🏥 First Aid Kit Monthly Inspection

Monthly Equipment Safety Inspection

⚠️ OSHA 29 CFR 1910.151(b) & ANSI Z308.1 Compliant | Monthly Inspection Required

★ ★ ★ SAFETY FIRST • ALASKA PROUD ★ ★ ★

📋 Kit & Inspector Information

Inspector Name *

Inspection Date *

Company *

Location *

Kit ID / Unit Number *

Kit Type *

Kit Location Description *

🚶 Accessibility & General Condition

Easily Accessible (Unobstructed)

Clearly Marked / Signage Visible

Seal/Tamper Indicator Intact

All Expiration Dates Checked

🩹 Basic Supplies (ANSI Z308.1 Required)

ℹ️ ANSI Z308.1 minimum requirements include: adhesive bandages, gauze pads, tape, bandage compresses, and antiseptic.

Adhesive Bandages (Assorted)

Gauze Pads (Sterile)

Gauze Rolls / Roller Bandages

Adhesive Tape

Elastic Bandages (ACE)

Triangular Bandages

🔧 Tools & Wound Care

Scissors

Tweezers

Disposable Gloves (Nitrile/Latex)

CPR Mask / Breathing Barrier

Antiseptic Wipes / Towelettes

Antibiotic Ointment

Burn Cream / Burn Gel

🚑 Emergency & Specialty Items

Eye Wash Solution

Cold Pack (Instant)

First Aid Guide / Instructions

Emergency Blanket (Mylar)

Splint Materials

🩸 Trauma / Advanced Items

🚨 CRITICAL: Trauma items are essential for severe bleeding emergencies. "Stop the Bleed" certified personnel should be available.

Tourniquet (CAT/SOFT-T)

Blood Stopper / Hemostatic Agent

SAM Splint

✅ Overall Condition & Inspection Result

Overall Kit Condition *

Inspection Result *

✅ Pass - Fully Stocked❌ Fail - Needs Attention

Items Restocked This Inspection? *

Expired Items Removed?

Restock List (if applicable)

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