DEPARTMENT OF OCCUPATIONAL HEALTH AND SAFETY - AID SUPPLIES ORDER FORM – To: Chris Bromley/Allison Dawson Department of Occupational Health and Safety Room DH0.20B Dorothy Hodgkin Building Extension: 33567/33870 E-mail: c.j.bromley@keele.ac.uk/a.r.dawson@keele.ac.uk Description Size Number required NOTE: Fabric Plaster 7.2 cm x 1.9 cm Supplies Fabric Plaster 3.8 cm x 3.8 cm are Fabric Plaster 3.8 cm x 2.2 cm normally Waterproof only Plaster 7.2 cm x 1.9 cm available Waterproof Plaster 3.8 cm x 3.8 cm to Waterproof Plaster 3.8 cm x 2.2 cm Designated Adhesive Wound Dressing 10 cm x 8 cm First Sterile Gauze Swab (single use) 7.5 cm x 7.5 cm Aiders (DFAs). If Alcohol Free Cleansing Single Sachet ordering Standard HSE Eye Dressing Single Package on their Medium HSE Dressing 12 cm x 12 cm behalf HSE Dressing 18 cm x 18 cm please state Safety Pins Batch of 12 below. Triangular Bandage 90 cm x 127 cm Orders too Crepe Bandage 7.5 cm x 4.5 cm large for Vinyl Gloves (powder free) internal Nitrile Gloves (powder free) Large mail can be Nitrile Gloves (powder free) Medium collected Mouth to Mouth Resuscitation Aid Single Package from Eye Wash Solution 20 ml sterile pod DOHS. Blue plasters (for catering outlets) Box of 100 assorted Blue Your plasters (for catering outlets) 7.2 cm x 2.5 cm Name Blue plasters (for catering outlets) Fingertip (please Burns Dressing 125 x 125mm print): Plasters Various Micropore Tape Roll 2.5cm x 10m – Ordering for (Name of DFA if applicable): School/Dept/Location : Extension : E-mail: Signature: Date: Office use: Order received: Order sent:: ………………………………………. …………………………………………………
DEPARTMENT OF OCCUPATIONAL HEALTH AND SAFETY - AID SUPPLIES – ORDER FORM To: Chris Bromley/Allison Dawson Department of Occupational Health and Safety Room DH0.20B Dorothy Hodgkin Building Extension: 33567/33870 E-mail: c.j.bromley@keele.ac.uk/a.r.dawson@keele.ac.uk Description Size Number required Fabric Plaster 7.2 cm x 1.9 cm Fabric Plaster 3.8 cm x 3.8 cm Fabric Plaster 3.8 cm x 2.2 cm Waterproof Plaster 7.2 cm x 1.9 cm Waterproof Plaster 3.8 cm x 3.8 cm Waterproof Plaster 3.8 cm x 2.2 cm Adhesive Wound Dressing 10 cm x 8 cm Sterile Gauze Swab (single use) 7.5 cm x 7.5 cm Alcohol Free Cleansing Single Sachet Standard HSE Eye Dressing Single Package Medium HSE Dressing 12 cm x 12 cm HSE Dressing 18 cm x 18 cm Safety Pins Batch of 12 Triangular Bandage 90 cm x 127 cm Crepe Bandage 7.5 cm x 4.5 cm Vinyl Gloves (powder free) Nitrile Gloves (powder free) Large Nitrile Gloves (powder free) Medium Mouth to Mouth Resuscitation Aid Single Package Eye Wash Solution 20 ml sterile pod Blue plasters (for catering outlets) Box of 100 assorted Blue plasters (for catering outlets) 7.2 cm x 2.5 cm Blue plasters (for catering outlets) Fingertip Burns Dressing 125 x 125mm Plasters Various Micropore Tape Roll – 2.5cm x 10m NOTE: Supplies are normally only available to Designated First Aiders (DFAs). If ordering on their behalf please state below. Orders too large for internal mail can be collected from DOHS. Your Name (please print): Ordering for (Name of DFA if applicable): School/Dept/Location : Extension : E-mail: Signature: Date: Office use: Order received: ………………………………………. Order sent:: …………………………………………………
10-08-16%20First%20Aid%20Supplies%20order%20form(Revised).docx