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Health and Safety Office First aid supplies order form Document control information Published document name: falist-fo.doc Date issued: July 2012 Version: 2.0 Next review date: July 2014 (unless required earlier) First aid guidance note Related documents: Local rules document. Legislation or related information: Health and Safety (First Aid) Regulations 1981 Document owner: Liz Greaves (Senior Safety Advisor) Document approved by: Peter Adams (Director of Health and Safety) Lead contact: Liz Greaves (Senior Safety Advisor) About this form This form enables school or service representatives to order first aid supplies from the Health and Safety Office. The Health and Safety Office keeps a small supply of standard items in stock to deal with the day to day replenishment of supplies. Items from the additional items list are not kept in stock and will be ordered on demand. Page 1 of 3 Health and Safety Office falist-fo Version 2.0. First aid supplies order form Name School/section and address Telephone number Date Number Complete first aid kits (items may differ from those listed below) required Standard small workplace first aid kit Number Quantity Standard items required 1 A leaflet giving general guidance on first aid 1 Packet of 20 assorted plasters 2 Eye pad (sterile dressing; no 16) 6 Medium dressing (sterile dressing; no 8) 2 Large dressing (sterile dressing; no 9) 4 Triangular bandage 1 Safety pins (pk of 6) Pair of disposable gloves - small, medium or large 1 (if size not indicated medium will be provided) 1 Resusci face shield Page 2 of 3 Health and Safety Office falist-fo Version 2.0. Number Additional items required Detectable plasters for commercial catering areas (box of 100) 2 x Extra large dressing (sterile dressing; no 3) – High risk areas Eye wash (500ml) for travel kits and areas without mains water Eye wash (20ml - travel size) for travel first aid kits and field trips Sterile cleansing wipes Adhesive tape Finger dressing Conforming bandage Foil blanket Burn dressing – small (finger), medium (face/hand) or large (chest) (if not specified small (finger) size will be provided) Please return your completed form by post or email to: Health and Safety Office, University of Bristol, 1-9 Old Park Hill, Bristol, BS2 8BB, email@example.com Page 3 of 3 Health and Safety Office falist-fo Version 2.0.
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