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)
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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)
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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)
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