ansi z308.1-2009 (first aid kits)

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Americon Notionol Stondord- Minimum Requirements for Workploce First Aid Kits ond S, pplies ,ANSI slore trde. * x..219423. Dowrloaded 411i20't 1 1:14 P&'t. S;ngie user license only. Copying and neiworking prohibited.

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Page 1: ANSI Z308.1-2009 (First Aid Kits)

Americon Notionol Stondord-Minimum Requirements forWorkploce First Aid Kits ondS, pplies

,ANSI slore trde. * x..219423. Dowrloaded 411i20't 1 1:14 P&'t. S;ngie user license only. Copying and neiworking prohibited.

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Page 2: ANSI Z308.1-2009 (First Aid Kits)

ANSI/ISEA 2308.1-2009Revision of

ANS| 2308.1-2A03

American National Stapdard-

Minimum Requirements for

Workplace First Aid Kits and Supplies

Secretariat

International Safety Equipment Association

Approved May 8, 2009

American National Standards Institute, Inc.

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Page 3: ANSI Z308.1-2009 (First Aid Kits)

AmeriqanNationhlStandard

An American National Standard implies a consensus of those substantiallyconcerned with its scope and provisions. An American National Standardis intended as a guide to aid the manufacturer, the consumer, and generalpublic. The existence of an American National Standard does not in anyrespect preclude anyone, whether he has approved the standard or not,from manufacturing, marketing, purchasing, or using products, processes,or procedures not conforming to the standard. American NationalStandards are subject to periodic review and users are cautioned to obtainthe latest edition.

CAUTION NOTICE: This American National Standard may be revised orwithdrawn at any time. The procedures of the American NationalStandards Institute require that action be taken to reaffirm, revise, orwithdraw this standard no later than five years from the date of publication.Purchasers of American National Standards may receive currentinformation on all standards by calling or writing the American NationalStandards lnstitute.

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International Safety Equipment Association1901 North lVloore Street, Suite 808, Arlington, Virginia 22209

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Copyright 2009 by International Safety Equipment AssociationAll rights reserved.

No part of this publication may be reproducedin any form, in an electronic retrieval system orotherwise, wlthout the prior written permissionof the oublisher.

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Printed in thQ United States of America

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Page 4: ANSI Z308.1-2009 (First Aid Kits)

Foreword

(This Foreword is not part of American National Standard ANSI/ISEA 2308.1-2009).

leading industry stakeholders, has developed this standard, updating and expanding ANSI/lSEAZ3O8.1-2003, to provide guidance for minimum performance levels of first aid kits for all types of uses qndsituations in the work environment. Member companies of the ISEA Industrial First Aid Group ihclude:ARl, 3M Company, MSA and North by Honeywell.

Kits in compliance with this standard will provide a basic range of products to deal with most types ofinjuries encountered in the workplace. The assortment of required contents was developed bafed ontreatment for the following potential injuries: major wounds, minor wounds (cuts and abrasions), minorburns and eye injuries. Significant updates incorporated into this version include the designation of newkit types and expansion of the required supply list to include a first aid guide. The recommendQd supplieslist has been expanded to include hand sanitizers in response to updated hygiene protocols anp provideadditional volume of eye/face wash. The kit label has been redesigned to draw specific attenti{n to factthat each workplace is unique and, as such, may necessitate the availability of additional first {idsupplies.

Suggestions for improvement of this standard are welcome. They should be sent to ISEA, 19q1 N. MooreStreet, Suite 808, Arlington, VA 22209, [email protected].

This standard was processed and approved using consensus procedures prescribed by theNational Standards Institute. The following organizations were contacted prior to the approvalstandard. Inclusion in this list does not necessarily imply that the organization concurred withsubmiftal of the proposed standard to ANSI.

this

American Association of Occupational Health NursesAmerican Contractors Insurance GroupAtlas I ndustrial ContractorsBaker HughesMr. Greg EasterFederal Aviation AdministrationGeorgetown UniversityInternational Safety Equipment AssociationNational Safety Council

North Carolina Deot. of Health and HumanPick International, Inc.Prepa Electric CompanySafety Equipment InstituteState of California - Occuoational

Div.Think Safe, Inc.

and Health

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Page 5: ANSI Z308.1-2009 (First Aid Kits)

Contents

1.

2

3.

4.

PAGE

6. j Recommended First Aid Kit Supplies .............3

6.1 Required Supplies ..............3

6.1.1 Minimum Performance Criteria for Required Supplies .........3

6.2 Recommended Supplies. ..56.2.1 Minimum Performance Criteria for Recommended Supplies ...................5

Unit First Aid Kits ........................7

7.1 General ...........7

7.2 Packaging for Individual Basic Units ........... ...............7

7.3 Unit Packaging Labeling .........................7

First Aid Kit Marking and Labeling ..................7

AppQndix A: First Aid Guide.... ........... 9

8.

-"l"""-

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Page 6: ANSI Z308.1-2009 (First Aid Kits)

Workplace First Aid Kits and Supp

American National StandardMinimum Requirements for

1. Scope and Purpose

This standard establishes minimum performancerequirements for first aid kits and their suppliesthat are intended for use in various workenvironments. Because each work environmentis unique, it is expected that the requiredproducts will be supplemented with additionalsupplies and quantities based upon theconsultation and recommendation of a personcompetent in first aid and cognizant of thehazards found in the particular workenvironment and upon the number of personswho may need first aid at one time. Personsdetermining the content of first aid kits shouldadditionally consult federal, state and localrequirements regarding the types and quantitiesof material to be included.

2. Compliance

To be in compliance with this standard, first aidkits must contain the required supplies ofSection 6.1 and meet all other applicablerequirements in their entirety. This standardanticipates that additional first aid supplies willbe included to augment the kit, based upon thespecific hazards existing in a particular workenvironment. The inclusion of workplace-specific first aid supplies does not, in and ofitself, place a first aid kit outside the purview ofthis standard. A first aid kit containing arecommended supply that is specificallyaddressed by this standard must comply withthe minimum performance criteria establishedfor such supplies under Section 6.2.

The choice of first aid supplies should be madeby a person competent in first aid and cognizantof the hazards found in the particular workenvironment.

All labeling and marking reguirements of thisstandard represent the manufacturer'sdeclaration of compliance with this standard.The accuracy of the claim is therefore solely theresponsibility of the party marking the product.All labeling and markings shall be legible andpermanent. Where adhesive labels are usedthey shall not be easily removed.

Bandage. A strip of material used tolcover awound or hold a compress in place.

Breathing Barrier. A personal safethat prevents any contact between th

ANSr/tSEA 2308j-2009I

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I3. Definitions i

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Analgesic. Medications approved b{ the FDAas pain reliever/fever reducer for ove{-the-counter use. I

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Antiseptic. A substance that inhibit! the growthof microorganisms on human skin.

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adminstrator and the victim. Also kn wnasaCPR barrier.

Compress. A sterile absorbent pad.

deviceCPR

around

used to

First Aid. lmmediate treatment administered toan injured person when professionalpedicalcare is not readily available.

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First Aid Kit. A container including a quantity offirst aid supplies,

Roller Bandage. A bandage made gauze orgauze-like materials; generallya body part over a dressing.

Swab. A single-use crushable,sealed ampoule with an applicatorclean and/or apply a solution.

Towelette. A single-use, sealed,material used to clean and/or apply solution.

Unit First Aid. A system of first aidmaterials in uniform sized packagesone or more applications of first aid

Wipe. A small towelette.

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Page 7: ANSI Z308.1-2009 (First Aid Kits)

ANSr/rSEA 2308.1-2009

4.1 GenieralI

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All first aid kits meeting the requirements of thisstandard shall incorporate a means to containand protect kit supplies while permitting easyaccessibility.] First aid kits shall be classified as

Table 1. Classification and Characteristics of First Aid Kits

Type I, TypQ ll Type lll or Type lV as describedin Sections {.2 thorugh 4.5 and summarized inTable 1.

4.2 Typf I

Type | first aid kits are intended for use instationary, iqdoor settings where the potential fordamage of klt supplies due to environmentalfactors and rpugh handling is minimal. Type I

first aid kits shall have a means for mounting ina fixed and are generally not intended tobe oortable.

NOTE: T applications for Type | first aid kitsmay include, are not limited to, the following:general use, an office setting or a

facility. First aid cabinets wouldgenerally fall the Type I classification.

4.3

Type llfirst kits are intended for use inportable, i settings where the potential fordamage offactors and

supplies due to environmentalhandling is minimal.

NOTE; applications for Type ll first aid kitsmay include, are not limited to, the following:general use, an office setting or a

facility.

ill4.4

Type lll first {iO kits are intended for portableuse in mobile, indoor andlor outdoor settings

pote damage suppldue to environmentalfactors is not probable.Type lll kits shall have a means to be mountedin a fixed position and shall have a waterresistant seal.

Note: Typical applications for Type lll first aid kitsmay include general indoor use and sheltered outdooruse.

4.5 Type lV

Type lV first aid kits are intended for portableuse in the mobile industries and/or outdoorseftings where the potential for damage to kitsupplies due to environmental factors and roughhandling is significant. Type lV kits shall have ameans to be mounted in a fixed position.

NOTE: Typical applications for Type lV first aid kitsmay include, but are not limited to, the following: thetransportation industry, the utility industry, theconstruction industry, and the armed forces.

5. Performance Requirements forType lV Kits

5.1 Corrosion and Moisture Resistance

After being subjected to the corrosion test asspecified in Section 5.1.1, the kits shall not bedifficult to open or show evidence of moisture onthe inside.

Corrosion and Moisture Resistance

Three kits shall be tested for corrosion andmoisture resistance in accordance with ASTM8117 Standard Practice for Operating Sa/f Spray(fog) Apparafus for a duration of 480 hours (20days). The exterior surface of each sample shall

5.1.1Test

Page2

Lice,'rsdd tc Jeffre!

Type Use Portable MountableWater

Resistant Waterproof Performance KitExamoles

lnr oor X Cabinets

tl In{oor X Soft Packs

lltIndoor/Outdoor

X X X Plastic Kits

IVIndoor/Outdoor X X X Section 5 Metal Kits

4. c of First Aid Kits where the potential for damaqe of kit supplies

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Page 8: ANSI Z308.1-2009 (First Aid Kits)

be carefully blotted dry and the container shallbe opened. Each sample shall be evaluated forease of operation. The interior of the kitcontainer shall be examined for evidence ofmoisture. Difficult operation or any evidence ofmoisture is sufficient cause for failure.

5.2 lmpact Resistance

After being conditioned and subjected to thedrop test as specified in Section 5.2.'1 , the kitsshall not open or be rendered difficult to open. lfany of the three test samples cannot be openedeasily after impact or opens as a result ofimpact, the kit fails the test.

5.2.1 Drop Test

The purpose of the drop test is to ensure thatthe first aid supplies remain in the container.

Test sample shall consist of a first aid containerloaded with the appropriate weight as notedbelow: . 1 lb for'10 unit container

. 1.5lb for 16 unit container. 2 lb for 24 unit container

. 2.5 lb for 36 unit container.

Three samples shall be conditioned hot at 120'F(49'C) for a minimum of 2 hours, and threesamples shall be conditioned cold at 0'F (-18'C)for a minimum of 2 hours.

Each conditioned sample shall be subjected tothe following drop test within 1.0 minute ofremoval from the conditioning environment.Each sample shall be dropped freely from avertical height of 48 in. (120 cm), as measuredfrom the bottom of the kit sample, onto a hardflat rigid surface such as concrete or a surface ofequivalent hardness. Each sample shall bedropped once, each on a different corner of thecase. For first aid kits that do not have corners,each sample shall be dropped on a differentlocation. The kits shall be examined after impactto determine if the kit is opened or is capable ofbeing opened.

ANSI/ISEA

First Aid Kits Supplies

First aid kits should be regularly i

ensure completeness, condition of andexpiration dates to maintain with this

6.

date should be removed from the kit andreplaced. Additional quantities should to beadded as needed to address the hazdrds of aparticular work environment.

6,1 Required Supplies

All Type 1, Type ll, Type lll and Type fV first aidkits conforming to the requirements o! thisstandard shall contain the first aid suflpliesindicated in Table 2. The quantity, dirhensions,or volume listed for each supply is the minimumfor compliance with this standard. Larger-sizedsupplies that meet or exceed the perfprmancerequirements of Section 6.1.1 are cortsideredequivalent. I

standard. Supplies shall be naturalfree. Any supply beyond its marked

sealed, and sterile.

NOTE: This is a major wound

6.1.1 Minimum Performance Critgria forRequired Supplies

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6.1.1.1 Absorbent Compress. Eachabsorbent compress shall be at least 32 sq. in.(206 sq. cm)with no side smaller than 4 in. (10.1cm) with at least an equivalent absor$ency of2.37 fl. oz. (70 g) of water as defined by tn"gauze section in ASTM D1117 Standprd Guidefor Evaluating Nonwoven Fabrlcs. Edchcompress shall be individually packaged,

latexration

to be usedto apply pressure and stop bleeding. Afolded to a minimum 4 x 8 in. fij.1 x20. cm) size isacceptable if it meets the absorbency

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Page 9: ANSI Z308.1-2009 (First Aid Kits)

ANSyrsEAl*,-r*,

Table 2. Required Supplies

Supply and Minimum Size or Volume PerformanceRequirement

Section

MinimumQuantity

Absorbent Compress, 32 sq. in. (206 sq. cm), with no side smaller than 4in. (10 cm)

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6.1.1.1 I

Adhesive Bandages, 1 x 3 in. (2.5 x 7.5 cm) 6.1.1.2 16

Adhesive Tape, 3/8 in. x 2.5 yd. (2.3 m) total 6.1.1.3 1

Antibiotic Tr atment, 0.14 fl oz (0.5 g) application 6.1.1.4 o

Antiseptic, ( 14 tl. oz. (0.5 g) application 6.1.1.5 10

Burn Treatment, 1132 oz. (0.9 g) application 6.1.1.6 b

First Aid Guide 6.1.1.7 ,|

Medical Exam Gloves 6.1.1.8 2 pair

Sterile pad, x 3 in. (7.5 x 7.5 cm) 6.'t.1.9 4

Triangular E rndage, 40x40 x 56 in. (101 x 101 x142cm) 6.1 .1 .1 0

6.1.1.2 Ad Each adhesive 6.1.1.4 Antibiotic Treatment. Each antibioticBandagebandage shall consist of a non-adherentabsorbent pad attached to the central area of astrip of material. The adhesive stripshall be 3.0 ! 1116 in. (76 mm t 1.6 mm)by1.0 in. t 1l3Jin. (25.4 mm t 0.8 cm). Theabsorbent odd shall have an area between 0.65and 1.0 sq. ifi. (420 - 645 sq. mm). The ratio ofthe greater ffid dimension to the lesser paddimension be between '1.0 and 2.0. Theadhesive

treatment shall meet the applicablerequirements for antibiotic treatment as definedin the current edition of the USP/NF. Eachtreatment shall be packaged in individual useappf ications containing at least .14 fl oz. (0.5 g)of ointment. Each individual-use applicationshall not be reusable.

6.1.1.5 Antiseptic. Each antiseptic shall meetthe requirements of all applicable FDArequirements shall be contained in an individual-use application containing at least 0.14 fl. oz.(0.5 S) of antiseptic. Each individual-useapplication shall not be reusable.

NOTE: Commonly used applicators are swabs, wipesand towelettes. Spray containers with a minimum often 0.14 fl. oz. (0.5 g) applications are acceptable tomeet this requirement.

6.1.1.6 Burn Treatment. Each burn treatmentshall be a water soluble compound packaged inindividual-use applications containing at least1132 oz. (0.9 g).

NOTE: Spray containers with a minimum of six 1132

oz. (0.9 g) applications are acceptable to meet thisrequirement. Burn treatment, as required here, isintended to address the treatment of minor burns.

erial shall have a moisture vaoorrate of at least 500 gm/mz per 24

hours over its entire area in accordance withASTM E96 lfandard Test Methods forWaterVapor Transmiss,bn of Materials. Protectivematerial shall cover the adhesive material andpad in such a manner as to preventcontamination of the pad. The protective facingmaterial shall not impair the adhesiveness of theadhesive maferial and shall be easily removed.Each bandage shall be individually packaged,sealed and sterile.

6.1.1.3 Adhesive Tape. Adhesive tape shallbe at least 3/F in. (9.5 mm) wide and a minimumof 2.5 yd (Z.3jm) long and meet the applicablerequirementslfor adhesive tape as defined in thecurrent edition of the USP/NF.

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NOTE: Multiplp rolls may be used to meet theminimum requirement ot 2.5 yd (2.3 m) of tape.

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Page 10: ANSI Z308.1-2009 (First Aid Kits)

Table 3. Dimensions of Bandage Compress (t

ANSIiISEA

1/8 in. ; t 0.32 cm)

6.1.1.7 First Aid Guide. Guidance forimmediate care given to a victim of injury orsudden illness until more advance care, ifneeded, shall be included in the kits. At aminimum, the guide shall include the areasoutlined in Appendix A.

6.1.1.8 Medical Exam Gloves. Gloves shallmeet the requirements of FDA regulation 21CFR 800.20 for medical grade gloves.

6.1.1.9 Sterile pad. Each sterile pad shall be atleast 3 x 3 in. (7.5 x 7.5 cm) in size and absorbat least 0.56 fl. oz. (2 g) of water as determinedby ASTM D1117 Standard Guide for EvaluatingNonwoven Fabrics. Each sterile pad shall beindividually packaged, sealed and sterile.

6.1.1.10 Triangular Bandage. Each bandageshall be made from muslin at least 60/48 weaveor a material of equivalent mechanical strength.When unfolded, the outer dimensions of thebandage shall be at least 40x40 x 56 in. (101 x101 x 142 cm}

6.2 RecommendedSupplies

In addition to the required supplies listed inSection 6. 1 .1 , optional supplies and sizes shouldbe included, to augment a kit based upon thespecific hazards existing in a particular workenvironment. Supplies specifically addressed bythis standard shall meet all of the applicablecriteria in Section 6.2.1. ltems not addressed bythis standard shall be in compliance withstandards or regulations, where applicable,established by the U.S. Food and DrugAdministration (FDA), the current edition of theU.S. Pharmacopoeia/National Formulary(USP/NF) or any other equivalent strandardwriting body.

single dose, tamper evident,labeling as required by FDA

with full

should contain no ingredients whichcause drowsiness.

6.2.1.2 Bandage Compress. Each bandagecompress shall consist of an absorbent, non-adherent pad substantially free from lbose endsand raveling and constructed from a materialhaving at least the equivalent absorbfncy of '16

thicknesses of Type lll (28124) absorbent gauzeas defined by the current edition of the USP/NF.The compress shall be securely attached to acontinuous bandage substantially freg from looseends and raveling, constructed from /naterialhaving the equivalent strength of Type | (44136)gauze. The bandage shall be plprovide easy opening and applibandage compress shall bepackaged, sealed and sterile.

6.2.1 MinimumPerformanceRecommended Supplies

6.2.1.1 Analgesic (Oral). Oralincluded in a first aid kit shall be

comoresses shall conform to one ofshown in Table 3.

6.2.1.3 Breathing Barrier. Theshall be a single use disposable

Ina

andknown to

or rolled toEach

SIZES

barrierdevice

current valid 510 (k). The device shall provideprotection from direct contact with bodily fluids by

way valve, filter medium or othermethod. Each barrier shall beeasily opened container, clearlyname of the device, together withinstructions for use.

the need for other items, consideration should be givento state or local governing authority related to breathing

7.5 x7.5 7.5x152 7.5 x 15

10x10 10 x 180

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barriers and training on these devices.

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ANS / sEAZL'B '-2ooe

6,2.1.4 Burn Dressing. Burn dressings shallbe a gel-soal6ed pad made of a material thatavoids fiberslfrom becoming imbedded in theburn wound. lGel material shall be watersoluable. Each dressing size shall be at least 12

sq. in. (77.4 sq. cm)and shall be single use.

6.2.1.5 Cold Pack. Each cold pack shall be atleast 4 x 5 in](10 x 12.5 cm) in size and shallreach a tempbrature between 20 - 40'F (-6 -4'C) within 10 seconds of activation. The coldpack shall maintain a temperature between 20 -40'F (-6 - 4'Q) for a period of at least 10minutes. Colb packs shall activate under normalhand pressure and shall not leak under normalconditions of pse.

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6.2.1.6 Eye $overing. Eye covering(s) shallhave the ability to cover both eyes, an area of atleast 2.9 sq. in. (19 sq. cm) per eye, and

have at least the absorbency of absorbent gauzeas defined by the current edition of the USP/NF.The eye covering shall be free of loose threadsand raveled edges. Each eye covering shall beindividually packaged, sealed, and sterile.

NOTE: The minimum requirement for eye coveringshall be two eye pads or a single covering for botheyes.

6.2.1.7 Eye/Skin Wash. A minimum of 4 fl. oz.(118 ml) of a sterile, isotonic, buffered solution asspecified by the FDA in 21 CFR 349 shall becontained in at least 0.5 fl. oz. (15 ml) individual-use applicalions.

NOTE: Where the work environment dictates thepossible need for copious amounts of fluid, usersshould refer to ANSI/ISEA 2358.1 American NationalStandard for Emergency Eyewash and ShowerEquipment.

conform to eqch eye cavity. The covering shallhave a thicknpss of at least 1/4 in. (0.64 cm)when not conlpressed. Each eye covering shall

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Table 4. Minimum Quantity Requirements for Unit Padkaging

Unit first aid supply Minimum Sizeor Volume - US

Minimum Sizeor Volume {metric)

Supply quantityner lrnil nankada

Absorbent Compress 32 sq. in. 206 sq. cm 1

Adhesive Bandage 1x3in. 2.5x7.5cm 16

Adhesive Tape 2.5 yd (total) 2.3 m 'l or2

\ntibiotic Treatmenl 0.14 fl oz, 0.5 g o

Antiseptic Swab 0.14ll oz. 0.5 g 10

Antiseptic Wipe 1x1in. 2.5x2.5 cm 10

\ntiseotic Towelette 24 sq. in. 157 sq. cm 10

Bafidage Compress (2 in.) 2x36in. 5x91 cm 4

Bandage Compress (3 in.) 3x60in 7.5 x 152 cm 2

Bandage Compress (4 in.) 4 x72 in. 10 x 183 cm 1

Breathing Barrier 1

Burn Dressing 4 x4 in. 10 x 10 cm 1

Burn Treatment 1132 oz o9g o

Cold Pack 4x5in. 10 x 12.5 cm 1

Eye Covering, with meansof attachment

2.9 sq. in. 19 sq. cm z

EyelSkin Wash 4 fl. oz. total 118 ml total 1

EyelSkin Wash & Covering,witlh means of attachment

4 fl. oz. total2.9 so. in.

118 ml total19 so. cm z

Gloves 2 pail

Hand Sanitizer 1132 oz. llOav.v v 6

rller Bandage (4 in.) 4in.x4yd 10 x 366 cm 1

lller Bandage (2 in.) 2in. x 4yd. 5x366cm z

Sterile pad 3x3in. 7.5x7.5cm 4

Triangular Bandage 40x40x56in. 101x 101 x142cm

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6.2.1.8 Hand Sanitizer. Hand Sanitizers shallbe water soluable with a minimum 61% ethylalcohol as the active ingredient.

NOTE Spray containers with a minimum of six 1/32oz. (0.9 g) applications are acceptable to meet thisreouirement.

6.2.1.9 Roller Bandage. Each roller bandageshaf f be at least 2 in. (5 cm) wide and at least 4yd (365 cm) long (non-stretched). Eachbandage shall be constructed from a material atleast the equivalent strength of Type I USP 28-NF23 (44136) gauze as defined by the currentedition of USP/NF. Each bandage shall beindividually packaged and sealed.

NOTE: A conforming bandage that can stretch to atleast 4 yards (365 cm) may be used in place of rollerbandage.

7. Unit First Aid Kit

7.1 General

Unit first aid kits shall be designated as by Typein accordance with Section 4. Unit first aid kitsshall meet the all the applicable requirements ofSection 6.

7.2 Packaging for Individual Basic Units

Where a minimum individualfirst aid supply ispackaged for a unit first aid kit, it shall meet thespecifications in Table 4 and the applicableperformance criteria in Sections 6.1.1 and 6.2.1.

7.3 Unit Packaging Labeling

All unit packages shall be labeled with at leastthe following information:

(1) The name of the item shall appear atleast on the top panel and one endpanel,

(2) The quantity contained,(3) Instructions and/or illustrations for

proper use of supplies,(4) Name of manufacturer, packager,

and/or distributor, and place ofbusiness,

(5) All unit packages shall be labeled inaccordance with the requirements of theFood, Drug & Cosmetic Act, and allother applicable state and federalregulations.

ANSI/ISEA

Unit packages shall include thecoding:

r Blue - Antiseptics. Yellow - Bandageso Red - Burn Treatmento Orange - Personal Protective E. Green - Miscellaneous

NOTE: Size and manner of colordiscretionary but should be i

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8. First Aid Kit Marking and Labeling

Each kit and/or location shall be vislUt[ markedas a place where first aid supplies are locatec.

Each complete first aid kit shallinformation shown in Figure 1,

point font.

thein at least 6

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ANSYISEA 1-2009

Figure 1. ANSI/ISE A 2308.1 -2009 Label

ANSI/ISEA 2308.1-2009 Type l, ll, lll or lVCaution! This kit meets ANSI/lSEAZ.308.1-2009 only when required minimum fill

is maintained with first aid products marked "ANSUISEA 2308.1-2009."

Required1 First Aid1 Absorbent 4x8in.min.

1x3in.16 Adhesive1 Adhesive 2.5yd.10 Antiseptic [reatment Applications 0.5 gm. each6 Burn Trea Applications 0.9 gm. each4 Sterile Pads 3 x 3 in. min.2 Pair Medical Exam Gloves1 Triangular Bandage 40 x 40 x 56 in. min.6 Antibiotic Treatment Applications 0.5 gm. each

Recommended SuppllesAnalgesic (Oral)Bandage Compress 2 x 36 in. min.Breathing Barrier, single useBurn Dressing 12 sq. in. min.ColdPack4x5in.min.Eye Covering 1/4 in. thick min.Eye/Face Wash, sterile 4 fl. oz. minRoller Bandage 2 in. x 4 yd. min.Hand Sanitizer, 0.9 gm. min

The describe( kit may be suitable for some businesses. However, the adequacy of the contents for hazards of eachwork environrhent should always be evaluated by competent personnel. For a variety of operations, employers mayfind that additional first aid supplies and kits are needed.

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Page 14: ANSI Z308.1-2009 (First Aid Kits)

ANSI/tSEA 2308.1-2009

Appendix A: First Aid Guide

The inclusion of a first aid guide in a first aid kit is required per Section 6.1 of this standard. Alminimum, the information below shall be included in the guide. The manner in which such infcconveyed is left to the discretion of the manufacturer.

is

First Aid Guide Areas

Emerqencv steps of assessinq the scene and person, callinq 9-1-1 or location emerqencv numberEstablishinq responsivenessEstablishinq and maintaininq an open and clear airwavPerforminq rescue breathinqTreatinq airwav obstruction in a conscious victimPerformino CPRUsinq an AEDRecoonizino the sions and svmotoms of shock and orovidino first aid for shock from illness or niurvAssessing and treating a victim who has an unexplained change in level of consciousness or suddenillnessControllinq bleedinq with direct pressurePoisoninoResponding to medical emergencies

Chest painStrokeBreathing problemsAnaphylactic reactionHypoglycemia in diabetics takingSeizuresReduced level of consciousnesslmoaled obiect

insulin

WoundsAssessment of and first aid wounds including abrasions, cuts, lacerations, punctures,

amputations and crash injuriesPrinciples of wound care including infections precautionsPrincioles of bodv substance isolation. universal precautions and use of PPE

vulsions,

BurnsAssessment of the severity of a burnRecoqnizinq whether a burn is thermal, electrical or chemical and the appropriate first rid

Temperature extremesExposure to cold, including frostbite and hypothermiaExposure to heat, includinq heat cramps, heat exhaustion and heat stroke

Musculoskeletal injuriesFracturesSprains, strains, contusions and crampsHead, neck, back and spinal iniuries

Eve iniuriesMouth and teeth injuries

Oral iniuries, lip and tonque iniuries, broken and missing teethBites and stings

Human and animal bitesBites and stinos from insects: instruction in first aid treatment for anaphvlacsis

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Page 15: ANSI Z308.1-2009 (First Aid Kits)

ANSr/ISEA 2808.1-2009

Reference

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American Red Cross-First Aid-Responding to Emergencies Revised 4th edition 2006,lsBN 1-58480-322-3

ANSI/ISEA f358.1 , American National Standard for Emergency Eyewash and Shower Equipment

ASTM BllTlStandard Practice for Operating Salt Spray (fog) Apparatus, 2007

ASTM D111V Standard Guide for Evaluating Nonwoven Fabrics,2001

ASTM E96 $fandard Test Methods forWater VaporTnnsmission of Mafen'als, 2005

Title 21, Co{e of Federal Regulations (CFR) Part 800.20, Patient examination gloves and surgeons'gloves; sample plans and test method for leakage defects; adulteration

United States Pharmacopeia - National Formulary

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