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First Aid Kit Inspection – Quarterly

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Quarterly First Aid Kit Inspection

CONTENTS FOR FIRST AID KITS ARE DETERMINED BY THE NUMBER OF EMPLOYEES THEY ARE MEANT TO SERVICE.

Option 1:  Box contents are for 1 to 5 employees

Option 2: Box contents are for 6 to 15 employees

In addition to completing this form, initial and date the inspection label that is on the inside of the first aid kit lid

The First Aid Box is prepared to service <Enter "Quantity of Employees>(Required)
Is this First Aid Box "IN SERVICE / IN USE"(Required)
MM slash DD slash YYYY
Hidden
A current edition of a standard First Aid manual
Required Number: 1
Copy of Valid Emergency First Aid Certificates
Required Number: 1
Treatment Record Sheet
Required Number: 1
Poster (Form 82)
Required Number: 1
One card of safety pins
Required Number: 12
Adhesive dressings (Bandaids)
Please ensure you are selecting the appropriate quantity for the # of employees this box is required to service
Sterile gauze pads 3” square
Please ensure you are selecting the appropriate quantity for the # of employees this box is required to service
Gauze bandage 2” wide rolls
Please ensure you are selecting the appropriate quantity for the # of employees this box is required to service
Gauze bandage 4” wide rolls
Please ensure you are selecting the appropriate quantity for the # of employees this box is required to service
Field Dressings / Sterile Gauze Pads 4” square
Please ensure you are selecting the appropriate quantity for the # of employees this box is required to service
Sterile Surgical Pads for Pressure Dressing (Compression Pads 4” square)
Please ensure you are selecting the appropriate quantity for the # of employees this box is required to service
Triangular bandages
Please ensure you are selecting the appropriate quantity for the # of employees this box is required to service
Splint Padding:
Splint: Roll-up
Sterile gloves
Please ensure you are selecting the appropriate quantity for the # of employees this box is required to service
Mouth barrier
Required Number: 1
Alcohol swabs
Required Number: n/a
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