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First Aid Box Checklist

This document is a first aid checklist for a kit that contains various medical supplies. It lists 17 recommended items that should be included in the kit along with the quantity of each item. For each month, from January to June, there is a place to check off if each item is present in the kit and a section to write any remarks and sign off. The purpose is to regularly inspect and restock the first aid kit.

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Muhammad Saqib Asif
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154 views

First Aid Box Checklist

This document is a first aid checklist for a kit that contains various medical supplies. It lists 17 recommended items that should be included in the kit along with the quantity of each item. For each month, from January to June, there is a place to check off if each item is present in the kit and a section to write any remarks and sign off. The purpose is to regularly inspect and restock the first aid kit.

Uploaded by

Muhammad Saqib Asif
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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First Aid Checklist

KIT No. __________________ Supervisor: __________________________ Project/SITE: ________________________

PLEASE CHECK ALL ITEMS


RECOMMENDED ITEMS WITH QTY
JAN 19 FEB 19 MAR 19 APR 19 MAY 19 JUN 19
SR# ITEMS QTY
1 Dressing Bandage 2" 2 ☐ ☐ ☐ ☐ ☐ ☐
2 Dressing Bandage 4" 2 ☐ ☐ ☐ ☐ ☐ ☐
3 Triangular Bandage 1 ☐ ☐ ☐ ☐ ☐ ☐
4 Crepe Bandage 4" 1 ☐ ☐ ☐ ☐ ☐ ☐
5 Disposable Gloves Pair 2 ☐ ☐ ☐ ☐ ☐ ☐
6 Sterile Gauze Pads 4 ☐ ☐ ☐ ☐ ☐ ☐
7 Adhesive Tape 2" 1 ☐ ☐ ☐ ☐ ☐ ☐
8 Alcohol Swabs 10 ☐ ☐ ☐ ☐ ☐ ☐
9 Saniplast 10 ☐ ☐ ☐ ☐ ☐ ☐
10 Eye Pad 1 ☐ ☐ ☐ ☐ ☐ ☐
11 Polythene Bag 2 ☐ ☐ ☐ ☐ ☐ ☐
12 Pyodine Antiseptic 1 ☐ ☐ ☐ ☐ ☐ ☐
13 Scissors (Round Tip) 1 ☐ ☐ ☐ ☐ ☐ ☐
14 Splints (1 large & 1 small) 2 ☐ ☐ ☐ ☐ ☐ ☐
15 Tourniquet 1 ☐ ☐ ☐ ☐ ☐ ☐
16 Sterilized Cotton Wool 2 ☐ ☐ ☐ ☐ ☐ ☐
17 Safety Pins (1 large & 1 small) 2 ☐ ☐ ☐ ☐ ☐ ☐
a) Remarks for January: __________________________________________________ Sign: ________________________

b) Remarks for February: __________________________________________________ Sign: ________________________

c) Remarks for March: __________________________________________________ Sign: ________________________

d) Remarks for April: __________________________________________________ Sign: ________________________

e) Remarks for May: __________________________________________________ Sign: ________________________

f) Remarks for June: __________________________________________________ Sign: ________________________

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