First Aid Kit Inspection Form
L & J Home Ltd
Inspection Date
*
-
Day
-
Month
Year
Date
Location (e.g Kitchen, Vehicle Reg, Upstairs Office etc)
*
Office Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Assessment
Equipment
*
Rows
Quantity
Notes
Accident Book (1)
Safety Pins
Plasters (20)
Sterile Wipes (10)
Micro Paw Tape (1)
Gloves (1)
Heat Blanket (1)
Scissors (1)
Revive Aid (1)
Hazard Bag (1)
Triangular Bandage (1)
Wound dressings (1 x Small sterile un-medicated)
Wound dressings (1 x Medium sterile un-medicated)
Wound dressings (1 x Large sterile un-medicated)
Other Findings & Comments
Inspector's Name
*
First Name
Last Name
Inspector's Signature
*
Submit
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