FIRST AID CENTER INSPECTION CHECKLIST

LOWER FARS HEAVY OIL DEVELOPMENT PROGRAM PHASE-1

PROJECT: EF-1852
JOB NO : JI-2029 / P-1160

LOCATION: DATE: ASSESSOR:

SUBCONTRACTOR:

Sr. REQUIREMENTS YES NO N.A. REMARKS

No.

1.0 GENERAL REQUIREMENT

1.1 All medical staff have a job description including
non-medical duties (as per client instruction) that
describes their role

1.2 All staff are wearing identification badges

1.3 There is clear signage to direct people to the facility

1.4 The medical facility is hygienic and tidy

1.5 The medical facility support for patient

confidentiality, separation of patient room are
provided
1.6 The lighting is adequate for routine work and for
medical procedures
1.7 The layout of the medical facility is in line with good
patient flow and patient confidentiality
1.8 There is adequate internal signage that is written in
English and the local language
1.9 There are adequate ablution facilities for the activity
of the clinic
1.10 All external doors and windows are lockable

1.11 List of first aider and training record

1.12 Occupational Health Program record

2.0 MEDICAL EQUIPMENT

2.1 The medical equipment is clean and stored safely

2.2 Equipment is checked regularly and documented as

evidence
2.3 Medical gasses are stored safely
 FIRST AID CENTER INSPECTION CHECKLIST

LOWER FARS HEAVY OIL DEVELOPMENT PROGRAM PHASE-1

PROJECT: EF-1852
JOB NO : JI-2029 / P-1160

2.4 There is correct safety signage on / near the medical

gases
2.5 There is evidence of weekly checking of medical
gases showing the volumes present
The following items are clean and there is evidence
they are checked regularly
2.6 Basket stretcher with lifting straps

2.7 Long spinal board with straps and head immobilizer

2.8 Scoop stretcher

2.9 Folding stretcher

2.10 Splints

2.11 Automatic External Defibrillator

2.12 Bag valve mask

2.13 Automatic / manual suction device w/ suction

catheter
2.14 Neck collar / Cervical collar

2.15 Portable oxygen sets

2.16 Large/medium oxygen cylinder

2.17 Regulator of medical oxygen cylinder w/ flow meter

and humidifier
2.18 The emergency response bag has been checked and
documented
2.19 All medications in the emergency response bag are
within date
The following equipment is present and in good
condition
2.20 Sphygmomanometers

2.21 Stethoscopes

2.22 Pulse oximeter

 FIRST AID CENTER INSPECTION CHECKLIST

LOWER FARS HEAVY OIL DEVELOPMENT PROGRAM PHASE-1

PROJECT: EF-1852
JOB NO : JI-2029 / P-1160

2.23 Digital thermometer

2.24 Weigh scale

2.25 Pupil torch

2.26 Oro pharyngeal airway available in assorted size

2.27 Oxygen mask available (nasal cannula, simple mask,

RM, NRM)
2.28 Wound dressing kit available

2.29 Burn kit available

2.30 Medical PPE available (gloves, medical mask)

2.31 Glucometer w/ lancet and strips

2.32 Additional equipment

3.0 SUPPORT FACILITIES AND AMBULANCE

3.1 There is adequate firefighting equipment in the
facility
3.2 First Aid Facilities have telephone or mobile phone
that reachable for 24/7
3.3 First Aid Facilities have a PC with internet access

3.4 Ambulance are well maintained with appropriate

records of maintenance
3.5 Ambulance are clean inside and outside

3.6 There are seat belt for driver and passenger

3.7 There are copies of all driver's licenses

3.8 The driver of ambulance is trained in first aid

3.9 There is appropriate life support equipment for the

ambulance
3.10 There is evidence that all emergency equipment for
ambulance is checked regularly

4.0 MEDICAL SERVICES

 FIRST AID CENTER INSPECTION CHECKLIST

LOWER FARS HEAVY OIL DEVELOPMENT PROGRAM PHASE-1

PROJECT: EF-1852
JOB NO : JI-2029 / P-1160

4.1 On questioning, medical staff can explain the

principal of informed consent
4.2 Staff are able to describe the procedure to be taken
if a patient withdraws their consent
4.3 All patient records are kept in a secure place

4.4 There is log book that contains the name, age,

symptoms, preliminary diagnosis and treatment
both on hard file and soft file for statistical purposes
4.5 The standard forms used for patient care are well
presented KOC, Petrofac, and CCC logos
4.6 Medical records show that S.O.A.P is the
methodology used for documentation
4.7 There is a handover procedure with rotational staff
that is documented
4.8 There are clinical practical guideline and
nursing/medic services

5.0 EMERGENCY SYSTEM

5.1 There is a MERP (Medical Emergency Response
Procedure) which are clearly displayed on the wall
5.2 There are written protocols and algorithms for
emergency management which are clearly displayed
on the wall
5.3 There is recorded evidence of a MERP exercise
within the last 6 months
5.4 Updated material safety data sheet (MSDS) for the
chemical used on site available in the medical
facility
5.5 All medical staff shall read and understand the
MSDS and form for signed after read the MSDS
provided as evidence

6.0 MEDICINE
6.1 Emergencies medicines included Anti-Allergy,
Analgesic medicine etc.is available
6.2 All medicine that added and removed from
inventory are recorded
6.3 The monthly utilization of stock is known and
documented
 FIRST AID CENTER INSPECTION CHECKLIST

LOWER FARS HEAVY OIL DEVELOPMENT PROGRAM PHASE-1

PROJECT: EF-1852
JOB NO : JI-2029 / P-1160

6.4 The temperature of the refrigerator is checked and

recorded twice daily
6.5 Room temperature of the area where pharmacy is
stored are maintained and recorded twice daily
6.6 All pharmacy items are stored on a first in first out
basis
6.7 All pharmacy and disposable items are in date

7.0 INFECTION CONTROL

7.1 Sharps containers available

7.2 Sharps containers are sealed and kept in a locked

area prior to being removed from the facility
7.3 All biomedical waste that removed from the facility
is documented
7.4 Bins for medical and general waste are segregated

7.5 All bins are foot operated with fitting lids

7.6 There are adequate hand washing facilities in the

medical facility
7.7 Step for correct hand washing procedure are clearly
posted on the wall

8.0 MEDICAL RECORD

8.1 Are Fitness Certificates for all employees available at
First Aid Facilities or accessible for medical
personnel on site?
8.2 Are Medical Records for all employees available at
First Aid Facilities?
Others:

INSPECTION TEAM NAME : SIGNATURE :

 FIRST AID CENTER INSPECTION CHECKLIST

LOWER FARS HEAVY OIL DEVELOPMENT PROGRAM PHASE-1

PROJECT: EF-1852
JOB NO : JI-2029 / P-1160

Note: Please attach necessary supporting documents (NOC, photos, etc.) when conducting office inspection.