FIRST-AID BOX AND EQUIPMENT CHECKLIST

AREA: INSPECTOR: YEAR:

MINIMUM CONTENTS AS PER OHS Act 85 of 1993 G.S.R. 3

1. Wound cleaner / antiseptic (100ml) 7. 1 Card safety pins 13. 1 Packet adhesive dressing strips
2. Swabs for cleaning wounds 8. 4 Triangular bandages 14. 4 First aid dressings (75mm x 100mm)
3. Cotton wool for padding (100 g) 9. 4 Roller bandages (75mm x 5m) 15. 4 First aid dressings (150mm x 200mm)
4. Sterile gauze (1 packet) 10. 6 Roller bandages (100mm x 5m) 16. 2 Straight splints
5. 1 Pair forceps (for splinters) 11. 1 Roll elastic adhesive (25mm x 3m) 17. Disposable gloves (2pr L & 2pr M)
6. 1 Pair scissors minimum size 100 mm 12. 1 Anti allergenic adhesive (25mm) 18. 2 CPR mouth pieces / similar devices

MIMIMUM CONTENTS AS PER MINE HEALTH AND SAFETY REGULATION (Minerals Act 27 of 1956 and Act 50 of 1991 Chap. 24)

1. 8 Leg splints 7. 8 Large dressings 13. 2 Pairs surgical gloves

2. 4 Joints for splints 8. 12 Small dressings 14. 1 CPR Mouthpiece
3. 2 Arm/elbow splints 9. 4 Rolls of 50 gram cotton wool 15. 2 Bottles of antiseptic solution
4. 2 Rubber torniquets 10. 18 Triangular bandages 16. 1 Bottle eye drops
5. 2 Stick improvised torniquets 11. 1 Pair of scissors
6. 4 Shell dressings 12. 1 Neck Brace

NOTE: DILUTE 10ml JIK WITH 90ml WATER – KEEP IN FIRST AID BOX AND USE AS AN ANTISEPTIC.
NOTE
Do not "tick". Write OK or use the number of the specific deviation given in the legend.

LEGEND

1. Box not completely stocked 4. No "ISSUE BOOK" in box 6. No qualified first-aider available
2. Name of first-aider not on box 5. General condition of box poor 7. Box not removable in an emergency
3. Box not indicated (symbolic signs)

ID NO LOCATION Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec

DATE INSPECTED

INSPECTORS INITIALS

SPOT CHECK / AUDIT (Initials) and

date)