First Aid Checklist
Project : PM BUILDING UTILITY SHIFTING Location :
Date : Time:
Sr . No Description Observation Remarks
1. Designated First aider Available at least 1 for every 20
Workers
2. Near By Hospital Number and Ambulance Number
notified
3. Medical Emergency Procedures in place
4. First Aid Kit available with the following items.
(i) 24 small sterilized dressings;
(ii)12 medium size sterilized dressings;
(iii)12 large size sterilized dressings;
(iv)12 large size sterilized burn dressings;
(v)12 (½ oz.) packets sterilized cotton wool;
(vi) 2 roll of adhesive plaster
(vii) 2 (2 oz.) bottle containing a 2 per cent alcoholic
solution of iodine;
(viii) 2 (2 oz.) bottle of sal-volatile having the dose and
mode of administration indicated on the label;
(ix) 2 (1 oz.) bottle of potassium permanganate
crystals;
(x) 1 snake bite lancet;
(xi) 1 pair scissors; and
(xii) 1 copy of the first-aid leaflet approved by the
Chief Inspector of Factories.
(xiii) 12 roller bandages 4 inches wide;
(xiv) 12 roller bandages 2 inches wide;
(xv) 6 triangular bandages;
(xvi) 2 packets of safety pins;
(xvii) A supply of suitable splints; and
(xviii) 1 tourniquet
5. Training provided to relevant personnel at site
6. Stretcher and Spine boards available
7. CPR Trained Person Available
The work area/Equipment has been checked for the above points and found __________(fit/unfit) for work
Checked by PMC Engineer) (Site Safety Officer)
EHS/LMW/First-Aid/Number-10/Rev-0/LMW/KFIPL 1|Page