Civil Defence Cabinet 50 person Reorder Form CDKITSMALLCAB – Civil Defence Cabinet 50 person CustomerBranch NameAddressKit LocationNumber of StaffCabinet Enter the quantity found and expiry date for each component in the kit. We will send you the Top Up quantity to bring your kit up to the base level for each component.Item NameBaseQtyTop-UpExp DateSmall CD cabinetSmall CD cabinet QuantitySmall CD cabinet Quanity FoundSmall CD cabinet Quanity RequiredSmall CD cabinet Expiry Date DD slash MM slash YYYY Items designated by number of staffDust masksDust masks QuantityDust masks Quanity FoundDust masks Quanity RequiredDust masks Expiry Date DD slash MM slash YYYY Disposable ear plugs (each pair)Disposable ear plugs (each pair) QuantityDisposable ear plugs (each pair) Quanity FoundDisposable ear plugs (each pair) Quanity RequiredDisposable ear plugs (each pair) Expiry Date DD slash MM slash YYYY Aquatab (packets)Aquatab (packets) QuantityAquatab (packets) Quanity FoundAquatab (packets) Quanity RequiredAquatab (packets) Expiry Date DD slash MM slash YYYY Personal safety/sanitaryBlanketsBlankets QuantityBlankets Quanity FoundBlankets Quanity RequiredBlankets Expiry Date DD slash MM slash YYYY Foil blanketsFoil blankets QuantityFoil blankets Quanity FoundFoil blankets Quanity RequiredFoil blankets Expiry Date DD slash MM slash YYYY Hand sanitiser 500 mlHand sanitiser 500 ml QuantityHand sanitiser 500 ml Quanity FoundHand sanitiser 500 ml Quanity RequiredHand sanitiser 500 ml Expiry Date DD slash MM slash YYYY Plastic bags (singles)Plastic bags (singles) QuantityPlastic bags (singles) Quanity FoundPlastic bags (singles) Quanity RequiredPlastic bags (singles) Expiry Date DD slash MM slash YYYY Leather glovesLeather gloves QuantityLeather gloves Quanity FoundLeather gloves Quanity RequiredLeather gloves Expiry Date DD slash MM slash YYYY Safety glassesSafety glasses QuantitySafety glasses Quanity FoundSafety glasses Quanity RequiredSafety glasses Expiry Date DD slash MM slash YYYY Safety helmets (NZ Standards)Safety helmets (NZ Standards) QuantitySafety helmets (NZ Standards) Quanity FoundSafety helmets (NZ Standards) Quanity RequiredSafety helmets (NZ Standards) Expiry Date DD slash MM slash YYYY Whistles (Emergency orange)Whistles (Emergency orange) QuantityWhistles (Emergency orange) Quanity FoundWhistles (Emergency orange) Quanity RequiredWhistles (Emergency orange) Expiry Date DD slash MM slash YYYY Toilet rollsToilet rolls QuantityToilet rolls Quanity FoundToilet rolls Quanity RequiredToilet rolls Expiry Date DD slash MM slash YYYY Sanitary pads pack of 20Sanitary pads pack of 20 QuantitySanitary pads pack of 20 Quanity FoundSanitary pads pack of 20 Quanity RequiredSanitary pads pack of 20 Expiry Date DD slash MM slash YYYY Latex gloves (box)Latex gloves (box) QuantityLatex gloves (box) Quanity FoundLatex gloves (box) Quanity RequiredLatex gloves (box) Expiry Date DD slash MM slash YYYY First Aid kitsThis field is hidden when viewing the formSection Break – First aid kit 1-25 peopleFirst aid kit 1-25 peopleFirst aid kit 1-25 people QuantityFirst aid kit 1-25 people Quanity FoundFirst aid kit 1-25 people Quanity RequiredFirst aid kit 1-25 people Expiry Date DD slash MM slash YYYY This field is hidden when viewing the formSection Break – Disaster first aid kitDisaster first aid kitDisaster first aid kit QuantityDisaster first aid kit Quanity FoundDisaster first aid kit Quanity RequiredDisaster first aid kit Expiry Date DD slash MM slash YYYY First aid pack 1First aid pack 1 QuantityFirst aid pack 1 Quanity FoundFirst aid pack 1 Quanity RequiredFirst aid pack 1 Expiry Date DD slash MM slash YYYY First aid pack 2First aid pack 2 QuantityFirst aid pack 2 Quanity FoundFirst aid pack 2 Quanity RequiredFirst aid pack 2 Expiry Date DD slash MM slash YYYY First aid pack 3First aid pack 3 QuantityFirst aid pack 3 Quanity FoundFirst aid pack 3 Quanity RequiredFirst aid pack 3 Expiry Date DD slash MM slash YYYY This field is hidden when viewing the formSection Break End – Disaster first aid kitRescue and stretchersSection for Folding Stretcher. Allows entire group of fields to be hidden.Folding StretcherFolding Stretcher QuantityFolding Stretcher Quanity FoundFolding Stretcher Quanity RequiredFolding Stretcher Expiry Date DD slash MM slash YYYY Nylon Carry Sheet section. Allows all Nylon Carry Sheet fields to be hidden.Nylon Carry SheetNylon Carry Sheet QuantityNylon Carry Sheet Quanity FoundNylon Carry Sheet Quanity RequiredNylon Carry Sheet Expiry Date DD slash MM slash YYYY End of Nylon Carry Sheet sectionTools and EquipmentSection for Step Ladder Allows entire group of fields to be hidden.Step ladder – commercial extend 1.5m – 2.7mStep ladder – commercial extend 1.5m – 2.7m QuantityStep ladder – commercial extend 1.5m – 2.7m Quanity FoundStep ladder – commercial extend 1.5m – 2.7m Quanity RequiredStep ladder – commercial extend 1.5m – 2.7m Expiry Date DD slash MM slash YYYY End of Step Ladder sectionWrecking bar 20″Wrecking bar 20" QuantityWrecking bar 20" Quanity FoundWrecking bar 20" Quanity RequiredWrecking bar 20" Expiry Date DD slash MM slash YYYY Saw – multi purposeSaw – multi purpose QuantitySaw – multi purpose Quanity FoundSaw – multi purpose Quanity RequiredSaw – multi purpose Expiry Date DD slash MM slash YYYY HacksawHacksaw QuantityHacksaw Quanity FoundHacksaw Quanity RequiredHacksaw Expiry Date DD slash MM slash YYYY Hacksaw spare bladesHacksaw spare blades QuantityHacksaw spare blades Quanity FoundHacksaw spare blades Quanity RequiredHacksaw spare blades Expiry Date DD slash MM slash YYYY Sledge hammer – 8 poundSledge hammer – 8 pound QuantitySledge hammer – 8 pound Quanity FoundSledge hammer – 8 pound Quanity RequiredSledge hammer – 8 pound Expiry Date DD slash MM slash YYYY Axe – 4lb fibreglass handleAxe – 4lb fibreglass handle QuantityAxe – 4lb fibreglass handle Quanity FoundAxe – 4lb fibreglass handle Quanity RequiredAxe – 4lb fibreglass handle Expiry Date DD slash MM slash YYYY Hammer – carpenters – 1lbHammer – carpenters – 1lb QuantityHammer – carpenters – 1lb Quanity FoundHammer – carpenters – 1lb Quanity RequiredHammer – carpenters – 1lb Expiry Date DD slash MM slash YYYY Knife – packagingKnife – packaging QuantityKnife – packaging Quanity FoundKnife – packaging Quanity RequiredKnife – packaging Expiry Date DD slash MM slash YYYY PliersPliers QuantityPliers Quanity FoundPliers Quanity RequiredPliers Expiry Date DD slash MM slash YYYY Water containers 5 litreWater containers 5 litreWater containers 5 litre QuantityWater containers 5 litre Quanity FoundWater containers 5 litre Quanity RequiredWater containers 5 litre Expiry Date DD slash MM slash YYYY GeneralDuct tape – fabricDuct tape – fabric QuantityDuct tape – fabric Quanity FoundDuct tape – fabric Quanity RequiredDuct tape – fabric Expiry Date DD slash MM slash YYYY Rope 20 metres – general purposeRope 20 metres – general purpose QuantityRope 20 metres – general purpose Quanity FoundRope 20 metres – general purpose Quanity RequiredRope 20 metres – general purpose Expiry Date DD slash MM slash YYYY Plastic bucketsPlastic buckets QuantityPlastic buckets Quanity FoundPlastic buckets Quanity RequiredPlastic buckets Expiry Date DD slash MM slash YYYY Tarpaulins average size 3.6×3.6mTarpaulins average size 3.6×3.6m QuantityTarpaulins average size 3.6×3.6m Quanity FoundTarpaulins average size 3.6×3.6m Quanity RequiredTarpaulins average size 3.6×3.6m Expiry Date DD slash MM slash YYYY Torches, light and RadiosRadioRadio QuantityRadio Quanity FoundRadio Quanity RequiredRadio Expiry Date DD slash MM slash YYYY Torches (with batteries)Torches (with batteries) QuantityTorches (with batteries) Quanity FoundTorches (with batteries) Quanity RequiredTorches (with batteries) Expiry Date DD slash MM slash YYYY Light sticksLight sticks QuantityLight sticks Quanity FoundLight sticks Quanity RequiredLight sticks Expiry Date DD slash MM slash YYYY LED lanternLED lantern QuantityLED lantern Quanity FoundLED lantern Quanity RequiredLED lantern Expiry Date DD slash MM slash YYYY BatteriesD battery insert (holds 4 x D battery)D battery insert (holds 4 x D battery) QuantityD battery insert (holds 4 x D battery) Quanity FoundD battery insert (holds 4 x D battery) Quanity RequiredD battery insert (holds 4 x D battery) Expiry Date DD slash MM slash YYYY DD QuantityD Quanity FoundD Quanity RequiredD Expiry Date DD slash MM slash YYYY AAAA QuantityAA Quanity FoundAA Quanity RequiredAA Expiry Date DD slash MM slash YYYY Other itemsSection for Board Stretcher Allows entire group of fields to be hidden.Board stretcher and restraintsBoard Stretcher and Restraints QuantityBoard Stretcher and Restraints Quanity FoundBoard Stretcher and Restraints Quanity RequiredBoard Stretcher and Restraints Expiry Date DD slash MM slash YYYY End of Board Stretcher sectionEmergency food and water rationsItem NameBaseQtyTop-UpExp DateEmergency foodThis field is hidden when viewing the formEmergency food NameEmergency food QuantityEmergency food Quanity FoundEmergency food Quanity RequiredEmergency food Expiry Date DD slash MM slash YYYY Emergency waterThis field is hidden when viewing the formEmergency water NameEmergency water QuantityEmergency water Quanity FoundEmergency water Quanity RequiredEmergency water Expiry Date DD slash MM slash YYYY Custom Items Enter the name and required Top Up quantity for any custom items you need added to your kit.Item NameBaseQtyTop-UpExp DateCustom 1 NameCustom 1 QuantityCustom 1 Quanity FoundCustom 1 Quanity RequiredCustom 1 Expiry Date DD slash MM slash YYYY Custom 2 NameCustom 2 QuantityCustom 2 Quanity FoundCustom 2 Quanity RequiredCustom 2 Expiry Date DD slash MM slash YYYY Custom 3 NameCustom 3 QuantityCustom 3 Quanity FoundCustom 3 Quanity RequiredCustom 3 Expiry Date DD slash MM slash YYYY Custom 4 NameCustom 4 QuantityCustom 4 Quanity FoundCustom 4 Quanity RequiredCustom 4 Expiry Date DD slash MM slash YYYY Audit Completed ByOrder ReferenceEmail CC to EmailSend a copy of the order to this email address
