KING SALMAN ENERGY PARK (SPARK)

MEDICAL FACILITY CHECKLIST

Company Inspector Inspector’s Designation Signature Date

Result
No. Descriptions of Item Qty Not
Remark
Accept N/A
Accept
1. CLINIC
1.1 Nurse certified by the Kingdom
Clinic must be positioned within easy access for
1.2
transport & preferably close to the main entrance gate.
1.3 An adjacent waiting room should also be provided.
All facilities should be effectively ventilated, heated, lit,
1.4
kept clean (daily) and maintained.
1.5 Sink with running hot and cold water.
1.6 Drinking water if mains water is not available.
1.7 Disposable cups.
1.8 Soap
1.9 Paper towels
1.10 Bowl
1.11 Smooth topped working surfaces.
First aid equipment at least to the standard of first aid
1.12
boxes.
1.13 Chairs
1.14 Couch with waterproof cover, pillow and blankets.
Suitable lockable storage facilities for first aid
1.15
equipment.
1.16 Clean protective garments for first aiders.
Suitable refuse containers lines with disposable plastic
1.17
bags.
1.18 Accident book and treatment record.
The room should only be used for first aid treatment and
1.19
always ready for immediate use.
Result
No. Descriptions of Item Qty Not Remark
Accept N/A
Accept
 KING SALMAN ENERGY PARK (SPARK)

MEDICAL FACILITY CHECKLIST

Notices affixed providing the names and locations of
1.21
first aiders.
1.22 Salt tablets and dehydrations Powder
2. AMBULANCE
DRIVER CAB
2.1 Gloves (heavy duty)
2.2 Note Pad and Pen
2.3 Safety vest (reflective)
2.4 Fire extinguisher (ABC type-small)
2.5 Safety hat (hard)
2.6 Flash light (9v)
2.7 Ambulance Driver Available/ Stand by
PATIENT COMPARTMENT
2.8 Stretcher
2.9 Pillows
2.10 Oxygen(Big)
2.11 Oxygen(Small)
2.12 Emergency Bag
2.13 Suction Machine
2.14 AMBU Bag
2.15 Spine Board(Wood & Plastic)
2.16 Cervical Collar(Plastic)
2.17 Wood Splint
2.18 Oxygen Flow meter
2.19 Elastic Bandage 7.5cm
2.20 Elastic Bandage 15cm
2.21 Scott Air Pack
2.22 I.V. Infusion Set
2.23 BP Apparatus
Result
No. Descriptions of Item Qty Remark
Accept Accept Accept
2.25 Stethoscope
2.26 Sterile Gloves
2.27 Normal Saline 500ml
 KING SALMAN ENERGY PARK (SPARK)

MEDICAL FACILITY CHECKLIST

2.28 I.V. Cannula
2.29 Rubber Splints
2.30 Sterile Gauze
2.31 Plaster
2.32 Syringe 3ml
2.33 Syringe 5ml
3. FIRST AID BOX
3.1 General guidance card on first aid treatment
3.2 Emergency contact numbers

Individually wrapped sterile adhesive dressings

3.3
(assorted sizes) appropriate for the workplace.

3.4 2 sterile eye pads.

3.5 6 individually wrapped triangular bandages

3.6 6 Safety pins.

6 mediums sized individually wrapped sterile

3.7
unmediated wound dressings (approx. 10 cm x 8 cm).

2 large sterile individually wrapped unmediated wound

3.8
dressings (approx. 13 cm x 9 cm)

2 large sterile individually wrapped unmediated wound

3.9
dressings (approx. 13 cm x 9 cm)

3 extra-large sterile individually wrapped unmediated

3.10
wound dressings (approx. 28 cm x 17.5 cm).

3 x 300ml of sterile water or sterile normal saline

3.11 solution (0.9%) in sealed disposable containers (where
mains water is not readily available for eye irrigation).

Individually wrapped moist cleaning wipes (where soap

3.12
and water are not available)
Result
No. Descriptions of Item Qty Not Remark
Accept N/A
Accept
Additional items such as may be necessary may also be
3.13 kept in the first aid box, but only where the first aider
has been suitably trained in their use.
3.14 Medicines or tablets must not be kept in first aid boxes,
 KING SALMAN ENERGY PARK (SPARK)

MEDICAL FACILITY CHECKLIST

or administered by first aiders or appointed persons.

CORRECTIVE ACTIONS