Title Page
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Document No.
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Conducted on
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Prepared by
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Kit Location
Required Items of Kit
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In this section please answer yes or no to each question as to contents. After answering each question, please use the notes portion of the response to indicate the actual number of contents.
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16 Adhesive Bandages, 1"x 3"
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1 Adhesive Tape, 2.5 yards
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10 Antiseptic, 0.14 fl. oz. (0.5 g) applications
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10 Burn Treatment, 1/32 oz. (0.9 g) applications
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2 Medical Exam Gloves
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1 Roller Bandage, 2" x 4 yd.
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2 Sterile Pads, 3" x 3"
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Breathing Barrier
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1 Burn Dressing (gel soaked) 4" x 4"
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1 Triangular Bandage, 40" x 40" x 56"
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10 Antibiotic Treatment Applications (0.5 g)
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1 Cold Pack 4" x 5"
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1 Eye / Skin Wash 1 Fl oz total
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1 First Aid Guide
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6 Hand Sanitizer 1/32 oz
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1 Scissors
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2 Trauma pad 5" x 9"