PT NIHON GLOBAL TECH

First Aid Box Checklist

NO DESCRIPTION Reguired Present Date of Remarks
Quantity Quantity expire
1 Individual wrapped sterile adhesive 20
dressings
2 Crepe bendage 5cm 1
3 Crepe bendage 10 cm 1
4 Absorben Gauze (packets of 10 pcs) 5
5 Hypoallergenic Tape 4
6 Trianguler Bandage 4
7 Scissors(Shears) 1
8 Safety Pins 4
9 Disposable Gloves(pairs) 2
10 Eye shield 2
11 Eye pad 2
12 Resusitation Mask(one-way ) 1
13 Torch light 1
14 Basic Advice on the first Aid at work 1

Date Of Inpection: _____________________ location of first aid box :______________________

Check by NAME/SIGN ______________________ Acknowledge by NAME/SIGN:_________________

PT NIHON GLOBAL TECH
First Aid Box Checklist