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BOTT/HSE/FRM-32

FIRST AID KIT INSPECTION CHECKLIST Rev. No. Rev. Date

00 01-07-2015
1 of 1

FIRST AIDER / Nurse :


FIRST AID BOX NUMBER: BOTT-HSE-FAB-02
LOCATION / AREA :- Location 2

Project Name:- EPIC OF EMERGENCY ALARM & PA FIXED 


SYSTEM AT VARIOUS LOCATIONS IN DUKHAN Yes No
PORTABLE
Project Ref. No. : 3881 / GC14113100 
Yes No
Status Remake :-
Full and ready 1- Need to check for expired materials and replace
 Good
Items finished (check one week before expiry date
against contents list) – list below: 2- First Aid box must be visible
3- Arriange the items in the box properly
Broken Expired (need
replacement) – list below

No. Item Quantity Unit Condition Expiry Remarks


Date
GOOD POOR
1 First Aid/ Burn Relief Spray 1 Pcs.  05\2018
2 Confirming Bnadage 1 Pcs.  N/A
3 Scissors 1 Pcs.  11/2019
4 First Aid Bandage 1 Pck.  10/2018
5 Zinc Oxide Adhesive tape 1 Pcs.  10/2018
6 Crepe Bandage 1 Pcs.  09\2019
7 Gauze Bandage 5 Pcs.  10/2019
8 Examination Gloves 8 Pcs.  10/2019
9 Alcohol Swab 2 Pck.  09/2018
10 Paratulle Gauze 2 Pcs.  09/2018
11 Gauze Swabs 3 Pcs.  10/2018
12 Face Mask 5 Pck.  10/2018
13 Cotton Wool 1 Pcs.  07\2019
14 Wooden Tongue Depressor 6 Pcs.  10/2019
15 Forceps 1 Pcs.  10/2019
16 Tab. Paracetamol (not available 1 Pck.  N/A
17 Cotton Balls 1 Pck.  05/2019
18 Clove Oil 1 Pcs.  09/2018

Checked by : Emmanuel Ameh Date: 8th 05 2018

Signature:

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