FIRST AID KIT CHECKLIST

DLPS-HSE-025/00

Project Name: ______________________________________________________________________________

Date Inspected: __________________ First Aider: ____________________
Kit Specification: (Unit) _____________________ Location: ________________________

DESCRIPTION YES NO
Each First Aid Kit is close to a supply of clean running water
Do the contents comply with regulations ( list and check)

SN DESCRIPTION QTY
1. 1”x1” Fabric Bandage
2. 3”x3” Gauze dressing pads
3. 4”x4” Gauze dressing pads
4. 5”x9” Trauma pads
5. 12”x30” Multi-Trauma dressing
6. Super Stop ™ bandages
7. 4” Conforming gauze roll bandages
8. 6” Conforming gauze roll bandages
9. 36” Triangular sling/bandage, w/2 safety pins
10. Alcohol cleansing pads
11. Povidone-iodine infection control wipes
12. Latex free elastic bandages
13. Waterproof tape, plastic stool
14. Porous cloth athletic tape roll
15. Instant Cold compress
16. Water-Jel® Burn Jel™ burn relief, 4 oz. plastic squeeze bottle
17. Sterile eye pads
18. Eye wash
19. Ziplock bags
20. Exam quality vinyl gloves
21. Emergency blanket
22. Deluxe tweezers, stainless steel

Remarks: