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  • First Aid Box Checklist Form

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    Mohd Azro Mohd Nor
    12 views2 pages
    The document is a checklist for inspecting the contents of a first aid box. It lists 17 common first aid items that should be checked for minimum quantity and expiration dates. The checklist provides columns to record the results of six separate inspections, noting quantity, expiration date or status for each item. Staff must sign and date after each inspection and can leave comments.

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    The document is a checklist for inspecting the contents of a first aid box. It lists 17 common first aid items that should be checked for minimum quantity and expiration dates. The checklist provides columns to record the results of six separate inspections, noting quantity, expiration date or status for each item. Staff must sign and date after each inspection and can leave comments.

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    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
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    12 views2 pages

    First Aid Box Checklist Form

    Uploaded by

    Mohd Azro Mohd Nor
    The document is a checklist for inspecting the contents of a first aid box. It lists 17 common first aid items that should be checked for minimum quantity and expiration dates. The checklist provides columns to record the results of six separate inspections, noting quantity, expiration date or status for each item. Staff must sign and date after each inspection and can leave comments.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    ELITE VENTURES

    SDN. BHD.(142488-A) FIRST AID BOX CHECKLIST FORM NO : ELITE - F53


    REV. 0

    Checking Result Checking Result Checking Result Checking Result Checking Result Checking Result
    Minimum
    Item Description Content Quantity Expired Date Quantity Expired Date Quantity Expired Date Quantity Expired Date Quantity Expired Date Quantity Expired Date
    √/X √ / X / NA √/X √ / X / NA √/X √ / X / NA √/X √ / X / NA √/X √ / X / NA √/X √ / X / NA
    1

    10

    11

    12

    13

    14
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    FIRST AID BOX CHECKLIST FORM NO :
    REV. 0

    Checking Result Checking Result Checking Result Checking Result Checking Result Checking Result
    Minimum
    Item Description Content Quantity Expired Date Quantity Expired Date Quantity Expired Date Quantity Expired Date Quantity Expired Date Quantity Expired Date
    √/X √ / X / NA √/X √ / X / NA √/X √ / X / NA √/X √ / X / NA √/X √ / X / NA √/X √ / X / NA
    1 Small Dressing 6

    2 Medium Dressing 3

    3 Big Dressing 3

    4 Dressing (Pelekat Luka) 12

    5 Pembalut Segitiga 2

    6 Pembalut Gulung 1" 6

    7 Pembalut Gulung 2" 6

    8 Plaster Dgn Cukup

    9 Kapas 6/Dgn Cukup

    10 Splint Dgn Cukup

    11 Ubat Mata Dgn Cukup

    12 Pad Mata 1

    13 Iodin 1

    14 Sal Votatile 1

    15 Gunting 1

    16 Pin 12

    17
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    Verified By
    Date

    Comment

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