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FIRST AID STATION

(STATUS/ REQUIREMENT)
CHECKLIST
FREQUENCY NAME OF PROJECT DATE
MONTHLY

IMPROVEMENT /
CHECKS REQUIRED HELD DEFICIENT
COMMENTS

1. First Aid Guide - One


2. Stretcher - One
3. Wheel Chair - One
4. Defibrillator - One
5. Sink with Hot & Cold Water
- One
& Soap
6. Drinking Water Dispenser
- One
(Hot/Cold)
7. Paper Towels. - One Set
8. Lab Coat (First Aider) - One
9. Clinical Thermometer - One
10. Wash Bottle - One
11. Cover with Pillow and
- 2 Sets
Blankets (clean)
12. Dressing Trolley (2 shelves
- One
with castor wheels)
13. Kidney Tray. One
14. Splint (Sizes) - One Each
15. Oxygen Cylinders (Size Portable – one
L&M) Trolley - one
16. Airway and Mask - Two sets
17. Tourniquet - One set
18. Ice Bag - Four bags
19. Air Bag - Two
20. Rescue Breather - Two
21. Sphygmomanometer - One
22. Digital Blood Pressure
- One
Monitor
23. Stethoscope - One
24. Blood Glucose Meter - One
25. Couch / Bed (0.6m x 1.85m) - One
First Aid Requirement
1. ¾” scissors, nickel plated - 2 Nos.
2. Plastic Band Aids - 500 Nos.
3. Finger Tip Fabric Bandages - 100 Nos
4. Fabric Bandages 5cm x
- 100 Nos
5mm
5. Elbow / Knee Plastic
Bandages
- 5 Each.

CHECKS REQUIRED HELD DEFICIENT IMPROVEMENT


/COMMENTS
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6. Crape Bandage 10cm x
- 20 Nos.
4.5M
7. Elastic Bandage 15cm x
- 30 Nos.
3.5M
8. Gauze Bandage 10cm x 5M - 4 Bx
9. Gauze Dressing Pad 4" x 4" - 25 Bx.
10. Triangular Sling / Bandage
- 1 Bx.
with Safety Pins
11. Adhesive Tape 7cm x 5M - 5 Nos
12. Adhesive Tape 2.5cm x 5M - 10 Nos.
13. Absorbent Gauze Compress - 1 Bx.
14. Absorbent Cotton (Bundle)
- 2 Bx.
Compress
15. Oval Eye Pads - 20 Nos.
16. Oval Guaze ½” x 5 Yds - 20 Nos.
17. Burn Spray - 5 Bottle
18. Eye Wash Solution - 10 Bottle
19. First Aid Cream - 5 Nos
20. Calamine Lotion - 6 Bottle
21. Cotton Tips Applicators 6" - 100 pieces
22. Antiseptic Solution - 5 bottles
23. Antiseptic Spray - 10 bottle
24. Antiseptic cleansing wipes
- 2 box
(sting free)
25. Iodine Infection Control
- 5 box
Wipes
26. Eye Drops - 10 bottle
27. Ammonia Inhalants - 06 Nos.
28. Deep Heat Spray - 05 Bottle
29. Deep Heat Ointment - 5 tubes
30. Cidex (Disinfectant Lotion) - 4 bottles
31. Medium Butterfly wound
- 3 box
closure
32. Oral Dehydration Powder - 50 box
33. Exam Quality Gloves - 5 Bx
34. Surgical Blades - 1 Pkt
35. Tweezers, Stainless Steel
- 2 Nos.
½”

Checked By Male Nurse (Name): ………………………………. Signature: ……………………….

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