CSU First Aid Kit Checklist and Order Form This form is to be completed by the responsible First Aid officer. At least quarterly, the responsible First Aid Officer must inspect the contents of all First Aid Kits under their control and record their inspection in the table below. Kit inspections are to be completed according to the following schedule: Check/Audit # Check #1 Schedule To be completed between January - March To be completed between April – June To be completed between July – September To be completed between October - December Check #2 Check #3 Check #4 Name of First Aid Officer: Campus Location: Contact Number: Inspection Date: Name/location of kit inspected (In the boxes below indicate the kit name or location and indicate how many of each Kit Item is currently in the kit) Kit Item/ Description Kit Type & quantity/kit type A B C Approved First Aid Signage is displayed and includes: 1 Current list of names/contact(s) for per First Aid Officers. kit Relevant Emergency Contact Numbers First aid bandaid Elastoplast 2 COS Code 1 per kit 1 per kit (Provided by CSU DHR) 1 1 FIRST1010 Kit 1 Kit 2 etc etc Total of Kit Item to be order N/A Procedures for Auditing and Ordering First Aid Supplies (v4.1 February 2014) 1 Name/location of kit inspected (In the boxes below indicate the kit name or location and indicate how many of each Kit Item is currently in the kit) Kit Item/ Description plastic strips Pkt 50* First Aid Elastic Adhesive bandage 2.5cm x 4.5m Kit Type & quantity/kit type A B C Pk Pkt Pkt COS Code 1 1 - FIRST1015 Small Medium Large 2 2 2 1 1 1 1 1 - FIRST2010 First Aid non-adherent dressing 7.5cm x 7.5cm 5 2 - FIRST1092 5 2 - FIRST2020 3 1 1 FIRST1105 3 1 - FIRST1110 1 Pkt 1 Pkt 1 Pkt GLOV1260 1 1 - FIRST2040 1 1 1 FIRST2050 First Aid plastic bags Kit 1 Kit 2 etc etc Total of Kit Item to be order First Aid Eye Pad – Sterile First Aid bandage Confirming Gauze 5cmx4m Gauze First Aid bandage Confirming Gauze 10cmx4m First Aid Glove – Large (Pkt 10) First Aid Blanket Emergency 135cm x 90cm First Aid Safety Pins Procedures for Auditing and Ordering First Aid Supplies (v4.1 February 2014) 2 Name/location of kit inspected (In the boxes below indicate the kit name or location and indicate how many of each Kit Item is currently in the kit) Kit Item/ Description Kit Type & quantity/kit type A B C COS Code Kit 1 Kit 2 etc etc Total of Kit Item to be order Assorted (Pkt 12) First Aid Scissors Sharp/Blunt (13cm) Deposable splinter probe First Aid Eye Wash Solution 30ml - Single First Aid Antiseptic Swabs (Pkt 100) - re-order when quantity in pack is <20) First Aid Bandage Triangular Cotton – 110cm First Aid Dressing Wound No 15 First id pamphlet as approved by WorkCover - St John Emergency Guide First Aid Resuscitation Face Shield – disposable First aid ice pack instant single First Aid Dettol Antiseptic 1 1 - FIRST2060 1 1 1 FIRST2064 12 6 - FIRST2028 1 1 - FIRST1062 8 4 1 FIRST1180 10 3 1 FIRST1086 1 1 1 FIRST1005 2 2 1 FIRST1001 1 1 1 FIRST2080 1 1 1 FIRST1064 Procedures for Auditing and Ordering First Aid Supplies (v4.1 February 2014) 3 Name/location of kit inspected (In the boxes below indicate the kit name or location and indicate how many of each Kit Item is currently in the kit) Kit Item/ Description Kit Type & quantity/kit type A B C COS Code Kit 1 Kit 2 etc etc Total of Kit Item to be order Liquid (250ml) Special Order Tweezers (Metal) * 1 1 - (contact Manager, OHS if this item is required) NB - Catering Area only to order – First Aid bandaid detachable blue Bx 100 (COS Code – FIRST1009) Additional items approved (by Manager, OHS) to be added based on risk assessment outcomes. Procedures for Auditing and Ordering First Aid Supplies (v4.1 February 2014) 4