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OHS ASSIST

FIRST AID BOX INSPECTION

SITE: USER:
DATE: TIME:

ITEM √/x ITEM √/x


Wound cleaner / antiseptic (100ml) Swabs for cleaning wounds
Sterile gauze (minimum quantity 10) 1 pair of forceps (for splinters)
1 pair of scissors (minimum size 100mm) 1 set of safety pins
4 triangular bandages 4 roller bandages (75mm x 5m)
4 roller bandages (100mm x 5m) 1 roll of elastic adhesive (25mm x 3m)
4 roller bandages (100mm x 5m) 1 roll of elastic adhesive (25mm x 3m)
1 Non-allergenic adhesive strip (25mm x 3m) 1 Packet of adhesive dressing strips (minimum quantity
10 assorted sizes)
4 First aid dressings (75mm x 100mm) 4 First aid dressings (150mm x 200mm)
2 Straight splints 2 Pairs large and 2 pairs medium disposable latex
gloves
2 CPR mouth pieces or similar devices An adequate supply of absorbent material for the
absorption of blood and other body fluids spilled
Disinfectant to disinfect the area after cleaning up 2 Pairs large and 2 pairs medium disposable rubber
blood and other body fluids spilled household gloves
A suitable sized impervious bag for the safe disposal of All items above meet the minimum required quantity?
blood and other body fluid contaminated biohazard
materials
No items above are expired? No unauthorized items (headache tablets, cough
mixture, any other oral medicine etc.)?

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INSPECTOR SIGNATURE

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