General Facility Inspection

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General

Is the room’s entrance wide enough to accommodate an ambulance stretcher, wheelchair, etc?

Yes No Na

Is the first aid room within a building?

Yes No Na

Is the first-aid room locked to prevent theft?

Yes No Na

Are records maintained for the first aid given?

Yes No Na

Is there adequate seating in the first aid room?

Yes No Na

Are there adequate blankets and pillows?

Yes No Na

Is there a designated cabinet to store equipment?

Yes No Na

Are electric points clean and secured?

Yes No Na

Does the room have adequate ventilation?

Yes No Na

Is the first aid room adequate enough?

Yes No Na

Is the room clean and well-maintained?

Yes No Na

Is the temperature comfortable?

Yes No Na

Is no smoking sign posted at the entrance of the first aid room?

Yes No Na

Are there movable screens, suspended curtains, or a door that can be closed to maintain privacy?

Yes No Na

Is information displayed on the door mentioning names, location, contact numbers of the first aiders?

Yes No Na

Are desks/counters cleaned and disinfected?

Yes No Na

Are instruments and first aid equipment secured and stored appropriately?

Yes No Na

Is the first-aid stock checked regularly for expiry, disposal, replacement, etc?

Yes No Na

Is no smoking sign posted inside the first aid room?

Yes No Na

Is there a handwashing area inside the first-aid room?

Yes No Na

Is there a water supply at all times?

Yes No Na

Is there a facility of telephone or other means of communication?

Yes No Na

Are there adequate soaps/sanitizer/paper towels?

Yes No Na

Are all frequently touched surfaces clean?

Yes No Na

Is a dedicated person assigned for the upkeep of the first aid room?

Yes No Na

Is the room located near to a point of access for transport to the hospital?

Yes No Na

Is drinking water available?

Yes No Na

Are protective garments for first aiders available?

Yes No Na

Are used first-aid equipment properly discarded?

Yes No Na

Is there a trash can inside the first-aid room?

Yes No Na

Is the trash regularly emptied?

Yes No Na

Additional information

Inspectors Name/signature:

SIGNATURE

Inspection Date:

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General Facility Inspection

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