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  • Site Clinic Checklist

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    Eldhose Varghese
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    This document is a checklist for site clinics that provides boxes to check off whether various first aid requirements are being met. It includes requirements such as clearly marking the first aid station, providing patient privacy, stocking a first aid box, ensuring clean facilities, posting emergency contact details, and having equipment such as an AED, eye wash, and shower. The checklist is to be filled out by a contractor and checked by a safety officer to evaluate if the clinic is properly equipped and meeting health and safety standards.

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    This document is a checklist for site clinics that provides boxes to check off whether various first aid requirements are being met. It includes requirements such as clearly marking the first aid station, providing patient privacy, stocking a first aid box, ensuring clean facilities, posting emergency contact details, and having equipment such as an AED, eye wash, and shower. The checklist is to be filled out by a contractor and checked by a safety officer to evaluate if the clinic is properly equipped and meeting health and safety standards.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    786 views1 page

    Site Clinic Checklist

    Uploaded by

    Eldhose Varghese
    This document is a checklist for site clinics that provides boxes to check off whether various first aid requirements are being met. It includes requirements such as clearly marking the first aid station, providing patient privacy, stocking a first aid box, ensuring clean facilities, posting emergency contact details, and having equipment such as an AED, eye wash, and shower. The checklist is to be filled out by a contractor and checked by a safety officer to evaluate if the clinic is properly equipped and meeting health and safety standards.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    SITE CLINIC CHECKLIST

    CONTRACTOR: _________________________ DATE: ________________________

    PROVIDED NOT PROVIDED COMMENTS

    First Aid Clinic Station Flag (Clearly Marked)

    Reasonable Expectation Of Privacy For Patients


    First Aid Box ( List Of Content Must Be Attached)
    Safe Cold Drinking Water
    Contact Details Of Safety Officer On
    Duty And Emergency Numbers Posted
    Adequate Lighting
    Patient Log
    Air Conditioned
    Clean And Finish Interior
    Direct Phone Lines W/ Posted Information To
    Help Direct Emergency Response
    Office Equipment
    Two Way Radio
    Auto External Defibrillators (Aed's)
    Emergency Eye Wash
    Emergency Shower

    Medical Transport

    TICK  IN THE APPROPRIATE BOX. SPACE FOR COMMENTS AND RECOMMENDATIONS HAS ALSO BEEN PROVIDED.

    CHECKED BY: _______________________

    M010-MSI-HSE-00-FRM-03027 Rev.1 (01-May-2016) Page 1 of 1

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