Form No: HISB-HSES-FAK-01

HAS INTERNATIONAL First Aid Kit Rev No: 1.0

Inspection Checklist Rev Date: 1 March 2023
Page: 1 of 2

FIRST AIDER: FIRST AID KIT NO.: HISB-HSES-FAB-A-01

LOCATION / AREA: FIXED: ☐ PORTABLE: ☐

REASON FOR INSPECTION:

☐ MONTHLY INSPECTION ☐ SEAL BROKEN ☐ BOX DAMAGED ☐ ITEMS FINISHED ☐ ITEMS EXPIRED
REMARKS: -
1- Need to check for expired materials and replace one week before expiry date
2- Check the quantity of content if seal is broken
3- Order if any quantity of content is less than minimum requirement
4- First Aid box must be visible
5- Arrange the items in the box properly
6- No medication supply is allowed in the First Aid Box such as Panadol and Pain Killer
Reference:
4th Schedule, Regulation 38, Factory & Machineries (Safety, Health & Welfare) Regulations Revised 1988

Item Condition Expiry

No. Qty Unit Remarks
BOX A (1-10 PAX) GOOD POOR Date
METAL CASING
1 Metal Large PM-D2nd-A Size: L290 x W95 x H245 mm 1 Pc 22 SEP 2025
CONTENT LISTING
2 Triangular Bandage 100 x 100 x 145cm 5 Pcs 22 SEP 2025
3 Sterilized Eye Pad w/bandage in sealed Packets No.16 1 Pc 22 SEP 2025
4 Sterile Gamgee Pad 25cm x 25cm 1 Pkt 22 SEP 2025
5 Sterilized Gauze Pad 7.5cm x 7.5cm x pkt of 5's 2 Pkt 22 SEP 2025
6 Sterilized Gauze Pad 10cm x 10cm x pkt of 5's 2 Pkt 22 SEP 2025
7 Elastic Bandage 10cm x 5m (Stretched) 1 Roll 22 SEP 2025
8 W.O.W. Bandage 3 size w/box 4 Box 22 SEP 2025
9 Instant Ice Pack 11cm x 15cm 2 Pkt 22 SEP 2025
10 Sterile Non-Adherent Pad 10cmx10cm 2 Pkt 22 SEP 2025
11 Vinyl Gloves pkt of 2's 2 Pkt 22 SEP 2025
12 Utility Scissors 19cm 1 Pair 22 SEP 2025
13 Adhesive Tape 2.5cm x 5m 1 Roll 22 SEP 2025
14 Sterilized Multi Trauma Dressing 30cm x 75cm 1 Pkt 22 SEP 2025
Assorted Wipes
15 *Alcohol Prep Pad (size: 65mm x 30mm) 2 Pcs 22 SEP 2025
16 *Normal Saline Wipe (size: 65mm x 30mm) 2 Pcs 22 SEP 2025
17 *Sting Relief Wipe (size: 65mm × 30mm) 1 Pc 22 SEP 2025
18 Povidone Iodine 30ml 1 Btl 22 SEP 2025
19 Cotton Buds pkt of 100's 1 Pkt 22 SEP 2025
20 CPR Face Shield 1's w/one valve 1 Pc 22 SEP 2025
21 ProMed Sterile Assorted Plaster Strip box of 20's 1 Box
22 * 8 x First Aid Bandage 19mm x 76mm 8 Roll 22 SEP 2025
23 * 4 x First Aid Bandage 25mm x 76mm 4 Roll 22 SEP 2025
24 * 4 x First Aid Bandage 45mm x 55mm (Butterfly Shape) 4 Roll 22 SEP 2025
25 * 2 x First Aid Bandage 45mm x 55mm (Butterfly Shape) 2 Roll 22 SEP 2025
26 * 2 x First Aid Bandage 38mm x 76mm (H Shape) 2 Roll 22 SEP 2025
27 Safety Pin 35mm 12 Pcs 22 SEP 2025
28 Forehead Thermometer 1 Pc 22 SEP 2025
29 Basic Life Support Card 1 Pc 22 SEP 2025
30 First Aid Guide Booklet 1 Pc 22 SEP 2025
31 General Usage Card 1 Pc 22 SEP 2025
32 Biohazard Zip-Lock Bag Size: 11" (L) × 8" (W) × 0.05mm (T) 2 Pcs 22 SEP 2025

Checked by: KALITHASAN RAMAN Date: 13th Mar 2023

 Form No: HISB-HSES-FAK-01
HAS INTERNATIONAL First Aid Kit Rev No: 1.0
Inspection Checklist Rev Date: 1 March 2023
Page: 2 of 2

Signature:

Approved by: AZREEL FEIZA ZAHARI Date: 13th Mar 2023

Signature:

NEXT INSPECTION: 13th APRIL 2023