First Aid Order Form

Health, Safety and Wellbeing

Name: Date:
Kit ID Number: Kit Location (Building / Floor / Room ):
Campus: Institute / Section:

Please return out-of-date items to Angela Cox, HSW, SMB Campus, Room E116

CODE ITEM PER KIT REQUIRED UNIT

10306001 Bandage, triangular 2 each each
10201005 Band-Aids 1 box box
11401010 Basic first aid notes 1 set set
10801011 Cold pack for bruises and sprains 1 each each
10301013 Crepe bandage 7.5cm x 1.5m 1 roll roll
10204047 Dressing (large for serious wounds) 20cm x 90cm 1 each each
10205002 Dressing (small) sterile 10cm x 20cm 1 each each
10202014 Dressing, fabric strip, adhesive 6cm x 1m 1 each each
10205018 Eye pad 4 each each
11101110 Face mask, surgical 2 each each
- First aid report form (download from RHS website) 1 each  each
10205026 Gauze squares, 7.5cm x 7.5cm 1 pack of 3 pack
11601001 Gloves, disposable 5 pairs pair
11101011 Plastic bags 2 each each
11301114 Resuscitation mask 1 each each
30101107 Safety glasses 1 each each
11101170 Safety pins, assorted 1 box box
10601002 Saline solution ampoule (single use) 5 each each
11001001 Scissors, stainless steel 1 pair pair
11101174 Splinter probes (single use) 1 pack of 5 pack
10101005 Swab, antiseptic 10 each each
10401002 Tape, adhesive hypoallergenic 2.5cm x 9m 1 roll roll
11101013 Thermal blanket 1 each each
10204050 Wound dressing, un-medicated sterile large No 15 2 each each
10204049 Wound dressing, un-medicated sterile medium No 14 2 each each
10204048 Wound dressing, un-medicated sterile small No 13 2 each each
10601012 - Eye Module (Optional – where eye hazards exist e.g. lab, workshop)
10401001 Tape, adhesive hypoallergenic 1.25cm x 9m 1 each each
10601002 Saline solution ampoule (single use) 10 each each
10205018 Eye pad 4 each each
20610101 - Burn Module (Optional – where burn hazards exist e.g. kitchen, lab, workshop)
10205011 Burns dressing, sterile non-adherent absorbent 10cmx7.5cm 2 each each
10205010 Burns dressing, sterile non-adherent absorbent 7.5cmx5cm 4 each each
10502005 Burns dressing, sterile very large 75cmx220cm 1 each each

Ballarat & Horsham - send completed forms to ohs@federation.edu.au

Berwick and Gippsland – send completed forms to Campus Nurse vonnie.boreham@federation.edu.au

Authorised by: University Health and Safety Policy Committee

Document Owner: Head – Health, Safety and Wellbeing Current Version: 01/12/2022
Page 1 of 1 Review Date: 31/12/2025
CRICOS Provider No. 00103D | RTO Code 4909 | TEQSA PRV12151 (Australian University)