Distance to Nearest 7 major hospital? Travel time? Maximum distance to 8 location of existing first aid kits: Name and number of first aid officer, as well as 9 emergency services numbers, located near first aid kit: List incidents over 10 the last 12mths: Are there any other information relevant to the first aid needs 11 e.g. if there are persons with disability or known health concern. List specific hazards in the area. E.g. slips & trips, work at Hazard: Location: height, plant or 12 machinery, moving objects, electricity, radiation, chemicals, dust, manual handling. Product: Requirement: Do SDS and product labels specify any 13 first aid requirements? Are there hazards or health concerns for which an extra first Details: aid kit or specialised 14 treatment is required. E.g. chemicals, potential for burn, eye injuries, field trips. Is a First Aid room required? low-risk workplaces • with more than 200 15 Yes No □ □ employees high-risk workplaces • with more than 100 employees. Is an AED readily 16 Yes No □ □ accessible? Recommendations:
7 Distance to Nearest major hospital? Travel time? 8 Maximum distance to location of existing first aid kits: 9 Name and number of first aid officer, as well as emergency services numbers, located near first aid kit: 10 List incidents over the last 12mths: 11 Are there any other information relevant to the first aid needs e.g. if there are persons with disability or known health concern. 12 List specific hazards in the area. E.g. slips & trips, work at height, plant or machinery, moving objects, electricity, radiation, chemicals, dust, manual handling. Hazard: Location: 13 Do SDS and product labels specify any first aid requirements? Product: Requirement: 14 Are there hazards or health concerns for which an extra first aid kit or specialised treatment is required. E.g. chemicals, potential for burn, eye injuries, field trips. Details: 15 Is a First Aid room required? • low-risk workplaces with more than 200 employees • high-risk workplaces with more than 100 employees. □ Yes □ No 16 Is an AED readily accessible? □ Yes □ No Recommendations: