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ANSI Z308 1-2003

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Standard dealing with medical kits

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  • -("'~ INTERNATIONAL

    . . SAFETYEQUIPMENTASSOCIATION

    ./

    ."

    \

    ANSI Z308.1-2003

    AmericanNationalStandard-MinimumRequirementsforWorkplaceFirstAid Kits

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    (;

    Secretariat

    InternationalSafetyEquipmentAssociation

    ApprovedApril29,2003

    American NationalStandardsInstitute,Inc.

    ANSI Z308.1-2003Revisionof

    ANSI Z308.1-1998

    American National Standard-

    Minimum Requirements for

    Workplace First Aid Kits

  • AmericanNationalStandard

    An AmericanNationalStandardimpliesa consensusof thosesubstantiallyconcernedwithitsscopeandprovisions.An AmericanNationalStandardis intendedas a guideto aidthemanufacturer,theconsumer,andgeneralpublic. The existenceof an AmericanNationalStandarddoesnot in anyrespectprecludeanyone,whetherhe has approvedthe standardor not,frommanufacturing,marketing,purchasing,or usingproducts,processes,or proceduresnot conformingto the standard. AmericanNationalStandardsaresubjectto periodicreviewandusersarecautionedtoobtainthelatestedition.

    CAUTION NOTICE: This AmericanNationalStandardmaybe revisedorwithdrawnat any time. The proceduresof the AmericanNationalStandardsInstituterequirethat actionbe taken to reaffirm,revise,orwithdrawthisstandardno laterthanfiveyearsfromthedateof publication.Purchasers of American National Standards may receive currentinformationon all standardsby callingor writingthe AmericanNationalStandardsInstitute. .

    Publishedby

    InternationalSafetyEquipmentAssociation1901NorthMooreStreet,Suite 808,Arlington,Virginia 22209

    Copyright2003byInternationalSafetyEquipmentAssociationAll rightsreserved.

    No partof thispublicationmaybe reproducedinanyform,inanelectronicretrievalsystemorotherwise,withoutthepriorwrittenpermissionof thepublisher.

    PrintedintheUnitedStatesof America

  • f)

    0

    Foreword

    (ThisForewordisnotpartofAmericanNationalStandardANSIZ308.1-2003).

    The IndustrialFirstAidGroupoftheInternationalSafetyEquipmentAssociationAssociationhasdevelopedthisstandard,updatingandexpandingANSI Z308.1-1998,toprovideguidancefor minimumperformancelevelsof firstaidkitsforalltypesof usesandsituationsintheworkenvironment.Membercompaniesof the ISEA IndustrialFirstAidGroupinclude:AFASSCO, Inc.,ARI, FirstAidOnly Inc.,JPl/AmericanAllsafeCompany,3MCompany,NorthSafetyProducts,SwiftFirstAid,Water-JelTechnologiesandZeeMedical,Inc.

    Kits incompliancewiththisstandardwillprovidea basicrangeof productstodealwithmosttypesofinjuriesencounteredintheworkplace.Theassortmentof requiredcontentswas developedbasedontreatmentforthefollowingpotentialinjuries:majorwounds,minorwounds(cutsandabrasions),minorburnsandeyeinjuries. It is importanttonotethateachworkplaceis uniqueand,as such,additionalfirstaidproductsshouldbeselectedtoaugmentrequiredcontentsbasedontheparticularworkenvironment.

    ~ The listof recommendedcontentshasbeenexpandedto includeanalgesics,burndressings,andCPRbarriers.Thisstandardalsotakesintoaccountalltypesof packagingof firstaidproducts,alongwithcontainersfor use in indoorandoutdoor,mobileandstationarysettings.

    Suggestionsfor improvementof thisstandardarewelcome.Theyshouldbesentto ISEA, 1901N.MooreStreet,Suite808,Arlington,VA 22209,[email protected].

    This standardwas processedandapprovedforsubmittaltoANSI bytheCanvassMethod.The followingorganizationswerecontactedpriortotheapprovalof thisstandard.Inclusioninthislistdoes notnecessarilyimplythattheorganizationconcurredwiththesubmittalof theproposedstandardtoANSI.

    Advanced First AidAmerican Association of Occupational Health NursesCooper Power Sy&emsInternational Personnel Protection, Inc.International Safety Equipment AssociationKar Products

    National Electrical Manufacturers AssociationNational Safety CouncilPhiladelphia College of O&eopathic MedicineSears Asset ProtectionUnited States Coa& GuardUnited States Departmentof Labor

    Explanationof StandardFormat

    AmericanNationalStandardZ308.1-2003uses a two-columnformattoprovidebothspecificrequirementsandsupportinginformation.

    ;

    The leftcolumn,designated"StandardRequirements,"is confinedsolelytotheserequirementssetforthinthestandard.

    The right column, designated "ExplanatoryInformation,"containsexplanatorymaterialthat is not part of the standard,but is includedtoclarifytheintentof thestandardandassistusersincomplying.

    J

  • Contents

    SECTION PAGE

    1. ScopeandPurpose 52 , Compliance.. 53. Definitions """""""""""""" "" ... 5, .4. ClassificationofKitsandPerformanceRequirementsofContainers""""""""""'" 6

    4.1 General , 6

    4.2 TypeI ..."""""""""""""'" 6

    4.3 TypeII 6

    4.4 TypeIII' 74.4.1PerformanceRequirementsforTypeIII Kits 74.4.1.1CorrosionandMoistureResistance 7

    4.4.1.2 ImpactResistance 74.4.2CorrosionandMoistureResistanceTest 7

    4.4.2.1Analysisof Results 7

    4.4.3DropTestforTypeIII Kits"""""' " 74.4.3.1Analysisof Results 8

    5. FirstAidKitContents """"""""""""""""'" 8

    5.1 RequiredContents , 8

    5.1.1MinimumPerformanceCriteriaforRequiredContents 85.2 RecommendedContents ;.. 10

    5.2.1MinimumPerformanceCriteriaforRecommendedContt -/ 106. UnitFirstAidKits """"""'" .:: 12

    6.1 General 12

    6.2 UnitKitPackagingRequirements 13

    6.2.1PhysicalRequirements 13

    6.2.2DimensionalRequirements""""""""""""" 13

    6.2.3Packagingfor IndividualBasicUnits, 13

    7. MarkingandLabeling 147.1 FirstAidContents ...14

    7.,2 FirstAidKits 14

    7.3 UnitPackaging 15

    -,

    APPENDIX

    RecommendationsandPrecautionsConcerningFirstAidKitUseandMaintenance 16

    ~1.~~~

    1;J"!'I

  • AmericanNationalStandardMinimumRequirementsforWorkplaceFirstAidKits

    STANDARD REQUIREMENTS

    1. ScopeandPurpose

    This standardestablishesminimumperformancerequirementsfor firstaidkitsandtheircontentsthatareintendedforuseinvariousworkenvironments.Becauseeachworkenvironmentisunique,it is expectedthat the requiredproductswill besupplementedwithadditionalproductsandquantitiesbasedupontheconsultationandrecommendationof a personcompetentinfirstaidandcognizantofthehazardsfoundintheparticularworkenvironment.

    2. Compliance

    To beincompliancewiththisstandard,firstaidkitsmustcontainthe requiredproductsof Section5.1.1and meetall otherapplicablerequirementsin their entirety. This standardanticipatesthatadditionalfirstaidproductswillbe includedtoaugmentthekit,baseduponthespecifichazardsexistingin aparticularworkenvironment.Theinclusionofworkplace-specificfirstaidproductsdoesnot,in andof itself,placea firstaidkitoutsidethepurviewof thisstandard.A firstaidkitcontainingarecommendedproductthat is specificallyaddressedby thisstandardmustcomplywiththe minimumperformancecriteriaestablishedfor suchproductsunderSection5.2.1. For a kitcontaininga productthatis notaddressedbythisstandard,theproductmustbe in compliancewithstandardsor regulations,whereapplicable,establishedby the U.S. Food and DrugAdministration,the current edition of the U.S.Pharmacopoeia/NationalFormulary(USP/NF),or any otherequivalentcertificationorstandardwritingbody.

    The choiceof firstaidproductsshouldbe madeby a personcompetentinfirstaidandcognizantof thehazardsfoundintheparticularworkenvironment.

    All labelingandmarkingrequirementsofthisstandardrepresentthemanufacturer'sdeclarationof compliancewiththisstandard.Theaccuracyoftheclaimis thereforesolelytheresponsibilityofthepartymarkingtheproduct.All labelingandmarkingsshallbelegibleandpermanent.

    3. Definitions

    Analgesic. Medicationsapprovedby the FDA as painreliever/feverreducerforover-the-counteruse.

    ANSIZ308.1-2003

    EXPLANATORY INFORMATION

    (notpartof ANSIZ308.1-2003)

    E2 Where adhesivelabels areused they shall not be easilyremoved.

    5

  • ANSI Z308.1-2003

    Antiseptic. A substancethat inhibits the growth ofmicroorganismson human skin.

    Bandage. A stripof materialusedto covera woundor holdacompressinplace.

    BreathingBarrier. A personalsafetydevicethatpreventsanycontactbetweenthe CPR adminstratorand the victim. Alsoknownas a CPR barrier.

    Compress. A sterileabsorbentpad.

    First Aid. Immediatetreatmentadministeredto an injuredpersonwhenprofessionalmedicalcareis notreadilyavailable.

    First Aid Kit.products.

    A containerincludinga quantityof first aid

    Swab. A single-usecrushable,hermeticallysealedampoulewithanapplicatortipusedtocleanand/orapplyasolution.

    Towelette. A single-use,sealed,impregnatedmaterialusedtocleanand/orapplya solution.

    UnitFirstAid. A systemof packagingfirst aid materialsinuniformsized packagescontainingone or moreapplicationsoffirstaidproducts.

    Wipe. A smalltowelette.

    4. Classification of First Aid Kits and PerformanceRequirementsof Containers

    4.1 General

    All firstaid kitsmeetingthe requirementsof thisstandardshallincorporatea meansto containand protectkit contentswhilepermittingeasyaccessibility.Firstaid kitsshallbe classifiedaseitherTypeI, Type II orType III as follows:

    4.2 TypeI

    Type I first aid kits are intendedfor use in stationary,indoorsettingswherethe potentialfor damageof kit contentsdue toenvironmentalfactorsandroughhandlingis minimal.Type I firstaid kits are 'requiredto have a meansfor mountingin a fixedpositionandaregenerallynotintendedtobeportable.

    4.3 TypeII

    Type II first aid kits are intendedfor use in portable,indoorsettingswherethe potentialfor damageof kit contentsdue toenvironmentalfactorsand roughhandlingis minimal. Type IIcontainersshallhavea carryinghandle.

    6

    E4.2 Typicalapplicationsfor TypeI firstaid kitsmayinclude,butarenot limited to. the following:general indoor use. an officesettingor a manufacturingfacility.First aid cabinetswouldgenerallyfall intotheTypeI classification.

    E4.3 Typical applicationsforType II firstaid kitsmay include,but are not limited to, thefollowing:generalindooruse.anofficesettingor a manufacturingfacility.

  • 4.4 TypeIII

    Type III first aid kits are intendedfor portableuse in the mobileindustriesand/oroutdoorsettingswherethepotentialfordamageto kitcontentsdueto environmentalfactorsandroughhandlingissignificant.Type III containersshallhavea carryinghandleandshallprovidea meanstobemountedina fixedposition.

    4.4.1 PerformanceRequirementsfor Type III Kits

    4.4.1.1Corrosion and MoistureResistance

    Afterbeingsubjectedto thecorrosiontestas specifiedinSection4.4.2,the kits shall notbe difficultto openor showevidenceofmoistureontheinside.

    4.4.1.2ImpactResistance

    Type III kitsshallbe conditionedandbe subjectedto a droptestas specifiedin Section 4.4.3. The kits shall not open or berendereddifficultto openas a resultofthedroptest

    4.4.2 CorrosionandMoistureResistanceTest

    Threekitsshallbe testedforcorrosionandmoistureresistanceinaccordance with ASTM 8117 Operating Salt Spray (fog)Operationsfora durationof480hours(20days).

    4.4.2.1 Analysisof Results

    The exteriorsurfaceof eachsampleshallbecarefullyblotteddryand the containershall be opened. Each sample shall beevaluatedfor ease of operation.The.interiorof thekitcontainershallbeexaminedfor evidenceof moisture.Difficultoperationoranyevidenceof moistureis sufficientcauseforfailure.

    4.4.3 DropTestforTypeIII Kits

    Testsampleshallconsistofa firstaidcontainerloadedwiththeappropriateweightas notedbelow:

    . 1 Ib for 10 unitcontainer

    . 1.5Ibfor 16unitcontainer

    . 2 Ibfor24 unitcontainer

    . 2.5Ibfor 36 unitcontainer.

    Three samplesshall be conditionedhot at 120F (49C)for aminimumof2 hours,andthreesamplesshallbeconditionedcoldatOaF(-18C)fora minimumof2 hours.

    Eachconditionedsampleshallbesubjectedto thefollowingdroptest within 1.0 minute of removal from the conditioningenvironment. Each sample shall be droppedfreely from averticalheightof48 in. (120em),as measuredfromthebottomofthekitsample,ontoa hardflatrigidsurfacesuchas concreteorasurfaceof equivalenthardness. Each sampleshallbe droppedonce,eachon a differentcornerofthecase. For firstaidkitsthat

    ANSI Z3O8.1-2003

    E4.4 Typical applicationsforType III firstaid kitsmay include,but are not limited to, thefollowing: the transportationindustry,the utilityindustry,theconstruction industry, and thearmedforces.

    E4.4.3 The purposeof the droptest is to ensurethatthe firstaidcontentsremaininthe container.

    7

  • ANSI.2308.1-2003

    do nothavecorners,eachsampleshallbedroppedonadifferentlocation.

    4.4.3.1 Analysisof Results

    The kitsshallbeexaminedafterimpactto determineif thekitisopenedor.is capableof beingopened. If anyof thethreetestsamples cannotbe openedeasily after impactor opensas aresultof impact,thekitfailsthetest.

    5. FirstAidKitContents

    All testingof first aid kit contentsshall be conductedat 1.0standardatmospherepressure,70 :I:2F (21:I:1.1C)and65 :I:2% RH unlessotherwisespecified.

    First aid kits should be regularly inspected to ensurecompleteness,conditionof contentsand expirationdates tomaintaincompliancewith this standard. Any itembeyonditsmarkedexpirationdate should be removedfromthe kit andreplaced.

    5.1. RequiredContents

    All first aid kitsconformingto the requirementsof thisstandardshallcontainthefirstaiditemsindicatedinTable1. Thequantity,dimensions,or volumelistedfor each itemis the minimumforcompliancewiththisstandard.Largeritemsthatmeetor exceedthe performancerequirementsof Section5.1.1are consideredequivalent.

    Additionalquantitiesare to be added as neededto meettherequirementsofa particularworkenvironment.

    5.1.1 MinimumContents

    for RequiredPerformance Criteria

    5.1.1.1 AbsorbentCompress. Each absorbentcompressshallbe at least32sq. in. (206sq. cm)withnosidesmallerthan4 in. (10.1cm)withat leastan equivalentabsorbencyof 2.37fl.oz. (70 g) of wateras definedby the gauzesectionin ASTMD1117NonwovenFabrics. Each compressshallbe individuallypackaged,sealed,andsterile. The compressshallbe freefromloosethreadsandravelededges.

    8

    E5.1.1.1 This is a majorwoundcompress to be used to applypressure and stop bleeding. Acompressfoldedto a minimum4x 8 in. (10.1x 20.3 cm) size isacceptable if it meets theabsorbencyrequirement.

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    ANSI Z308.1-2003

    Table1 RequiredContents

    5.1.1.2 AdhesiveBandage.Each adhesivebandageshallconsistof a non-adherentabsorbentpadattachedto thecentralareaof a stripof adhesivematerial.The adhesivestripshallbe3.0 in. :I:1/16in. (76 mm:I:1.6 mm)by 1.0 in. :I:1/32in. (25.4mm:I:0.8cm). The absorbentpadshallhavean areabetween0.65and1.0sq. in.(420- 645sq. mm). The ratioof thegreaterpaddimensionto thelesserpaddimensionshallbebetween1.0and 2.0. The adhesivematerialshall have a moisturevaportransmissionrateof at least 500 grnlm2per 24 hoursover itsentire area in accordancewith ASTM E96 Standard TestMethodsfor WaterVaporTransmissionof Materials.Protectivematerialshall cover the adhesivematerialand pad in such amanneras to preventcontaminationof thepad. The protectivefacingmaterialshallnotimpairtheadhesivenessof theadhesivematerialandshall be easilyremoved. Each bandageshallbeindividuallypackaged,sealedandsterile.

    5.1.1.3 AdhesiveTape. Adhesivetapeshallbe at least3/8in. (9.5mm)wideanda minimumof 5 yd (4.6m)longandmeetthe applicablerequirementsfor adhesivetapeas definedin thecurrenteditionof theUSPINF.

    5.1.1.4 Antiseptic. Each antiseptic shall meet therequirementsof FDA regulation21 CFR 333 and shall becontainedin an individual-useapplicationcontainingat least0.14fl. oz. (0.5g) of antiseptic.Each individual-useapplicationshallnotbereusable.

    :5.1.1.2 Other sizes andstyles of equivalentperformingproductsmay beadded.

    I, I

    I

    I I

    'Ii'II

    :5.1.1.3 Multiplerolls maybe usedtomeettheminimumrequirementof 5 yd (4.6 m)of tape.

    'I

    I

    ,I...!I

    I

    :!

    :5.1.1.4 Commonly usedapplicators are swabs, wipesand towelettes. Spraycontainers with a minimum of

    I ten 0.14fl. oz. (0.5 g)applicationsare acceptable tomeet this requirement.

    9I

    ,i !

    ItemandMinimumSizeorVolume Performance Minimum

    Requirement Quantity

    Section

    AbsorbentCompress,32 sq. in. (206 sq. cm), with no side 5.1.1.1 1

    smallerthan4 in.(10cm)

    AdhesiveBandages,1x 3 in. (2.5x 7.5cm) 5.1.1.2 16

    AdhesiveTape,3/8in.x 5yd. (457.2cm)total 5.1.1.3 1

    Antiseptic,0.14fl.oz. (0.5g) application 5.1.1.4 10

    BurnTreatment,1/32oz. (0.9g) application 5.1.1.5 6

    MedicalExamGloves 5.1.1.6 2 pair

    Sterilepad,3 x 3 in.(7.5x 7.5cm) 5.1.1.7 4

    TriangularBandage,40x 40x 56 in.(101x 101x 142cm) 5.1.1.8 1

  • ANSI Z308.1-2003

    5.1.1.5 Burn Treatment. Each burn treatmentshall be awatersolublecompoundpackagedin individual-useapplicationscontainingatleast1/32oz. (0.9g).

    5.1.1.6 MedicalExam Gloves. Glovesshallconformto theFood and DrugAdministration(FDA) requirementsfor medicalgradegloves.

    5.1.1.7Sterile pad. Eachsterilepadshallbe at least3 x 3 in.(7.5x 7.5 cm) in size and absorbat least0.56fl. oz. (2 g) ofwateras determinedby ASTM 01117NonwovenFabrics.Eachsterilepadshallbe individuallypackaged,sealedandsterile.

    5.1.1.8TriangularBandage. Each bandageshall be madefrom muslinat least 60/48weaveor a materialof equivalentmechanicalstrength. When unfolded,theouterdimensionsofthebandage'shallbe at least40x 40 x 56in. (101x 101x 142cm). The bandageshallbefoldedincravatform.

    5.2 RecommendedContents

    In additionto the requiredcontentslisted in Section 5.1.1,optionalproductsand sizes shouldbe included,dependingonspecific hazards,to augmenta kit based upon the specifichazards existingiil a particularwork environment.Productsspecificallyaddressedby this standardshall meetall of theapplicablecriteriain Section5.2.1. Itemsnotaddressedbythisstandardshallbe in compliancewithstandardsor regulations,where applicable,establishedby the U.S. Food and DrugAdministration (FDA), the current edition of the U.S.Pharmacopoeia/NationalFormulary(USP/NF) or any otherequivalentstandardwritingbody.

    5.2.1 Minimum Performance Criteria for RecommendedContents

    5.2.1.1 Analgesic (Oral). Oral analgesicsincludedin a firstaid kit shall be packagedin a singledose, tamperevident,packagewithfull labelingas requiredby FDA regulations,and

    10

    E5.1.1.5 Spray containerswith a minimumof six 1/32

    oz. (0.9 g) applicationsareacceptable to meet thisrequirement.Bumtreatment,as requiredhere, is intendedto address the treatmentofminorburns.

    E5.1.1.6 The FDA hasdevelopeda test methodtoensure that medical gradegloves are effective barrierdevices to control thetransmission of infectiousdiseases. The gloves areanalyzedfor barrier failuressuchas leaks,tears,moldorembeddedobjectsthatwouldaffectgloveintegrity.For thecompleteFDA test methodfor medical gloves, see 21CFR 800.201998.

    NOTE: Users shouldconsider including differentsizesof glovesinthekit.

    E5.2 Additionalsizes anditemsshouldbe used basedupon the specific hazardsexistingin a particularworkenvironment.

  • ANSI 2308.1-2003

    should contain no ingredientswhich are known to causedrowsiness.

    5.2.1.2 AntibioticTreatment.Each antibiotictreatmentshallmeet the applicablerequirementsfor antibiotictreatmentasdefinedin the currenteditionof the USP/NF. Each treatmentshall be packagedin individualuse applicationscontainingatleast 1/32 oz. (0.9 g) of ointment. Each individual-useapplicationshallnotbereusable.

    5.2.1.3 BandageCompress. Each bandagecompressshallconsist of an absorbent,non-adherentpad substantiallyfreefrom loose ends and ravelingand constructedfroma materialhavingat leasttheequivalentabsorbencyof 16 thicknessesofType III (28/24)absorbentgauze as defined by the currentedition of the USP/NF. The compress shall be securelyattachedto a continuousbandagesubstantiallyfreefromlooseends and raveling, constructedfrom material having theequivalentstrengthof Type I (44/36)gauze. The bandageshallbe pleatedor rolledto provideeasy openingand application.Each bandagecompressshallbe individuallypackaged,sealedand sterile. Bandagecompressesshallconformto one of thesizesshowninTable2.

    Table2 Dimensionsof BandageCompress(:t1/8in. ; :t0.32em)

    5.2.1.4 BreathingBarrier.Thebreathingbarriershallbe asingleuse disposablemedicaldevicefor CPR use, listedwiththe FDA and have a currentvalid 510 (k). The deviceshallprovideprotectionfromdirectcontactwithbodilyfluidsbymeansof its constructionandtheuseof a one-wayvalve,filtermediumor otherequivalentmethod. Each barriershallbe packagedinan easilyopenedcontainer,clearlylabeledwiththenameof thedevice,togetherwithcomprehensiveinstructionsfor use.

    5.2.1.5 BurnDressing.Burndressingsshallbea gel-soakedpad made of a materialthat avoids fibers from becomingimbeddedin the burn wound. Gel materialshall be watersoluable. Each dressingsize shallbe at least12 sq. in. (77.4sq. cm)andshallbesingleuse.

    5.2.1.6 ColdPack. EachcoJdpackshallbe at least4 x 5 in.(10x 12.5cm) insize andshallreacha temperaturebetween20- 40F (-6 - 4C)within10secondsof activation.Thecoldpackshall maintaina temperaturebetween20 - 40F(-6- 4C)fora

    11

    PadSize ContinuousBandage OpeningSizeof Padin. (em) in. (em) in. (em)

    2x2 5x5 2x36 5x90 2x4 5x 103x3 7.5x7.5 3x60 7.5x 152 3x6 7.5x 15

    4x4 10x10 4x72 10x 180 4x8 10x20

  • ANSIZ308.1-2003

    periodof at least15minutes.Coldpacksshallactivateundernormalhand pressureand shall not leak undernormalconditionsofuse.

    5.2.1.7 EyeCovering.Eyecovering(s)shallhavetheabilitytocoverbotheyes,anareaofatleast2.9sq.in.(19sq.cm)pereye,andconformtoeacheyecavity.Thecoveringshallhaveathicknessof at least1/4in. (0.64cm)whennotcompressed.Each eye coveringshall have at leastthe absorbencyofabsorbentgauzeas definedby the currenteditionof theUSP/NF. Theeyecoveringshallbefreeof loosethreadsandravelededges. Each eye coveringshall be individuallypackaged,sealed,andsterile.

    5.2.1.8 EyeWash.A minimumof1fl.oz.(30ml)ofasterile,isotonic,bufferedsolutionas specifiedbytheFDAin21CFR349shallbecontainedin at least0.5fl. oz. (15ml)individual-useapplications.

    5.2.1.9 Roller Bandage. Eachrollerbandageshallbe atleast2 in. (5cm)wideandat least6 yd (550cm)long.Eachbandageshallbe constructedfroma materialat leasttheequivalentstrengthof TypeI (44/36)gauzeas definedbythe

    - currenteditionofUSPINF. Eachbandageshallbesubstantiallyfreefromloosethreadsandraveling.Eachbandageshallbeindividuallypackaged,andsealed.

    6. UnitFirstAidKit

    6.1 General

    UnitfirstaidkitsshallbedesignatedaseitherTypeI,TypeII orTypeIII in accordancewithSection4. Unitfirstaidkitsshallmeetthe all the applicablerequirementsof Section5. Inaddition,unitkitsdesignatedas unitsize10,16,24.or36shallnotexceedtheoutsidedimensionsindicatedinTable3.

    E5.2.1.7 The minimumrequirementfor eye coveringshall be two eye pads or asinglecoveringforbotheyes.

    E5.2.1.9 A conformingbandagethat can stretchtoat least 6 yards (550 cm)maybe usedinplaceof rollerbandage.

    Table3 UnitFirstAidKitMaximumOutside Dimensions

    12

    UnitSize Length Width Depth

    in. (em) in. (em) in. (em)

    10 8-5/8 22 5-7/8 15 3-1/4 8.3

    16 10 25.5 7-318 19 3-1/4 8.3

    24 10 25.5 10-1/2 27 3-1/4 8.3

    36 14-1/8 36 10-1/2 27 3-1/4 8.3

  • (~

    (

    tw'

    ANSI Z308.1-2003

    6.2 UnitPackageRequirements

    6.2.1 PhysicalRequirements

    Each unitpackagecontainershallbe madeof a materialthatisequalin strengthto bleachedsulfitepaperboard,at least0.014in.(0.35mm)thick.

    6.2.2 DimensionalRequirements

    Standardsize unitpackagesshallmeettheoutsidedimensionsspecifiedInTable4.

    Table 4 Dimensionsof Unit Packages(:1:1/8In.; :1:0.32em)

    6.2.3 PackagingforIndividualBasieUnits

    Wherea minimumindividualfirstaid itemis packagedfor a unitfirstaid kit, it shall meetthe specificationsin Table5 and theapplicableperfonnancecriteriainSections5.1.1and5.2.1.

    13

    UnitSize length Width Depth

    In. (em) in. (em) in. (em)

    1 4 10.2 2-1/4 5.7 11/16 1.8

    2 4 10.2 2-1/4 5.7 1-318 3,5

    Note:Dimensionalrequirementsforunitsizepackagesgreaterthan2 aredeterminedbyincreasingthethicknessdimensionby11/16in.foreachadditionalunitsizeincrease.Alldimensionaltolerancesareappliedtotheoverallpackagedimension.

  • ANSI Z308.1-2003

    Table5 MinimumQuantityRequirementsforBasicUnitPackages

    7. MarkingandLabeling

    7.1 FirstAidContents

    All firstaidcontentsmeetingthecriteriaof Section5.1.1shallbemarkedwithat leasttheANSI standarddesignationas follows:"ANSI Z308.1-2003".

    Recommendedfirstaidcontentsmeetingthecriteriaof Section5.2.1maybemarked"ANSIZ308.1-2003R".

    7.2 FirstAidKits

    Each kitand/orlocationshallbevisiblymarkedas a placewherefirstaidsuppliesare located.

    Each completefirstaidkitshallcontaintheinformationshowninFigure1,writteninatleast6 pointfont.

    14

    Unit first aid Item MinimumSize MinimumSize ItemquantityUnitp.aCkage(or Volume- US or Volume(metric) per unit package size

    AbsorbentCompress 32 sa. in 206sa.em 1 1AdhesiveBandage 1x 3 in. 2.5x 7.5em 16 1

    AdhesiveTape 5 yd (total) 457em 10r2 1or2AntibioticTreatment 1/32oz. 0.9Q 6 1

    AntisepticSwab 0.14fl oz. 0.5Q 10 1AntisepticWipe 1x 1 in. 2.5x 2.5em 10 1

    AntisepticTowelette 24 sa. in. 157sa. em 10 1BandageCompress 2 in. 2 x 36 in. 5 x 91em 4 1BandaaeCompress 3 in. 3x 60 in. 7.5x 152em 2 1BandaaeCompress 4 in. 4x 72 in. 10x183em 1 1

    Bum DressinQ 4x4 in. 10x10em 1 10r2Bum Treatment 1/32oz. 0.9g 6 1

    CPR Barrier 1 1or2Cold Pack 4x5 in. 10x 12.5em 1 2

    Eye Covering,withmeans 2.9sq. in. 19sq.em 2 1of attachment

    Eve Wash 1fl. oz. total 30 mltotal 1 2Eye Wash & Covering, 1fl. oz.total 30mltotal 1 2

    withmeansof attachment 2.9SQ.in. 19SQ.em 2Gloves 2 pair 1or2

    RollerBandage(4 in.) 4 in.x 6 yd. 10x 550em 1 1RollerBandage(2 in.) 2 in.x 6 vd. 5x550em 2 1

    Sterilepad 3x3 in. 7.5x 7.5em 4 1TrianaularBandaae 40x 40x 56 in. 101x101x 142em 1 1

  • ANSI Z308.1-2003

    ANSI Z308.1.2003TypeI, II or III

    L.\llmportant:This kit meets ANSI Z308.1-2003only when the minimum

    requiredfill is maintained,with first aid productsmarked "ANSI 2308.1-

    2003."

    RequiredMinimumFill

    1 Absorbent Compress, 4x8 in. minimum(206 sq. cm)

    16 Adhesive Bandages, 1x3in. (2.5x 7.5 cm)

    5 yd. Adhesive Tape total(457cm)

    10 Antiseptic applications,0.14fI oz. each (0.5 g)

    6 Bum Treatment applications,1/32oz. each (0.9 g)

    4 Sterile Pads, 3x3 in. minimum(7.5x 7.5 cm)

    2 pair Medical Exam Gloves

    1Triangular Bandage, 4Ox40x56in. minimum(101x 101x 142cm)

    Figure 1 SampleLabelfor First Aid Kit

    7.3 Unit Packaging

    All unit packagesshall be labeledwith at leastthe followinginformation:

    E7.3 Size and manner ofcolor coding is discretionarybutshouldbe identifiable.

    (1) The nameof the itemshallappearat leaston thetoppanelandoneendpanel,

    (2) Thequantitycontained,(3) Instructionsand/or illustrationsfor properuse of

    contents, .(4) Name of manufacturer,packer,and/ordistributor,

    andplaceofbusiness,(5) All unit packagesshall be labeledin accordance

    withtherequirementsof theFood,Drug&CosmeticAct, and all other applicablestate and federalregulations.

    Unitpackagesshallincludethefollowingcolorcodeon at leastonetoppanelandoneendpanel:

    . Blue. AntisepticsYellow - BandagesRed - BurnTreatment

    Orange - Personal Protective Equipment(PPE)Green - Miscellaneous

    .

    .

    .

    .

    ~

    \15

  • ANSI Z308.1-2003

    Appendix

    (This Appendixis not a partof AmericanNationalStandardANSI Z308.1-2003,but is includedforinformationpurposesonly.)

    Recommendationsand PrecautionsConcerningFirst Aid Kit Use and Maintenance

    1. Items otherthan the requiredminimumfill contentsand those recommendedby a personcompetentin firstaid andcognizantof thehazardsin theworkplaceenvironmentshouldnotbestoredin thekit. To ensureimmediateaccessto firstaidsupplies,it is recommendedthatfirstaidkitsnotbe locked.

    2. It is recommendedthatthe OccupationalSafetyand HealthAdministrationregulation29 CFR1910.1030forBloodbornePathogensbecompliedwithwhenrenderingfirstaid.

    3. In additiontoa firstaidkit,eachworklocationshouldhaveat leastoneindividualavailablewhoistrainedinfirstaidandCPR.

    4. Tourniquetsshouldnotbe includedingeneralfirstaidkits. It is acknowledgedthata tourniquetperformsa roleof lastresortin theeventof life-threateninginjuries(e.g.,hemorrhagingoccurringduetoamputatedextremities)andshouldbeadministeredonlybya trainedperson.

    ..

    16

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