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First Aid Supply Order Form

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Use this form to submit monthly first aid supply orders. Verify your site meets ANSI B required quantities for essential items such as bandages, gauze, gloves, CPR barrier, tourniquet, and more. Optional items are available and some may require Director or Senior Leader approval. Request a full vehicle first aid kit when needed and provide vehicle details. Mark any urgent items for immediate ordering; standard orders are compiled on the 15th and delivered in 5-7 days after HART processing. Finalize by confirming and submitting your order.

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With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

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