"Do you have stuff for foot care in there? Movement with 30-40 lbs of gear is a lot harder on your feet than regular running. Thick moleskin, some foot powder, nail clippers, gauze, and a needle could really come in handy. That duct tape is good for covering hot spots, too, if you notice them and tape 'em before they get bad.

I would ditch the shovel and add some commo gear -- a crank radio, whistle, and mirror.
What about medical?"

"Yeah thanks. I didn't notice i was missing com gear. See you think you have everything until you write it down. I am still building my first aide but its becoming a hassle do you know of any good lightweight first aide kits out there. About the shovel I've thought about it and it has many uses so i think i might hang on to it. But i haven't tested my pack yet so I might change my mind. Thanks for the comment."

"I would say to your profile, personally.

Or to your plan page if you have one."

"I have two main things to add: One, add balloons to your B.O.B. The other thing is hard candy."

"Sounds like a creepy clown moment waiting to happen XD

Also you should get some of these...
http://safetycentral.com/fronporwatfi.html

You didn't list any kind of water filtration. I know boiling works, but you won't always have time to build a fire and boil water. So a portable emergency filter is another good addition to a well thought out BOB...

"