Construction Company First Aid Box Checklist Form

11 Nov 2020 - Flaaim

HEALTH AND SAFETY MANAGEMENT SYSTEMS Logo
FIRST AID BOX CHECKLIST FORM

It is the responsibility of the Site Manager and appointed company vehicle driver(s) to ensure that the First Aid Kit(s) are well maintained, and any contents that are used or the ‘use by date’ has expired from the First Aid Kit are replenished.

Please use this checklist to ensure the First Aid Kit(s) contain the following:

Site Name / Vehicle Make and Model: Vehicle Reg No:
Name: Date:
Description Site First Aid Kit Company Car Quantity Require
1 – 20 Persons 21 – 50 Persons 50+ Persons
First Aid Guidance Leaflet 1 1 1 1
Sterile Washproof Plasters 40 60 80 24
Microporus Tape (2.5 cm) 1 1 1 1
Eye Pads 4 6 8 2
Sterile Eye Wash Pods 10 10 15 5
Antiseptic Wipes 10 10 20 10
Triangular Bandages 4 4 4 2
Medium Dressings 6 6 6 2
Large Dressings 6 6 6 2
Safety Pins 12 12 12 12
One Way Resuscitators 2 2 2 1
Finger Aprons (Plastic) 2 4 6 2
Disposable Latex Gloves (Pair) 2 4 6 2
Dressing Scissors 1 1 1 0
FORM COMPLETION
Signature Date:

FORM TO BE HANDED TO THE CONSTRUCTION DEPARTMENT UPON COMPLETION

FOR CONSTRUCTION DEPARTMENT
Date Received: Initial:
Issued By (Name): Date Issued:
Signature:

Construction Company First Aid Box Checklist Form

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