Workplace First Aid Kit Monthly Inspection Checklist Form
Complete this form each month to verify the contents and condition of your workplace first aid kit. This checklist ensures compliance and readiness. All fields are required unless noted.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Workplace Location
*
Inspector Full Name
*
First Name
Last Name
Are all required first aid kit items present and in usable condition?
*
Yes
No
Is the first aid kit container clean, intact, and clearly labeled?
*
Yes
No
Are all items within their expiry dates?
*
Yes
No
Are the kit's contents list and usage instructions up to date and legible?
*
Yes
No
List any missing, expired, or damaged items (or enter "None").
*
Additional Comments or Actions Taken (optional)
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: