First Aid Inspection Checklist

Location Date Inspected (Month of ______ 2022) Remarks

S/No Items
1 Triangular Bandage
2 Cleaning wipes
3 Crepe Bandage 5cm x 4.5 m
4 Crepe Bandage 7.5cm x 4.5 m
5 Conforming Bandage 5cm x 4m
6 Conforming Bandage 7.5cm x 4m
7 Microporus Tape 2.5cm x 5m
8 Resus Mask
9 Non Adhere Pad / Guage Bandage
10 Plaster Assorted 20 Pcs
11 Silver / Foil blanket
12 Vinyl Gloves
13 Scissors with plastic handle
14 Plstic forceps
15 Safety pins 6 pcs/pouch
16 Dressing pad 10cm x20c m
17 Guage bandage 5cm x5m
18 Instant ice Pack
19 Cotton Ball 10pcs/pouch
Location:

REASON WHY THIS ITEM(s) IS / ARE USED PATIENT NAME BADGE/IQAMA NO DATE TIME SAFETY OFFICER NAME AND SIGN