FIRST AID BOX AND EQUIPMENT CHECKLIST
LOCATION: BOX NUMBER:
DESCRIPTION YES NO COMMENTS
1 Wound cleaner / antiseptic (100 ml)
2 Swabs for cleaning wounds
3 Cotton wool for padding (100 g)
4 Sterile gauze (minimum quantity 10)
5 1 Pair of forceps (for splinters)
6 1 Pair scissors (minimum size 100 mm)
7 Set of safety pins
8 4 Triangular bandages
9 Four roller bandages (75 mm x 5 m)
10 Four roller bandages (100 mm x 5 m)
11 One roll elastic adhesive bandage (25 mm x 3 M)
12 1 Non-allergic adhesive strip (25 mm x 3 m)
13 1 Packet of adhesive dressing strips (minimum quantity 10 assorted sizes)
14 4 First aid dressing (150 mm x 100 mm)
15 4 First aid dressing (75 mm x 100 mm)
16 2 Straight splints
17 Disposable latex gloves (2 pairs medium and 2 pairs large)
18 2 CPR mouth pieces or similar devices
19 Box completely stocked according to minimum requirements
20 Name, Surname and contact number of first aider on box
21 "First aid kit/box content leaflet" contained in box
21 "First aid treatment register" contained in box
22 Box removable in an emergency
23 First aid kit/box in good condition
Date: Signature :
Name:
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