EMS Medical Kit Inventory Form
Track and verify the contents and readiness of your EMS medical kit.
Kit Identification Number
*
Kit Location
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Inventory Item Counts
*
Rows
Count
Bandages
Gauze Pads
Gloves (Pairs)
CPR Mask
Tourniquet
Splint
Alcohol Wipes
Medical Tape
Items Nearing Expiration (List item and expiration date)
Missing or Damaged Items
Restock Needed?
*
Yes
No
Inspector Notes
Submit Inventory
Should be Empty: