MONTHLY FIRST AID BOX CHECKLIST

LOGO Date: 18-FEV-2017

PROJECT Page: 1 of 1
Sl.No CONTENTS UNIT QTY EXPIRATION DATE
1 Triangular Bandage 96x96x136cm pkt
2 Medical Exam Gloves pair
3 Round Band (tourniquet) roll
4 Gauze Bandage (S)4x4 cm roll
5 Instant Cold Pack pkt
6 Alcohol Prep Pad pcs
7 Sterile Gauze Pad (S) pkt
8 Sterile Gauze Pad (L) 4x4 cm pkt
9 Stainless Scissor pcs
10 Safety Pin pcs
11 Band Aid box
12 Sterile Eye Pad pcs
13 Elastic Bandage7.5cm x 4.5m pcs
14 Antisepti Wipes Pack pcs
15 Sterile Eye wash(Physiol) 5ml
16 Small Plastic Bag for solid waste
17 Guidance Card

Inspected by: Box ref:

Date of inspection:

Signature: