HEALTH AND SAFETY MANAGEMENT SYSTEMS FIRST AID BOX CHECKLIST FORM
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It is the responsibility of the supervisor/project manager or appointed company vehicle driver(s) to ensure that the First Aid Kits are well maintained, and any contents that are used or used by date have expired from the First Aid Kit are replenished. Site Name: Inspected by:
Date: Description of items required
Quantity
Cotton wool packs/ Absorbent Cotton Wool 20g
1 pc
Safety Pins
10 pcs
Rolled Elastic Bandages 7.5 X 7.5cm
1 pc
Triangular Bandage
2 pcs
Wooden Splint
2 pcs
Instant Cold Compress
2 pcs
Tongue Depressor
2 pcs
Clinical thermometer
1 pc
Tweezer
1 pc
Disposable gloves
3 pairs
Disposable masks
1 pc
Scissors 5.5”
1 pc
Received
Taken
Used
Comments
Logbook to record injuries CPR Mouth to Mouth Barrier
1 pc
Pen Light
1 pc
Eye Shield
1 pc
Sterile Eye Pad
2 pcs
Sterile Burn Dressing 10cm
3 pcs
Sterile Burn Dressing 5cm
5 pcs
Sterile Abdominal Pad
1 pc
Elastic Gauze Bandage 5cm
1 pc
Elastic Gauze Bandage 7.5cm
2pcs
Sterile wound Dressing
2 pc
Crepe Bandage 6cm X 3mtr
1 pc
Sterile Gauze Swab 10cm
7 pcs
Sterile Gauze Swab 7.5cm
2 pcs
Wound wipes (BZK)
2pcs
Wound Cleaning Wipes
7 pcs
Antiseptic Wipes BZK
5 pcs
Cotton Tip Applicator
10 pcs
Adhesive Plaster 19X72
10pcs
Adhesive Plaster Round
5 pcs
Adhesive Plaster 6cm X 10cm
2 pcs
Knuckle Plaster
2 pcs
Finger Tip Plaster
2 pcs
Iodine
1pc
Itch Cream Hydroperoxide
1pc
Sanitizer Disinfectant
1pc
It is recommended that remove bandages from boxes and store them in zip lock bags. This saves space and keeps bandages dry.
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