Title Page

  • CONNOR - (407) 281-9000 - ORDERS@SOUTHERNSAFETYANDSUPPLY.COM

  • Jobsite:

  • Date:

  • Ordered By:

  • Project Superintendent:

  • Assistant Superintendent:

FIRST AID SUPPLIES

1. FIRST AID

  • FIRST AID SUPPLIES NEEDED?

  • BANDAGE FABRIC 1" x 3" [G-121]

  • ADHESIVE TAPE 1/2" X 5 Yards [M-685]

  • ANTISEPTIC WIPES [J-308]

  • BURN DRESSING 4" x 4" [16-004]

  • BURN SPRAY PUMP [13-040]

  • COLD COMPRESS [M-564]

  • CPR KEYCHAIN MASK [M-5092]

  • EYE CUPS BOX OF 10 [7-110]

  • Eye Pads (2)

  • EYE WASH 4 OUNCE [7-006]

  • EYE WASH 32OZ REFILL [24-201]

  • EYE WASH STATION 16 GALLON [REW01116]

  • EYEWASH PRESERVATIVE [90496]

  • FIRST AID 4 SHELF [90625]

  • FIRST AID REFILL KIT [90625]

  • GAUZE COMPRESS ABSORBENT - 1 PER BOX [AN-205]

  • GAUZE PAD 3IN X 3IN - 20 PER BOX [I-211F]

  • GAUZE ROLL 3 INCH - BOX OF 12 [90872]

  • GAUZE ROLL 2 INCH - BOX OF 12 [90871]

  • GLOVE NITRILE FIRST AID LARGE [L2020W LG]

  • GLOVE NITRILE FIRST AID EXTRA LARGE [L2020W XL]

  • HAND SANITIZER 4 OUNCE BOTTLE [100121]

  • HYDROCORTISONE CREAM (use for concrete burns) - [G-486]

  • IBUPROFEN BOX [90109]

  • KNUCKLE & FINGERTIP FABRIC ADHESIVE BANDAGE [G-140]

  • SCISSORS [M-583]

  • PATCH 2" X 4" FABRIC ADHESIVE BANDAGE [1-007]

  • SPLINT PADDED 4IN X 24IN [336007]

  • SPLINTER OUT - 10 PER CASE [22-410]

  • TOURNIQUET [17-011]

  • TRIANGULAR BANDAGE

  • TRIPLE ANTIBIOTIC - BOX OF 25 [G-460]

  • TWEEZERS

2. FALL PROTECTION

  • HARNESS, X-TREME LABORER SAFEWAZE 22850

    XTREME.jpg
  • SM / MD

  • LARGE / XLG

  • CARPENTER HARNESS BLUE [IW2160]

  • SM/MD

  • LG/XL

  • 2X/3X

  • STRATOS CARPENTER HARNESS GREY [22670B]

    STRATOS.jpg
  • SM / MD

  • LG / XL

  • REBAR ASSEMBLY IRONWEAR [IW2360]

    irwr-2360.jpg
  • POSITION CHAIN - IRONWEAR

  • REBAR ASSEMBLY, X-TREME 13IN [FS060-GCC]

    fs-FS060.jpg
  • POSITION CHAIN - SAFEWAZE

  • CONCRETE REMOVABLE ANCHOR [022-4085]

  • REMOVABLE CONCRETE ANCHOR 3/4"

  • RESCUE LADDER [R-RESC-Z136]

    fcp-R-RESC.jpg
  • RESCUE LADDER 20FT

  • ROPE GRAB 3 FOOT FOR SWING STAGE [1202AN-3]

    fcp-1202AN-3.jpg
  • ROPE GRAB 5/8" WITH 3FT LANYARD

  • SCAFFOLD CHOKER [FS815]

    FS815-2T.jpg
  • SCAFFOLD CHOKER 18 INCH

  • D RING EXTENSION 18 INCH WITH LOOP [1418-LOOP]

    fcp-1418-LOOP.jpg
  • D RING EXTENSION 18 INCH WITH LOOP

  • CROSS ARM STRAP WITH WEAR PAD [1348WP]

    fcp-1324WP_1336WP_1348WP_1372WP.jpg
  • 4 FOOT

  • 6 FOOT

  • 10 FOOT (Required for Horizontal Lifeline Anchor)

  • 12 FOOT

  • CARNIE CAP (INDIVIDUAL)

    CARCC1002X4_o.jpg
  • CARNIE CAP

  • REBAR CAP (INDIVIDUAL)

    rebar-cap-4.jpg
  • REBAR CAP, #3 TO #9

  • SAFETY BOOT (INDIVIDUAL)

    IMG_3194.JPG
  • SAFETY BOOT (ORDER BY CASEE - 27 BOOTS PER CASE)

  • SAFETY BOOT FASTENER, 5/16 X 1 3/4 HEX [ELG48]

  • GRD10800_o.jpg
  • SAFE-T-LADDER EXTENSION GRAB BAR - ONE PAIR

  • TOOL LANYARD 15 POUND LIMIT [IW2600]

    ironwear-2600_1.jpg
  • TOOL LANYARD, 48 INCH

  • TOOL LANYARD 10 POUND LIMIT [19003]

    eg-19003.jpg
  • TOOL LANYARD, 35 INCH - 42 INCH

  • TAGLINE 5/8" WITH SINGLE SNAP HOOK

    RTZTAG25.jpg
  • 25 FOOT

  • 50 FOOT

  • 100 FOOT

  • 150 FOOT

  • 200 FOOT

  • CONCRETE ANCHOR STRAP W/SLEEVE & LOOP END [D-RING ONLY BY REQUEST]

    irwr-2704.jpg
  • 4 FOOT

  • 6 FOOT

  • 10 FOOT

  • 12 FOOT

  • 32 INCH DROP THRU SLAB ANCHOR (USE FOR OUTRIGGER)

    IMG_0897.jpg
  • ANCHORAGE CONNECTOR [TC100]

  • STRIPPING NETS NOTE: (ORDER AFTER FIRST POUR) [M1250 2020]

3. BARRICADES - DEBRIS NETTING | FLAGGING | TAPE

  • ORANGE DEBRIS NETTING NEEDED?

  • [1450-150]

    DBI4100200_o_1.jpg
  • DEBRIS NET, 4FT X 150FT ORANGE 3/16" HOLES

  • DEBRIS NET 5FT 6IN x 100FT ORANGE

  • PLASTIC FENCE [OL1848100X]

    MUT14993_o.jpg
  • BARRIER FENCE ORANGE PLASTIC 4FT X 100FT

  • PENNANT FLAGGING NEEDED?

  • FLAGGING 105 FOOT ROLL [15903]

    MUT15903_o.jpg
  • YELLOW FLAGGING

  • RED FLAGGING

  • CAUTION OR DANGER TAPE NEEDED?

  • CAUTION TAPE (roll)

  • DANGER TAPE (roll)

  • DANGER TAPE REINFORCED (roll)

4. HORIZONTAL LIFELINE & RETRACTABLES

  • RED RATCHET STRAP

  • BLUE RATCHET STRAP

  • SAFELINK BRAKE [019-8044]

  • RETRACTABLE 20 FOOT [IW2420-SSH]

  • RETRACTABLE 20FT LEADING EDGE [XR-20LEG]

  • RETRACTABLE 30 FOOT [IW2430-SSH]

  • RETRACTABLE 30 FOOT LEADING EDGE [IW2430-SSH-LE]

  • Safewaze Latitude Pro 7’ Dual Web [019-5139]

    swz-018-5026.jpg
  • 7 FOOT DUAL RETRACTABLE

5. PERSONAL PROTECTIVE EQUIPMENT - HEAD

  • GLASSES INTRUDER (ORDER BY DOZEN)

    py--S4110S.jpg
  • CLEAR

  • INDOOR/OUTDOOR

  • SMOKE

  • LENS CLEANING TOWELETTES - 100 PER BOX

  • OVER THE PRESCRIPTION GLASSES

    gt-6880.jpg
  • CLEAR

  • SMOKE

  • EAR PLUGS CORDED [DP1001]

    py-DP1001.jpg
  • EAR PLUG, WITH CORD

  • EARMUFFS BEHIND THE NECK

    rad-LowSetBTH.jpg
  • EARMUFFS - BEHIND THE NECK

  • RTZ99705.jpg
  • SIDESHIELD PRESCRIPTION GLASSES

  • CLOAK GOGGLE [DWG]

    rad-DMG-11.jpg
  • CLEAR GOGGLE

  • SMOKE GOGGLE

  • https://ironwear.com/products/head-protection/accessories.html

    ironw-3976-W.jpg
  • HELMET HARD HAT, WHITE [IW3976-W-UNIV]

  • HELMET HARD HAT, ORANGE [IW3976-O-UNIV]

  • HELMET SUNSHADE [IW3983FR-L]

  • HELMET EXTENSION STRAP F[3979]

  • HELMET FACESHIELD BRACKET [IW3948]

  • HELMET FACESHIELD CLEAR [IW3978-CA]

  • bilt_raptor_face_shield_mirrored_750x750.jpg
  • HELMET TINTED LENS WITH BRACKET [IW3978-G]

  • HELMET INDOOR OUTDOOR LENS WITH BRACKET [IW3978-IOM]

  • HELMET EAR MUFFS

  • HELMET EAR MUFFS

  • HELMET REPLACEMENT SUSPENSION

  • RIDGELINE W/UFI LOGO

    py--HP54110 (1).jpg
  • HARD HAT, UFI FULL BRIM WHITE

  • HARD HAT, UFI FULL BRIM SAFETY BLUE

  • NIMBUS HEADLAMP [8050]

  • HEADLAMP COMBO

  • DUAL BATTERY CHARGER FOR NIMBUS

  • HARD HAT NECK SHADE WITH LIME GREEN & ORANGE STRIPES [IW1272-L]

  • HARD HAT SUSPENSION, UFI RIDGELINE [HPR541]

  • PYRHHAAW.jpg
  • HARD HAT FULL BRIM FACESHIELD BRACKET VISOR [IW3945]

  • HARD HAT REPLACEMENT SUSPENSION- SKULLGUARD [10153385]

  • HARD HAT TETHER [1500178]

    3m-1500178.jpg
  • HARD HAT TETHER - 10 PACK - [1500178]

  • HARD HAT TETHER [19157]

    eg-19157.jpg
  • HARD HAT TETHER

  • FACESHIELD CLEAR [IW3940]

    iw-3940.jpg
  • FACESHIELD CLEAR

  • SWEATBAND

    ox-870B100-01.jpg
  • SWEATBAND, SNAP IN TERRY CLOTH BLUE

6. PERSONAL PROTECTIVE EQUIPMENT - FEET

  • RUBBER BOOTS NEEDED?

  • 16 INCH WHITE PVC BOOT, STEEL TOE

    iw-9258-W.jpg
  • SIZE 7

  • SIZE 8

  • SIZE 9

  • SIZE 10

  • SIZE 11

  • SIZE 12

  • SIZE 13

  • PUNCTURE PROOF INSERTS NEEDED?

  • PUNCTURE PROOF INSERT [IW6205]

    iw-6205.jpg
  • SIZE 7

  • SIZE 8

  • SIZE 9

  • SIZE 10

  • SIZE 11

  • SIZE 12

  • SIZE 13

  • TOE GUARD [200T]

    el-200-5_5.jpg
  • TOE GUARD

  • SHIN GUARD WITH ADJUSTABLE WEB [303SG]

7. GLOVES - SOLD BY THE DOZEN

  • BASIC GLOVE - NON CUT [IW4861]

    iw-4861.jpg
  • SMALL

  • MEDIUM

  • LARGE

  • EXTRA LARGE

  • CUT LEVEL 4 [IW4918]

    irwr-4918.jpg
  • SMALL

  • MEDIUM

  • LARGE

  • EXTRA LARGE

  • FENDER CUT LEVEL 6 IMPACT PROTECTION (CHIPPING HAMMER) [IW4922-TPR]

  • SMALL

  • MEDIUM

  • LARGE

  • EXTRA LARGE

  • FENDER CUT LEVEL 6 [IW4922]

  • SMALL

  • MEDIUM

  • LARGE

  • EXTRA LARGE

  • EXTRA 2XLARGE

  • DRIVER W/ KEYSTONE THUMB & KEVLAR STITCH [IW4189]

    iw-4189.jpg
  • MEDIUM

  • LARGE

  • NEOPRENE LATEX 13" GLOVES [2570]

    download (1).png
  • SMALL

  • MEDIUM

  • LARGE

  • EXTRA LARGE

  • DOUBLE PALM [L3551]

    lg-3551.jpg
  • DOUBLE PALM LEATHER

8. RESPIRATOR

  • RESPIRATORS OR FILTERS NEEDED?

  • 3M HALF FACE RESPIRATOR

    MMM6100_o_1 (1).jpg
  • SMALL [6100]

  • MEDIUM [6200]

  • LARGE [6300]

  • FILTER 3M P100 [2091]

    9245350428702.png
  • FILTER, 3M P100 (PAIR)

  • RESPIRATOR, CLEANING WIPES

  • N-95 WITH VALVE - 10 PER BOX [RM10V]

9. VESTS / BOMBER JACKET / RAINCOAT

  • VESTS NEEDED?

  • 9 POCKET SUPERVISOR VEST NEEDED?

  • 9 POCKET PREMIUM WITH ID & IPAD POCKET [1279-LZ-CID]

    iw-1279-LS-CID.jpg
  • MEDIUM

  • NAME ON VEST?

  • LARGE

  • NAME ON VEST?

  • EXTRA LARGE

  • NAME ON VEST?

  • 2X LARGE

  • NAME ON VEST?

  • 3X LARGE

  • NAME ON VEST?

  • 4X LARGE

  • NAME ON VEST?

  • RED RIGGER VEST NEEDED?

  • RIGGER VEST RED WITH WHITE LOGO [1284RZ-RD]

    back-red.jpg
  • MEDIUM

  • LARGE

  • EXTRA LARGE

  • CLASS 2 VESTS NEEDED?

  • CLASS 2 LIME GREEN W/SILVER STRIPES [SV27-2ZGM]

    rad-SV27-2ZGM.jpg
  • SMALL

  • MEDIUM

  • LARGE

  • EXTRA LARGE

  • 2XL

  • 3XL

  • CLASS 3 VEST NEEDED?

  • CLASS 3 WITH FOUR INCH ORANGE STRIPE, 5 POCKETS [1293LZ]

    iw-1293-LZ.jpg
  • MEDIUM

  • LARGE

  • EXTRA LARGE

  • RAINCOATS NEEDED?

  • RAINCOAT LIME W/ REFLECTIVE STRIPE [9520FRL]

    irnwr-9520FR-L.jpg
  • SMALL

  • MEDIUM

  • LARGE

  • EXTRA LARGE

  • 2XL

  • BOBMBER JACKET NEEDED?

  • BOMBER JACKET

    rad-SJ11Q-3ZGS.jpg
  • SMALL

  • NAME ON JACKET (S):

  • MEDIUM

  • NAME ON JACKET (S):

  • LARGE

  • NAME ON JACKET (S):

  • EXTRA LARGE

  • NAME ON JACKET (S):

10. FIRE SAFETY

  • FIRE EXTINGUISHER 10 POUND ABC

  • FIRE EXTINGUISHER 20 POUND

  • INSPECTION TAG ANNUAL FIRE EXTINGUISHER - EACH

  • RED FLAG FOR FIRE EXTINGUISHER STAND [14967-79-24]

    IMG_0065.jpg
  • RED FLAG

  • SAFETY STORAGE CABINET, 30 GALLON

  • SPILL KIT [CEP-GPSK20]

    cep-SKU20.jpg
  • SPILL KIT

  • SAFETY CAN, 5 GAL RED

  • SAFETY CAN, 2 GAL BLUE - MIXED FUEL

  • SAFETY CAN, 5 GAL YELLOW

  • SAFETY CAN FUNNEL 5 GAL

11. SIGNS OR SCAFFOLD INSPECTION TAGS

  • SIGNS NEEDED?

  • LASER IN USE [MRAD604VP]

  • DANGER MEN WORKING ABOVE [SBMCRT016VP]

  • STAIRWAYS CLOSED DO NOT ENTER [MSAD111VP]

  • NO SMOKING [MSMK133VP]

  • LABOR LAW POSTER [LLP-FL] (ORDER NEW UPDATED ONES IN DECEMBER)

    nm-LLP-FL.jpg
  • ENGLISH

  • SPANISH

  • STOP/SLOW PADDLE WITH TELESCOPING HANDLE - DOT APPROVED

  • SCAFFOLDING TAGS NEEDED?

  • "SCAFFTAG"

    acc-104112BY.jpg
  • "SCAFFTAG" PLASTIC HOLDER

  • "SCAFFTAG" GREEN

  • "SCAFFTAG" YELLOW

  • CARDSTOCK

    TSS10399.jpg
  • SCAFFOLD CARDSTOCK, GREEN PACK OF 10

  • SCAFFOLD CARDSTOCK, YELLOW PACK OF 10

  • SCAFFOLD CARDSTOCK, RED PACK OF 10

11. LABELS / DECALS / TAGS / TAPE

  • FORM OIL STICKER

  • CURING COMPOUND STICKER

  • DIESEL FUEL STICKER

  • GASOLINE STICKER

  • MIXED OIL & GAS STICKER

  • wl-LFS100.jpg
  • LABELS FOR A-FRAME, PLATFORM, DOUBLE ENTRY LADDERS [LFS100]

  • ELECTRICAL TAPE NEEDED FOR HARD HATS?

  • RED ELECTRICAL TAPE (TRANSFERS)

  • ORANGE ELECTRICAL TAPE (FOREMAN)

  • YELLOW ELECTRICAL TAPE (CARPENTER)

  • GREEN ELECTRICAL TAPE (NEW HIRE)

  • BLUE ELECTRICAL TAPE (CARPENTER HELPER)

12. HYDRATION

  • HYDRATION ITEMS NEEDED?

  • WATER KEG ITEMS?

  • WATER COOLER TAPE FOR LID (ROLL)

  • COOLER, 10 GAL IGLOO

  • REPLACEMENT WATER COOLER SPIGOT

  • CUP DISPENSER

  • SWINCHER QUICK STICKS - 50 PACK

  • ORANGE

  • GRAPE

  • FRUIT PUNCH

  • LEMON LIME

13. MISCELLANEOUS

  • a560d419aed44b1c5e535cc0f2a3686c.jpg
  • WHIP CHECK AIR HOSE [WB1]

  • TRASH BAGS 55 GALLON - 15 PER BOX

  • ZIP TIES 7 INCH - 100 PER BAG - (RED OR ORANGE PREFERRED)

  • WHISTLE STORM

  • WHISTLE LANYARD

  • [62752]

  • PICKUP TOOL, EASY REACH

  • ROPE, 1/4" X 600 FOOT

  • ROPE, 3/8" X 600 FOOT

  • ROPE, 1/2" X 600 FEET TAGLINE

  • PAINT PEN WHITE

  • PAINT PEN BLACK

  • AIR HORN, 8 OUNCE

  • AIR HORN, REFILL 8 OZ

  • FLASHLIGHT RED BATON 12 INCH

  • BATTERY, C CELL ENERGIZER

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.