First Aid Location First Aid Kit Number First Aid Kit In-charge
Year 2023
Quantity
Expiry
Date
Sr.# First Aid Items Remarks
May
Mar
Nov
Aug
Dec
Sep
Feb
Apr
Oct
Jun
Jan
Jul
Gauze bandages
1 5cm 5
10cm 5
2 Gauze pads for cleaning wounds (packet of 50) 1
3 Sterile gauze pads 10x10 (Packet of 50) 1
4 Sterile gauze pads 5x5(packet of 50) 1
5 Adhesive plastic dressing strips, sterile (packets of 50) 1
6 Triangular bandages 10
7 Different sizes of compression bands 10
8 Adhesive dressing tape (2.5cm by 5cm) 1
9 Sterile plasters (pieces) 20
10 Medical swab (100 pieces) 1
11 Dressing, non-adherent, sterile (7.5cm by 7.5cm) 5
12 Bags, plastic for amputated parts 4
13 Sterile eye pads 5
14 Cotton balls (pack) 1
15 Large sterile wound dressings 10
16 Cold packs 2
17 Sterile eyewash solution (bottle) 1
18 Single disposable gloves 20
First Aid Location First Aid Kit Number First Aid Kit In-charge
Year 2023
Quantity
Expiry
Date
Sr.# First Aid Items Remarks
May
Mar
Nov
Aug
Dec
Sep
Feb
Apr
Oct
Jun
Jan
Jul
19 Antiseptic solution 1
20 Antiseptic wipes pre-packed 10
21 Facemask (pieces) 10
22 Rescue blanket (silver space) 1
24 Oral Thermometer (non-glass) 1
25 Vent – aid for CPR 1
26 Scissors 2
27 Splinter forceps 2
• Equipment calibration is valid.
• Battery life indicator?
• Condition of the pads?
• AED shows any indication for error.
• Availability of user manual with AED?
• Check any physical damage or not?
• Self-test performed successfully or not?
*If any of the above basic requirements are failed or not satisfactory then dropdown status shall update as “No” and required to
notify FMCO HS/FM/Administration team/AED owner.
Overall remarks
Inspection completed by: