Doc. No.

: FO-ALL-SA-xx-xx
Rev. 0.0 Effective date : 01 Jan 2009

CHECKLIST FIRST AID BOX

Month:
STATUS
REFILL
FEATURES QTY ITEM DESCRIPTION ITEM
(OK/Not
NUMBER
OK)
First Aid Burn Cream Pouch (Krim untuk pertolongan luka
6 020135
bakar)
Wound and burn
Treatment 6 Antibiotic Ointment (Salep obat antibiotik) 020126
(Penanganan Luka
bakar&Luka 6 Antiseptic Towelette (Kain antiseptik/anti insfeksi) 021635M
tertusuk/terpotong)
6 Sting Relief Wipe (Penyeka untuk rasa sakit akibat sengatan) 021202P

1 Adhesive Bandage, Extra Large (Pembalut luka,ukuran besar) 020915

32 Adhesive Bandage, 1"x 3". (Pembalut luka, 1"x3") 020795

3 Adhesive Bandage, Fingertipe (Pembalut luka, jari) 020855

2 Adhesive Bandage, Knuckle (Pembalut luka, ruas jari) 020020

4 Sterile Pad, 2"x2" (Alas steril, 2"x2") 020583

Bandages
1 Sterile Pad, 3"x3" (Alas steril, 3"x3") 020430

1 Sterile Pad, 5"x9" (Alas steril, 5"x9") 154850

1 Triangular Bandage (Pembalut Segitiga) 045009

Roller Bandage, 2" Non-Sterile (Pembalut gulung, 2"tidak
2 045028
steril)
Roller Bandage, 3" Non-Sterile (Pembalut gulung, 3"tidak
1 045029
steril)
1 Eye Pad (Alas Mata) 031400
Eye Treatment
1 Eye Wash, 1 oz (Pembilas Mata, 30 mL) 032045

1 Cold Pack (Kain kompres) 020667

2 Adhesive Tape (Plester) 020445

1 Scissor (Gunting) 752577

1 Forceps (Penjepit) 031570

Instruments/
Miscellaneous 4 Exam gloves, Synthetic (Sarung tangan karet) 029990
Supplies
3 Pain-A-Rest Tablet Pouch 020555

1 First Aid Guide (Buku panduan First Aid) 045027

1 Poison Control Center Directory -

1 CPR Filtershield 121090

Approved by,
EHS Manager