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FORCE IRON & METAL

FIRST AID SUPPLY CHECKLIST
Job Address: Supervisor: Job No. Date:

Please check off required First Aid Supplies and Return to the Office Needed Back-Ordered Re-stocked Items To Check OK √ 1” X 3: BANDAIDS (48) 2” FINGERTIP BANDAGES (10) 3” FINGERTIP BANDAGES (10) KNEE/ELBOW BANDAGES (10) KNUCKLE BANDAGES (12) 4” COMPRESSED BANDAGE (6) TRIANGULAR BANDAGE (12) BUTTERFLY SKIN CLOSURES 1” GAUZE (12 ROLLS) 2” GAUZE (8 ROLLS) 4” GAUZE (8 ROLLS) 3” X 3” GAUZE SQUARES (48) PDI ANTISEPTIC TOWELETTES FIRST AID SPRAY (1) FIRST AID CREAM (POLYSPORIN) VISINE EYE DROPS (1) INSTANT COLD PACK (1) EYE WASH CUP (1) LATEX GLOVES (12 PAIRS) ADHESIVE TAPE (2) TWEEZERS (1) SCISSORS (1) SAFETY PINS (24) SPLINTS (ASSORTED SIZES) SPLINT PADDING (2) BASIN (1) FIRST AID MANUAL FIRST AID KIT (BOX/CONTAINER) OTHER EXTRA ITEMS:

Audit Date:
AUDITED BY:

Re-stocked Date:
RE-STOCKED BY: