MINING FIRST AID & MEDICAL RESPONSE CHECKLIST

Created by ChecklistGuro (https://checklistguro.com)

--- INCIDENT NOTIFICATION & REPORTING ---
[ ] Date of Incident
[ ] Time of Incident
[ ] Location of Incident (GPS Coordinates)
[ ] Brief Description of Incident
[ ] Type of Injury/Illness (Cut/Abrasion, Fracture/Sprain, Chemical Exposure, Respiratory Issue, Other)
[ ] Number of Employees Involved
[ ] Attach Photo/Video of Incident Scene (Optional)
[ ] Was Emergency Services Contacted? (Yes, No)

--- FIRST AID KIT INSPECTION & REPLENISHMENT ---
[ ] Inspection Date
[ ] Bandage Count
[ ] Antiseptic Wipe Count
[ ] Gauze Pad Count
[ ] Oxygen Supply Status (Full, Partial, Empty, N/A)
[ ] First Aid Manual Present? (Yes, No)
[ ] Notes/Comments
[ ] Expiry Date of Key Item (e.g., Oxygen)

--- EMERGENCY CONTACT INFORMATION ---
[ ] Mine Site Emergency Coordinator Name
[ ] Emergency Coordinator Phone Number
[ ] Nearest Hospital Name
[ ] Hospital Phone Number
[ ] Ambulance Service Contact
[ ] Ambulance Dispatch Number
[ ] Additional Emergency Contacts (Names & Numbers)
[ ] Nearest Medical Facility Location (GPS Coordinates)

--- MEDICAL PERSONNEL AVAILABILITY ---
[ ] Number of Registered First Aiders On-Site
[ ] Medical Personnel Qualifications (e.g., Paramedic, Nurse, Doctor) (Paramedic, Registered Nurse, Medical Doctor, Other - Specify in Long Text)
[ ] Details if 'Other' qualification selected above
[ ] Expiry Date of Medical Personnel Certifications
[ ] Typical Availability Window of Medical Personnel
[ ] Remote Medical Support Availability (Telemedicine) (Available, Not Available)
[ ] Notes on Medical Personnel Availability

--- FIRST AID RESPONSE PROCEDURES ---
[ ] Injury Type (Minor Cut/Abrasion, Sprain/Strain, Burn, Fracture/Dislocation, Chemical Exposure, Other)
[ ] Detailed Description of Incident
[ ] Estimated Blood Loss (ml)
[ ] Initial Treatment Provided (Wound Cleaning, Bandaging, Immobilization, CPR, Oxygen Administration, None)
[ ] Date of Treatment
[ ] Time of Treatment
[ ] First Responder Signature

--- COMMUNICATION SYSTEMS ---
[ ] Primary Communication Method (Incident) (Radio, Phone, Satellite Phone, Emergency Beacon)
[ ] Radio Channel in Use
[ ] Backup Communication Method (Radio, Phone, Satellite Phone, Emergency Beacon)
[ ] Last Communication System Test Date
[ ] Typical Response Time (Minutes)
[ ] Notes on Communication System Issues/Observations

--- EVACUATION PROCEDURES ---
[ ] Designated Evacuation Assembly Point
[ ] Current Evacuation Route Clear of Obstructions? (Yes, No, Not Applicable)
[ ] Estimated Evacuation Time (Minutes)
[ ] Last Evacuation Drill Date
[ ] Evacuation Drill Start Time (if applicable)
[ ] Any unusual observations during evacuation preparation?

--- TRAINING RECORDS VERIFICATION ---
[ ] Employee ID
[ ] Training Type (Basic First Aid, Advanced First Aid, CPR/AED, Emergency Response, Other)
[ ] Training Completion Date
[ ] Training Hours Completed
[ ] Training Certificate (Optional)
[ ] Trainer Qualification Level (Level 1, Level 2, Level 3)
[ ] Next Renewal Date

--- EQUIPMENT FUNCTIONALITY ---
[ ] Oxygen Cylinder Pressure (PSI)
[ ] AED Battery Level (%)
[ ] Stretcher Operational Status (Functional, Needs Repair, Out of Service)
[ ] First Aid Kit Contents â€“ Inspection Status (Complete, Minor Replenishment Required, Significant Replenishment Required)
[ ] Last Inspection Date of Medical Equipment
[ ] Time of Equipment Functionality Check

--- INCIDENT DEBRIEFING & REVIEW ---
[ ] Debriefing Date
[ ] Debriefing Time
[ ] Summary of Incident
[ ] Observations & Lessons Learned
[ ] Contributing Factors (Select all that apply) (Equipment Failure, Procedure Non-Compliance, Communication Breakdown, Training Deficiency, Environmental Factors, Other)
[ ] Proposed Corrective Actions
[ ] Number of Attendees
[ ] Overall Effectiveness of Response (Excellent, Good, Fair, Poor)
[ ] Debriefing Facilitator Signature

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