SPILL KIT CHECK SHEET

Date: ………………………

Machine No or Location of Spill Kit: ……….…………………………

Operators Name: ………………………….. Signature: …………………………

Mark columns as applicable with a tick

Number
Item Present Missing NA Comments
Available
Carry bag
Oil absorbent pads
Oil absorbent socks
Disposal bags
Bag ties
Hole repair putty /
MSeal
Pair of safety
goggles
Pairs of chemical
resistant gloves
Pairs of latex gloves
Information sheet

If contents of kit are correct and in good order, hand the check sheet to your
supervisor/manager at the earliest opportunity. If there are items that are missing or need
replacing inform supervisor/manager immediately.

Spill Kit Checklist ISSUE DATE: 07/05/2016 Revision: 01 Page 1 of 1

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