Press 'Mark as complete'.

First Aid Kit

• Type of First Aid Kit?

  Select YUKON #1 YUKON #2 YUKON #3

  • YUKON #1
  • YUKON #2
  • YUKON #3

YUKON #1 CONTENTS

• The following items must be contained in a Yukon #1 first aid kit.
  When answering 'NO', enter requirements in text box

• 10 - Antiseptic wipes; individually packages

  Yes

  No

• Expiry Date:

  Date

• Changed expiry date on back of inspection tag?

• 25 - Sterile adhesive dressings; assorted sizes; individually packaged

  Yes

  No

• 10 - 4 X 4" (10 X 10 cm) sterile gauze pads; individually packaged

  Yes

  No

• 2 - 4X4" (10 X 10 cm) sterile compress dressing with ties

  Yes

  No

• 2 - 6 X 6" (15 X 15cm) sterile compress dressing with ties

  Yes

  No

• 2 - 3" conform gauze bandage

  Yes

  No

• 3 - cotton triangular bandage

  Yes

  No

• 5 - safety pins; assorted sizes

  Yes

  No

• 1 - pair scissors

  Yes

  No

• 1 - pair tweezers

  Yes

  No

• 1 - (roll) adhesive tape; 1" X 15' (25mm X 4.5m)

  Yes

  No

• 1 - crepe tension (tensor) bandage

  Yes

  No

• 1 - resuscitation barrier with one-way valve (CPR mask)

  Yes

  No

• 4 pair - disposable surgical gloves

  Yes

  No

• 1 - First aid instruction manual condensed)

  Yes

  No

• 1 - Inventory of kit contents

  Yes

  No

• 1 - waterproof waste bag

  Yes

  No

• 1 - First aid record book

  Yes

  No

• OTHER ITEMS NOT LISTED:

• COMMENTS:

YUKON #2 CONTENTS

• The following items must be contained in a Yukon #2 first aid kit.
  When answering 'NO', enter requirements in text box

• 10 - Antiseptic wipes; individually packages

  Yes

  No

• Expiry Date:

  Date

• Changed expiry date on back of inspection tag?

• 50 - Sterile adhesive dressings; assorted sizes; individually packaged

  Yes

  No

• 20 - 4 X 4" (10 X 10 cm) sterile gauze pads; individually packaged

  Yes

  No

• 3 - 4X4" (10 X 10 cm) sterile compress dressing with ties

  Yes

  No

• 3 - 6 X 6" (15 X 15cm) sterile compress dressing with ties

  Yes

  No

• 1 - 8 X 10" (20 X 25 cm) sterile abdominal dressing

  Yes

  No

• 2 - 3" conform gauze bandage

  Yes

  No

• 4 - cotton triangular bandage

  Yes

  No

• 8 - safety pins; assorted sizes

  Yes

  No

• 1 - pair scissors

  Yes

  No

• 1 - pair tweezers

  Yes

  No

• 1 - (roll) adhesive tape; 1" X 15' (25mm X 4.5m)

  Yes

  No

• 2 - crepe tension (tensor) bandage

  Yes

  No

• 1 - resuscitation barrier with one-way valve (CPR mask)

  Yes

  No

• 6 pair - disposable surgical gloves

  Yes

  No

• 1 - sterile eye dressing

  Yes

  No

• 1 - First aid instruction manual condensed)

  Yes

  No

• 1 - Inventory of kit contents

  Yes

  No

• 1 - waterproof waste bag

  Yes

  No

• 1 - First aid record book

  Yes

  No

• OTHER ITEMS NOT LISTED:

• COMMENTS:

YUKON #3 CONTENTS

• The following items must be contained in a Yukon #3 first aid kit.
  When answering 'NO', enter requirements in text box

• 24 - Antiseptic wipes; individually packages

  Yes

  No

• Expiry Date:

  Date

• Changed expiry date on back of inspection tag?

• 100 - Sterile adhesive dressings; assorted sizes; individually packaged

  Yes

  No

• 50 - 4 X 4" (10 X 10 cm) sterile gauze pads; individually packaged

  Yes

  No

• 6 - 4X4" (10 X 10 cm) sterile compress dressing with ties

  Yes

  No

• 6 - 6 X 6" (15 X 15cm) sterile compress dressing with ties

  Yes

  No

• 4 - 8 X 10" (20 X 25 cm) sterile abdominal dressings

  Yes

  No

• 6 - 3" conform gauze bandage

  Yes

  No

• 12 - cotton triangular bandage

  Yes

  No

• 12 - safety pins; assorted sizes

  Yes

  No

• 1 - pair scissors

  Yes

  No

• 1 - pair tweezers

  Yes

  No

• 2 - (roll) adhesive tape; 1" X 15' (25mm X 4.5m)

  Yes

  No

• 4 - crepe tension (tensor) bandage

  Yes

  No

• 1 - resuscitation barrier with one-way valve (CPR mask)

  Yes

  No

• 12 pair - disposable surgical gloves

  Yes

  No

• 2 - sterile eye dressing

  Yes

  No

• 1 - Tubular finger bandage; with applicator

  Yes

  No

• 1 - First aid instruction manual condensed)

  Yes

  No

• 1 - Inventory of kit contents

  Yes

  No

• 2 - waterproof waste bag

  Yes

  No

• 1 - First aid record book

  Yes

  No

• OTHER ITEMS NOT LISTED:

• COMMENTS: