ASC - Weekly order form

• Document No.

• Compliance - BSC + ASC

  BSC

  ASC

• Centre location

  Select

• Date order completed

  Date

• Name of person completing this form (First & last name)

• Name of person packing the order (First & last name)

• Date order packed

  Date

• Name of person picking up the order (First & last name)

• Date order picked up

  Date

Order Details

• Delivery will not be on the same day, please make sure to order in advance.

• Date Required

  Date

• Centre location

  Select

• Attention to:

• Special instructions

RESOURCES

• LIST THE QUANITIES REQUIRED BELOW

STATIONERY ITEMS

• Lead pencils

• Coloured pencils

• Crayons

• Textas

• Erasers

• Sharpeners

• Glue sticks

• Scissors (please specify what type)

• Masking tape

• Sticky tape

• Blu tack

• Scrap paper

  YES

  NO

• Blank paper

  YES

  NO

• Pens

• Sticky notes

• Pencil pots

• OTHER STATIONERY (please describe items and specify quantities in Add Note)

HEALTH & SAFETY EQUIPMENT

• Red wrist bands

• Yellow wrist bands

• Blue wrist bands

• Orange wrist bands 30

• ITEMS FOR FIRST AID KITS

• Band aids

• Instant ice pack

• Antiseptic wipes

• Saline solution

• OTHER FIRST AID (please describe items and specify quantities in Add Note)

• HYGIENE AND PROTECTION

• Sunscreen

  Yes

  No

  N/A

• Hand sanitiser

  Yes

  No

  N/A

• Hand soap

  Yes

  No

  N/A

• Paper towels

  Yes

  No

  N/A

• Cleaning cloths

  Yes

  No

  N/A

• Toilet paper

  Yes

  No

  N/A

• Tissues

  Yes

  No

  N/A

• Antibacterial spray

  Yes

  No

  N/A

• Dishwashing liquid

  Yes

  No

  N/A

• Aeroguard

  Yes

  No

  N/A

• Insect repellent

  Yes

  No

  N/A

• Bin bags

  Yes

  No

  N/A

• OTHER HYGIENE AND PROTECTION (please describe items and specify quantities in Add Note)

CENTRE RESOURCES

• Homework Club tablecloths

• Be Inspired Time Coloured tablecloths

• Orange Inspire tablecloths (For registration table)

• Staff vests

• Childrens vests

• Banner (please specify)

• Ideas board

• Corflute board and stand

• Scissors (please specify what type)

• Clipboards

• Folders/binders

• OTHER CENTRE RESOURCES (please describe items and specify quantities in Add Note)

FOOD & KITCHEN ITEMS

• RED APPLE bag/punnet

• GREEN APPLE bag/punnet

• PEAR bag/punnet

• CARROT bag/punnet

• CUCUMBERS

• WATERMELON qtr

• SLICED CHEESE punnet

• JAM jar

• VEGEMITE jar

• MARGERINE SPREAD tub

• BREAD loaf

• RICE CRACKER packet

• RICE CAKE packet

• SULTANA packet

• Glad wrap

• Foil

• Baking paper

• Tea towels

• Plastic food storage containers

• Plastic childrens cutlery and crockery

• Kitchen utensils

• Kitchen equipment

• OTHER FOOD & KITCHEN ITEMS (please describe items and specify quantities in Add Note)

OTHER RESOURCES

• please describe items and specify quantities in Add Note

• please describe items and specify quantities in Add Note

• Delivery will not be on the same day, please make sure to order in advance.

• Do you understand the above?

  YES

  NO

• ALL empty containers and bags have been returned to HO

• Do you understand the above?

  YES

  NO

• Name of person completing this form (First & last name)

• Signature

  Sign

• Select date

  Date