MLIB Safety Program First Aid Equipment

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1 and Supplies Inventory Checklist First aid equipment, supplies and facilities must be kept clean, dry and ready for use, and be readily accessible at any time a worker works in the workplace. Inventory of and Supplies A company must provide for each workplace such equipment, supplies, facilities, first aid attendants and services as are adequate and appropriate for: (a) promptly rendering first aid to workers if they suffer an injury at work, and (b) transporting injured workers to medical treatment. Refer to the Company s completed first aid assessment(s) to determine the basic requirements of equipment, supplies, facilities, first aid attendants and services required. A visual inspection of first aid equipment and supplies will be completed daily by the lead first aid attendant (if applicable to your company) and monthly as part of site inspections. A complete inventory and review of the condition of first aid equipment and supplies will be completed: At a minimum annually If there is cause to believe supplies have been tampered with or used, or After caring for an injured person. The table below is an overall inventory of the equipment and supplies maintained by our company. Number Location(s) Personal Kit Basic Kit Level Kit Level 2 Kit Level 3 Kit Page of Date: May 206

2 ETV Other An inventory checklist (blank) for each kit type is provided in this document. Inventories will be completed as noted above. Page 2 of Date: May 206

3 Personal Kit Location: Item Req Inv Order Item Req Inv Order Antiseptic Wipes (Benzalkonium Chloride/BZK) Expiry Date: 3 Adhesive Tape (.25cm x 2.5m) Plastic Strips (.9cm x 7.5cm) (clean, sealed wrappers) 6 Triangular Bandage Knuckle Bandage Pair of Scissors Fabric Strip (5cm x 7.5cm) Pair of Tweezers Fingertip Bandage Pair of Latex-Free Gloves Gauze Bandage (5cm x 4.5m) Gauze Bandage (7.5cm x 4.5m) Gauze Pads (7.5cm x 7.5cm) Safety Pins 2 First Aid Pocket Guide 2 Other equipment and supplies: Item Req Inv Order Inventory checked by: Kit was re-stocked by: Page 3 of Date: May 206

4 Basic Kit Location: Sterile Abdominal Dressings (8 x 0 ) Sterile Gauze Pads (4 x 4 ) Item Req Inv Order Item Req Inv Order Pairs Latex-Free Gloves Sizes stocked: 8 4 Assorted Adhesive Bandages 2 Adhesive Tape Rolls ( ) 2 Antiseptic Wipes (Benzalkonium Chloride/BZK) Expiry Date: Cotton Tip Applicators (6 ) 2 Elastic Bandage Roll (3 ) 2 Triangular Bandages with Pins Sterile Pressure Dressings (4 x 6 ) Scissors (stainless steel, 5½ ) 6 Injury Record Forms CONFIDENTIAL 4 Pencil Non-sterile Gauze (3 x 3 ) 40 Instant Cold Pack Conforming Gauze (3 ) 6 Splinter Forceps (4½ ) Wooden Splints (9 ) 2 Pocket Mask Wooden Splint (2 ) Hand Cleansing Towelettes Expiry Date: 00 First Aid Pocket Guide Other equipment and supplies: Item Req Inv Order Page 4 of Date: May 206

5 Inventory checked and re-order needs communicated by: Kit was re-stocked by: Page 5 of Date: May 206

6 Level Kit Location: Sterile Abdominal Dressings (8 x 0 ) Sterile Gauze Pads (4 x 4 ) Item Req Inv Order Item Req Inv Order Pairs Latex-Free Gloves 8 4 Assorted Adhesive Bandages 2 Adhesive Tape Rolls ( ) 2 Antiseptic Wipes (Benzalkonium Chloride/BZK) Expiry Date: Cotton Tip Applicators (6 ) 2 Elastic Bandage Roll (3 ) 2 Triangular Bandages with Pins Sterile Pressure Dressings (4 x 6 ) Scissors (stainless steel, 5½ ) 6 Injury Record Forms CONFIDENTIAL 4 Pencil Non-sterile Gauze (3 x 3 ) 40 Instant Cold Pack Conforming Gauze (3 ) 6 Splinter Forceps (4½ ) Wooden Splints (9 ) 2 Pocket Mask Wooden Splint (2 ) Hand Cleansing Towelettes 00 First Aid Pocket Guide Other equipment and supplies: Item Req Inv Order Page 6 of Date: May 206

7 Inventory checked and re-order needs communicated by: Kit was re-stocked by: Page 7 of Date: May 206

8 Level 2 Kit WorkSafeBC Level 2 Kit (Padded Case) Location: Item Req Inv Order Item Req Inv Order Abdominal Dressings (8 x 0 ) Sterile Gauze Pads (4 x 4 ) 0 Instant Cold Pack 24 Saline (500 ml) Triangular Bandages 2 Green Soap (50 ml) Pressure Dressings (4 x 6 ) 4 Injury Record Forms CONFIDENTIAL Splinter Forceps (4½ ) Pencil Pocket Mask Patient Assessment Charts 6 Assorted Adhesive Bandages 50 Penlight with Batteries (check that it works) Adhesive Tapes ( ) 4 Pairs of Latex-Free Gloves 8 Adhesive Tapes (2 ) 2 Pair of Scissors Antiseptic Wipes (Benzalkonium Chloride/BZK) Elastic Bandage Rolls (7.5 cm x 4.5 cm) 40 First Aid Pocket Guide 6 Blankets 3 Biohazard Bags Non-sterile Gauze (3 x 3 ) 200 Esmarch Bag Valve Mask (with oxygen tubing, mask, and oxygen reservoir) (check level and mark form) Conforming Gauze (3 ) 24 Complete Oxygen Unit Page 8 of Date: May 206

9 Wood Splint (2 x ½ ) Wood Splints (2 x 9½ ) 2 (02 padded bag, O2 cylinder filled, regulator, wrench if required, non rebreather mask, oral airway set) Other equipment and supplies: Item Req Inv Order Inventory checked and re-order needs communicated by: Kit was re-stocked by: Page 9 of Date: May 206

10 Level 3 Kit WorkSafeBC Level 3 Kit (Padded Case) Location: Item Req Inv Order Item Req Inv Order Abdominal Dressings (8 x 0 ) Sterile Gauze Pads (4 x 4 ) 0 Saline (500 ml) 24 Green Soap (50 ml) Triangular Bandages 2 Pressure Dressings (4 x 6 ) Splinter Forceps (4½ ) First Aid Record Book (0 pages) 4 Pencil Patient Assessment Charts Pocket Mask Penlight with Batteries 6 Assorted Adhesive Bandages 50 Pairs of Latex-Free Gloves 8 Adhesive Tapes ( ) 4 Pair of Scissors Adhesive Tapes (2 ) 2 First Aid Pocket Guide Antiseptic Wipes (Benzalkonium Chloride/BZK) 40 Blankets 3 Elastic Bandage Rolls (7.5 cm x 4.5 cm) Biohazard Bags 2 6 Bag Valve Mask (with oxygen tubing, mask, and oxygen reservoir) Non-sterile Gauze (3 x 3 ) 200 Esmarch Conforming Gauze (3 ) 24 Manual Suction Unit (with manual suction pump, disposable collection jar, and catheter) Page 0 of Date: May 206

11 Wood Splint (2 x ½ ) Complete Oxygen Unit (02 padded bag, O2 cylinder - filled, regulator, Wood Splints (2 x 9½ ) 2 wrench - if required, non rebreather mask, oral Instant Cold Pack airway set) Other equipment and supplies: Item Req Inv Order Inventory checked and re-order needs communicated by: Kit was re-stocked by: Page of Date: May 206

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