Department / Division/ Project : ___________________________

Element 5.6
First Aid Box Treatment & Inspection Register

Building/ Area   First Aid Box No

First Aider Name Location Month of Inspection

S/
Date Time Location Department Name of Injured Person Designation Parts of Body Short Description of First Aid Remarks
N
1                  
2                  
3                  
4                  
5                  
6                  
7                  
8                  
9                  
10                  

First Aid Box Inspection

First Aid Box Items
(3 X 3 inches)Sterile Gauze Strips

Non Sterile Latex

(30X60cm)Wound Bandages
(10cm X 4m)Elastic Bandage

(9X5 inches)Elastic Bandage

Stainless Surgical

For woundsAdhesive dressing pads

(70%)Alcoholic Swaps
Adhesive tape - plaster

Normal Saline Solution

gauze (10cmX10cm)

bandages (for burns)

Triangular bandages
Sterile ravine gauze

Adhesive bandage -

Fresh water bottle (1

Absorbable medical

Sterile Eye bandage

Plaster (6cmX5cm)
Sterile compressed

Sterile eye cleansing

Sterile aluminum

solution, minimum
(5 cm X10cm0
(10cmX10cm)

Scissors
(136X69X69)

Gloves

250 ml bottle
with pins
Description
cotton

Other
litter)
(Transparent)

14 cm
Saudi Red
500
Crescent 25 10 15 1 1 24 12 5 50 10 6 1 1 2 1 6 1 1
gms
(first aid kit)
Available

Date Name of First Aider Signature

Doc. no : El.5.6a Issue Date: 01.07.18 Rev. No . 01 Page 1 of 1