Checklist

First Aid Box

Plant Location :

Doc. No : Date:

S No. Description Yes No Remarks

A sufficient number of but not less than 12, sterile, small-size finger
1
dressings
A sufficient number of but not less than 6 sterile medium-size hand
2
dressings?
A sufficient number of but not less than 6 sterile large-size hand
3
dressings?
A sufficient supply of absorbent cotton wool for packing and firming
4
up splints.
A sufficient number of but not less than 12 gauze bandages 7 cm. In
5
width.
A sufficient number of but not less than 12 gauze bandages 11 cm.
6
In width.
Greaseless Ointment for burns containing a disinfectant and an
7
analgesic.
100 grams of aromatic ammonia solution in a glass bottle with a
8
glass stopper.
9 Not less than 4 yards of adhesive tape in rolls, 1 cm. In width.
10 Not less than 100 grams of Mercurochrome in aqueous solution
11 Two 10-gram shakers of sulfa powder for sterilization of wounds.
12 A medium-sized Thomas Thigh Splint,
13 a wooden posterior leg splint,
14 a wooden elbow splint,.
15 a wooden Carr splint for the forearm,
16 a wooden palm splint, and other types of ready-to-use splints
17 A minimum of 6 triangle bandages
18 A quantity of safety pins
19 An assortment of elastic bandages, 2” to 6” in width.
20 A minimum of ten 70 x 70 sterile bandages for burns.
21 A pair of scissors with blunt ends.
22 Sterile water for irrigation and burn treatment.
23 A sufficient number of stretchers for moving injured persons.

Remarks

Plant Head First Aider Safety Officer

Signature:

Name:

Date: