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    First Aid Kit Monitoring Report

    Uploaded by

    Abel Angel Ablang
    This is multiple sheets of excel file wherein you may find monitoring sheets and replenishment forms of first aid kit materials.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    First Aid Kit Monitoring Report

    Uploaded by

    Abel Angel Ablang
    122 views6 pages
    This is multiple sheets of excel file wherein you may find monitoring sheets and replenishment forms of first aid kit materials.

    Original Title

    FIRST AID KIT MONITORING REPORT

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

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    This is multiple sheets of excel file wherein you may find monitoring sheets and replenishment forms of first aid kit materials.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    122 views6 pages

    First Aid Kit Monitoring Report

    Uploaded by

    Abel Angel Ablang
    This is multiple sheets of excel file wherein you may find monitoring sheets and replenishment forms of first aid kit materials.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 6

    DIVISION & FIRST AID BOX LOCATION:

    MONTH: AUGUST 2021


    REQUIRED
    EXPIRATION TOTAL
    QTY. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 WITHDRAWALS BALANCE
    FIRST AID BOXES CONTENTS
    1 First Aid guide 1 N/A X X X X X X X X X X X X X X X X 1
    2 Contents List 1 N/A X X X X X X X X X X X X X X X X 1
    3 Adhesive bandages (band-aids) 50 Oct-23 X X X X X X X X X X X X X X X X 50
    4 Adhesive tape 2 N/A X X X X X X X X X X X X X X X X 2
    Antiseptic applications: Betadine, 2 Oct-23 X X X X X X X X X X X X X X X X 2
    5 Hydrogen Peroxide 2 Apr-22, Feb-22 X X X X X X X X X X X X X X X X 2
    6 Cotton balls 1 N/A X X X X X X X X X X X X X X X X 1
    7 Hand sanitizer or Alcohol 2 N/A X X X X X X X X X X X X X X X X 2
    8 Elastic Roller Bandage, 2" x 4" or 5" yards 2 N/A X X X X X X X X X X X X X X X X 2
    9 Elastic Roller Bandage, 4" x 4" or 5" yards 2 N/A X X X X X X X X X X X X X X X X 2
    10 Scissor 1 N/A X X X X X X X X X X X X X X X X 1
    11 Non Magnetic Twisser 1 N/A X X X X X X X X X X X X X X X X 1
    12 Face Mask 1 pack N/A X X X X X X X X X X X X X X X X 1
    13 Sterile Gauze, 2"x2" 4 Sep-22 X X X X X X X X X X X X X X X X 4
    14 Latex gloves 4 pairs N/A X X X X X X X X X X X X X X X X 4
    15 Breathing barrier 1 N/A X X X X X X X X X X X X X X X X 1
    16 Burn treatment - ointment 25grms/5grm 1 Aug-23 X X X X X X X X X X X X X X X X 1
    17 Hot/Cold packs 1 N/A X X X X X X X X X X X X X X X X 1
    18 Eye covering/pad 2 May-22 X X X X X X X X X X X X X X X X 2
    19 Eye wash, small N/A N/A X X X X X X X X X X X X X X X X N/A
    20 Splint 1 N/A X X X X X X X X X X X X X X X X 1
    21 Trauma Pads N/A N/A X X X X X X X X X X X X X X X X N/A
    22 Triangular Bandage 2 N/A X X X X X X X X X X X X X X X X 2
    DIVISION & FIRST AID BOX LOCATION:
    MONTH: AUGUST 2021
    REQUIRED
    EXPIRATION TOTAL
    QTY. 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 WITHDRAWALS BALANCE
    FIRST AID BOXES CONTENTS
    1 First Aid guide
    2 Contents List
    3 Adhesive bandages (band-aids)
    4 Adhesive tape
    Antiseptic applications: Betadine,
    5
    Hydrogen Peroxide
    6 Cotton balls
    7 Hand sanitizer or Alcohol
    8 Elastic Roller Bandage, 2" x 4" or 5" yards
    9 Elastic Roller Bandage, 4" x 4" or 5" yards
    10 Scissor
    11 Non Magnetic Twisser
    12 Face Mask
    13 Sterile Gauze, 2"x2"
    14 Latex gloves
    15 Breathing barrier
    16 Burn treatment - ointment 25grms/5grm
    17 Hot/Cold packs
    18 Eye covering/pad
    19 Eye wash, small
    20 Splint
    21 Trauma Pads
    22 Triangular Bandage

    PREPARED BY: _________________________ NOTED BY: ________________ RECEIVED BY: ___________________


    Personnel In-Charge/Area Representative Department Head Safety Officer
    Department/Section:
    MONTH: AUGUST 2021
    REQUIRED
    QTY. EXPIRATION TOTAL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 WITHDRAWALS BALANCE
    FIRST AID BOXES CONTENTS
    1 First Aid guide 1 N/A X X X X X X X X X X X X X X X X 1
    2 Contents List 1 N/A X X X X X X X X X X X X X X X X 1
    3 Adhesive bandages (band-aids) 50 Oct-23 X X X X X X X X X X X X X X X X 50
    4 Adhesive tape 2 N/A X X X X X X X X X X X X X X X X 2
    Antiseptic applications: Betadine, 2 Oct-23 X X X X X X X X X X X X X X X X 2
    5
    Hydrogen Peroxide 2 Apr-22, Feb-22 X X X X X X X X X X X X X X X X 2
    6 Cotton balls 1 N/A X X X X X X X X X X X X X X X X 1
    7 Hand sanitizer or Alcohol 2 N/A X X X X X X X X X X X X X X X X 2
    8 Elastic Roller Bandage, 2" x 4" or 5" yards 2 N/A X X X X X X X X X X X X X X X X 2
    9 Elastic Roller Bandage, 4" x 4" or 5" yards 2 N/A X X X X X X X X X X X X X X X X 2
    10 Scissor 1 N/A X X X X X X X X X X X X X X X X 1
    11 Non Magnetic Twisser 1 N/A X X X X X X X X X X X X X X X X 1
    12 Face Mask 1 pack N/A X X X X X X X X X X X X X X X X 1
    13 Sterile Gauze, 2"x2" 4 Sep-22 X X X X X X X X X X X X X X X X 4
    14 Latex gloves 4 pairs N/A X X X X X X X X X X X X X X X X 4
    15 Breathing barrier 1 N/A X X X X X X X X X X X X X X X X 1
    16 Burn treatment - ointment 25grms/5grm 1 Aug-23 X X X X X X X X X X X X X X X X 1
    17 Hot/Cold packs 1 N/A X X X X X X X X X X X X X X X X 1
    18 Eye covering/pad 2 May-22 X X X X X X X X X X X X X X X X 2
    19 Eye wash, small N/A N/A X X X X X X X X X X X X X X X X N/A
    20 Splint 1 N/A X X X X X X X X X X X X X X X X 1
    21 Trauma Pads N/A N/A X X X X X X X X X X X X X X X X N/A
    22 Triangular Bandage 2 N/A X X X X X X X X X X X X X X X X 2
    Department/Section:

    REQUIRED MONTH: AUGUST 2021


    QTY. EXPIRATION
    TOTAL
    16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 WITHDRAWALS BALANCE
    FIRST AID BOXES CONTENTS
    1 First Aid guide 1 N/A X X X X X X X X X X X X X X X X 1
    2 Contents List 1 N/A X X X X X X X X X X X X X X X X 1
    3 Adhesive bandages (band-aids) 50 Oct-23 X X X X X X X X X X X X X X X X 50
    4 Adhesive tape 2 N/A X X X X X X X X X X X X X X X X 2
    Antiseptic applications: Betadine, 2 Oct-23 X X X X X X X X X X X X X X X X 2
    5 Hydrogen Peroxide 2 Apr-22, Feb-22 X X X X X X X X X X X X X X X X 2
    6 Cotton balls 1 N/A X X X X X X X X X X X X X X X X 1
    7 Hand sanitizer or Alcohol 2 N/A X X X X X X X X X X X X X X X X 2
    8 Elastic Roller Bandage, 2" x 4" or 5" yards 2 N/A X X X X X X X X X X X X X X X X 2
    9 Elastic Roller Bandage, 4" x 4" or 5" yards 2 N/A X X X X X X X X X X X X X X X X 2
    10 Scissor 1 N/A X X X X X X X X X X X X X X X X 1
    11 Non Magnetic Twisser 1 N/A X X X X X X X X X X X X X X X X 1
    12 Face Mask 1 pack N/A X X X X X X X X X X X X X X X X 1
    13 Sterile Gauze, 2"x2" 4 Sep-22 X X X X X X X X X X X X X X X X 4
    14 Latex gloves 4 pairs N/A X X X X X X X X X X X X X X X X 2
    15 Breathing barrier 1 N/A X X X X X X X X X X X X X X X X 1
    16 Burn treatment - ointment 25grms/5grm 1 Aug-23 X X X X X X X X X X X X X X X X 1
    17 Hot/Cold packs 1 N/A X X X X X X X X X X X X X X X X 1
    18 Eye covering/pad 2 May-22 X X X X X X X X X X X X X X X X 2
    19 Eye wash, small N/A N/A X X X X X X X X X X X X X X X X N/A
    20 Splint 1 N/A X X X X X X X X X X X X X X X X 1
    21 Trauma Pads N/A N/A X X X X X X X X X X X X X X X X N/A
    22 Triangular Bandage 2 N/A X X X X X X X X X X X X X X X X 2

    PREPARED BY: _________________________ NOTED BY: ________________ RECEIVED BY: ___________________


    Personnel In-Charge/Area Representative Department Head Safety Officer
    First Aid Report
    DIVISION & FIRST AID BOX LOCATION :________________________________________________

    NUMBER OF
    DATE & TIME OF REASON FOR USE SIGNATURE OF
    NAME OF PERSON USE SUPPLIES (DESCRIPTION OF INCIDENT OR SYMPTOMS & TREATMENT PROVIDED) SUPERVISOR
    CONSUMED

    F-OHS-G03.2- V.0
    FIRST AID SUPPLIES
    REPLENISHMENT FORM
    DIVISION: _________________________________________________

    ITEMS QUANTITY
    Adhesive bandages (band-aids)
    Adhesive tape
    Antiseptic applications: Betadine,
    Hydrogen Peroxide
    Cotton balls
    Hand sanitizer or Alcohol
    Elastic Roller Bandage, 2" x 4" or 5" yards
    Elastic Roller Bandage, 4" x 4" or 5" yards
    Scissor
    Non Magnetic Twisser
    Face Mask
    Sterile Gauze, 2"x2"
    Latex gloves
    Breathing barrier
    Burn treatment - ointment 25grms/5grm
    Hot/Cold packs
    Eye covering/pad
    Eye wash, small
    Splint
    Trauma Pads
    Triangular Bandage

    REQUESTED BY:
    Personnel In-Charge/Area Representative

    NOTED BY:
    DIVISION CHIEF

    APPROVED BY:

    SAFETY OFFICER

    ADMIN DIVISION

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