ST JOHN FIRST AID SUPPLIES

Ph: (08) 8306 6920 Fax: (08) 8373 4468

85 Edmund Ave. Unley SA 5061
Web Site: www.stjohnsa.com.au
Email: supplies@stjohnsa.com.au

FAK100/108/105-STANDARD WORK PLACE FIRST AID KIT RE-ORDER FORM

COMPANY:__________________________________________________ ABN:________________________________
ADDRESS:_____________________________________________________________________________________
PHONE:___________________ EMAIl: _______________________________________ FAX:_________________

PAYMENT: ACCOUNT NO_______________ CREDIT CARD TYPE____________ CHEQUE

SIGNATURE:____________________________ EXP:_________/________ DATE:_________________

Code Item Min/Kit Qty Reqd Unit Cost TOTAL
Minimum STANDARD First Aid Kit Requirements
FAC015 Alcohol swabs (70% Isopropyl alcohol) ea 10 $ 0.15
FAC018 Antiseptic swabs (1% Cetrimide/Chlorhexidine) ea 10 $ 0.35
FAC110 Povidone Iodine Swabs ea 6 $ 0.35
FAC050 Bandage Conforming 5cm ea 3 $ 1.38
FAC055 Bandage Conforming 7.5cm ea 3 $ 2.20
FAC095 Bandage Heavy Crepe 10cm ea 1 $ 5.45
FAC100 Bandage Triangular 110x110x155cm ea 2 $ 3.30
FAC190 Non adherent dressing 5cm x5cm ea 6 $ 0.61
FAC200 Non adherent dressing 10x7.5cm ea 3 $ 0.88
FAC195 Non adherent dressing 10cm x 10cm ea 1 $ 1.27
FAC109 Povidone Iodine solution 100ml optional ea 1 $ 6.85
FAC170 Dressing Combine Pad 10x20cm ea 1 $ 0.94
FAC242 Adhesive strips 50pk 1 $ 6.25
FAC260 Wound dressing No.14 ea 1 $ 2.81
FAC265 Wound dressing No.15 ea 1 $ 3.47
GLOV07 Gloves Latex Free Nitrile 1 Pair Disposable Large ea 5 $ 0.95
FAC375 Notebook & pencil ea 1 $ 2.36
FAC450 Antiseptic Wound Wash 30ml Chlorhex-Cetrimide ea 2 $ 2.53
FAC425 Safety pins 12pk 1 $ 1.31
FAC455 Scissors (stainless steel) sharp/blunt 12.5cm ea 1 $ 3.95
FAC475 Splinter Probe, disposable 5pk 2 $ 2.15
FAC488 Gauze swabs sterile 7.5x7.5cm 5pk 5 $ 1.40
FAC496 Tape, hypoallergenic, 2.5cmx9.1m ea 1 $ 3.64
LPM002 Pocket mask, incl valve & case ea 1 $ 29.00
BA002 Book Emergency First Aid ea 1 $ 7.70
FAC411 Burnaid sachets 3.5g ea 5 $ 0.78
FAC115 Emergency Shock Blanket ea 1 $ 4.57
FAC305 Forceps (Stainless) Sharp 12.5 cm ea 1 $ 2.33
FAC290 Eye Pads ea 4 $ 0.62
FAC432 Eye Wash Tube 15ml ea 8 $ 0.98
FAC325 Instant Ice Pack ea 1 $ 5.88
PENS02 Black Pen ea 1 $ 0.88
FAC738 DRABC/CPR Flow Chart (sticker or card) ea 1 $ 2.64
BAG003 Bag reseal 20cm x 10cm ea 1 $ 0.20
BAG002 Bag reseal 25cm x 15cm ea 1 $ 0.20
BAG001 Bag reseal 33cm x 23cm ea 1 $ 0.28
BA890 Book Register of injuries 3 colour carbon copy optional ea 1 $ 9.90
SPM001 Burns Module inc TGA appr Polythene sheets optional ea 1 $ 31.90
FAC161 Polythene Burns Sheets Large optional ea 1 $ 2.58
FAC162 Polythene Burns Sheets Medium optional ea 1 $ 2.27
FAC163 Polythene Burns Sheets Small optional ea 1 $ 1.81
FAK100 Kit Standard Workplace complete in Portable Box ea $ 134.00
FAK108 Kit Standard Workplace complete in Softpack ea $ 134.00
FAK105 Kit Standard Workplace complete in Wallmount Cabinet ea $ 183.00
Delivery: Metro $ 12.50
Prices subject to change without notice 01/07/2013 Country / PO Box $ 15.00
Prices include GST where applicable. Total Including GST
New Approved Code of Practice January 1st 2013
This Standard kit order form complies with the New code of practice effective January 1st 2013