Appendix-1

PROVISION OF FIRST AID KIT IN AIRCRAFT

1. APPLICABILITY

All Nepalese civil registered aircraft before every flight shall be equipped with certified
First Aid Kits for treatment of injuries which may occur in flight or as a result of minor
accidents.

2. REQUIREMENT

2.1 The number of First Aid Kit to be carried on board shall be as follows:
First Aid Kit
a) Aircraft with seating capacity of more than 250 4
b) Aircraft with seating capacity from 151-250 3
c) Aircraft with seating capacity from 61-150 2
d) Aircraft with seating capacity from 21-60 1
e) Aircraft with seating capacity from 0-20 1

3. FIRST AID KIT

3.1 First Aid Kit shall be carried on all aircraft.

3.2 The First Aid Kit container must be moisture and dust-proof and readily
accessible to cabin crew/flight crew in flight .

3.3 The First Aid Kit container shall be of green background with a white cross of
size at least 2 inches into 2 inches and the words "FIRST AID KIT" in prominent
letters shall appear on the front surface of the container.

3.4 The contents of the First Aid shall be as specified in paragraph 4. The certifying
engineer must satisfy himself on the completeness of the required content in the
First Aid Kit before issuing Certificate given in Form C.11.1 of this Appendix-1.
The First Aid Kit then be sealed and kept ready for use.

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 3.5 The First Aid Kit must remain sealed till the time of its use. After use if must be
replenished, certified and resealed. If the seal is broken during bomb threat
inspection or due security reasons or due to usage of the kit and can not be
replenished and certified due to non availability of certifying person, the First Aid
Kit may be carried on board in an unsealed condition provided it is certified or
replaced by a Certified Kid at the first available opportunity or arrival at base,
whichever is earlier.

3.6 The First Aid Kit containers must bear a serial number given by the operator for
the purpose of identification.

3.7 The First Aid Kit when more than one, must be distributed in the passenger cabin
as evenly as practicable and the stowage location shall be conspicuously marked
for easy identification.

4. CONTENTS OF THE FIRST AID KIT

4.1 Each First Aid Kit shall contain at least the following items:
Sr. No. Item Quantity
i) Adhesive bandage compresses, 25mm 16
ii)Antiseptic swabs 10mm 20
iii) Ammonic inhalants, 6mm 10
iv) Bandage compresses, 100mm 8
v)Triangular bandage compresses, 1mm 5
vi) Burn compound, 30 gms or an equivalent of other burn remedy 6
vii) Arm splint, non inflatable 1
viii) Leg splint, non inflatable 1
ix) Roller bandage 10mm 4
x)Adhesive tape, 25mm standard roll 2
xi) Bandage scissors 1
xii) First Aid Instructions Booklet 1
xiii) List of Contents along with Certificate as shown in Form C.11.1

5. PERIODIC EXAMINATION OF THE FIRST AID KIT

5.1 The stowage and the intact condition of the seal of the First Aid Kit (s) shall be
ensured prior to every flight by a person designated by the organization. The
responsibility of the designated person with regard to this check shall be included
in the Operations Manual.
5.2 The completeness of the contents of First Aid Kit shall be examined and certified
by an appropriately licensed or approved person at the time of issue or renewal of
Certificate of Airworthiness.
6. TRAINING OF CABIN CREW MEMBERS IN THE APPLICATION OF FIRST
AID KIT
It will be the responsibility of the owner or operator to ensure that cabin crew/flight crew
are adequately and properly trained in the proper use of items contained in the First Aid
Kit.

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Form C.11.1 Appendix-
1

CERTIFICATE

FIRST AID KIT

I hereby certify that the completeness of the contents of the First Aid Kit is in
accordance with the items as specified in Nepalese Civil Airworthiness Requirements
Chapter C.11 paragraph 4 of Appendix-1 and sealed in my presence.

Date: . Signature: .

Licence or Approval No.: .

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 Appendix-
2

PROVISION OF PHYSICIAN'S KIT IN AIRCRAFT

1. APPLICABILITY

Large public transport aircraft, capable of carrying more than 60 passengers including
crew when engaged in commercial flights, shall in addition to the First Aid Kit be
equipped with Physician's Kit which shall contain the life saving equipment, injections and
medicines.

2. REQUIREMENTS
2.1 The number of Physician's Kit to be carried on board shall be as follows:
Physician's Kit
a) Aircraft with seating capacity of more than 250 1
b) Aircraft with seating capacity from 151-250 1
c) Aircraft with seating capacity from 61-150 1
d) Aircraft with seating capacity from 21-60 Not required
e) Aircraft with seating capacity from 0-20 Not required
3. PHYSICIAN'S KIT

3.1 The Physician's Kit container must be moisture and dust proof and free from
damaging temperature and readily accessible to cabin crew/flight crew, in flight.
3.2 The Physician's Kit container shall be of green background with a white cross of
size at least 2 inches into 2 inches and the words "PHYSICIAN'S KIT" in
prominent letters shall appear on the front surface of the container.
3.3 The content of the Physician's Kit shall be as specified in paragraph 4. The
certifying Registered Medical Practitioner holding at least an MBBS degree must
satisfy himself on the completeness of the required content in the Physician's Kit
before issuing Certificate given in Form C.11.2. The Physician's Kit then be sealed
and kept ready for use.
3.4 Physician's Kit must remain sealed till the time of its use. After the items listed in
paragraph 4.2 are used it must be replenished and certified by a Registered
Medical Practitioner and resealed. If the seal is broken during bomb threat
inspection or due security reasons or due to usage of the kit and can not be re-
certified due to non availability of Registered Medical Practitioner, the Physician's
Kit may be carried on board in unsealed condition provided it is
re-certified or replaced by a Certified Kit at the first available opportunity or
arrival at base, which ever is earlier.

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 3.5 Cabin crew shall ensure the proper filling up of Form C.11.3 as shown in
Appendix-2 after usage of medicines contained in the Physician's Kit and signed
by the Registered Medical Practitioner.

3.6 The Physician's Kit containers must bear a serial number given by the operator for
the purpose of identification.

3.7 The stowage locations shall be conspicuously marked for easy identification.

3.8 The medicines contained in the Physician's Kit are intended to be administered
only by a Registered Medical Practitioner if and when available.

4. CONTENTS OF PHYSICIAN'S KIT

4.1 General Items

Sr. no. Items Minimum quantity Maximum Quantity

up to 150 above 150
Passengers Passengers
1. Stethoscope 1 1
2. Blood Pressure Instrument 1 1
3. Flashlight with Batteries 1 1
4. Brooks Airway with Mouthpiece 1 1
5. Modified Ambu Resuscitator
(with oxygen connector) 1 1
6. Thermometer 1 1
7. Disposable Syringes with needles
2 c.c. 2 3
5 c.c. 2 3
10 c.c. 2 3
8. Mediswab (Isopropyl Alcohol Swabs) 20 20
9. Rubber Bands 10 10
10. Ampoule Cutter 1 1
11. Oxygen Catheter 1 1
12. Urethral Catheter 1 1
13. Sterile ready to use sutures/thread
& needle for saturing 1 pkt 1 pkt
14. Cotton Wool (small pack) 2 pkt 2 pkt
15. Sterile Plastic Gabs for multipurpose 5x5 5x5
16. Gloves (Disposable) 7"x7 2 pairs 2 pairs
17. Mask (Disposable) 2 2
18. 'Used In-flight" Labels 10 Nos. 20 Nos.
19. Form 'C.11.3'
(To be filled after opening the kit)5 5
20. Records Sheets with Folder 1 1
21. Ball Pen 1 1
22. List of Contents along with Certificate in
Form C.11.2

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 4.2 INJECTIONS AND OTHER MEDICINES

1. INJ. ADRENALINE TARTRATE 1:1000 Stabilized

with Sodium Metabisulphite 1 ml x 4 Amps
2. INJ. AVIL Pheniramine Meleate 22.75mg. 1 ml x 4 Amps
3. INJ. ATROPINE SULPHATE Atropine Sulphate 0.65mg. 1 ml x 2 Amps
4. INJ. CALMPOSE Diazepam 10 mg. 2 ml x 4 Vials
5. INJ. DECADRON Dexamethasone 4 mg. 2 ml x 2 Vials
6. INJ. DERIPHYLLIN
Etophylline 169.4 mg. 2 ml x 2 Vials
Theophylline 50.6 mg.
7. INJ. DEXTROSE 50%
Dextrose 50% 10 ml x 2 Amps
8. INJ. FORWIN
Pentazocine 30 mg. 1 ml x 6 Amps
9. INJ LARAGACTIL
Chlorpromazine HCL 50 mg. 1 ml x 4 Amps
10. INJ. LANOXIN
Digoxin 0.5 mg. 2 ml x 4 Amps
11. INJ. LASIX
Frusemide 10 mg. 2 ml x 4 Amps
12. INJ. MEPHENTINE
Methyl Ergometrine Meleate 0.2 mg. 1 ml x 4 Amps
13. INJ. METOCLOPRAMIDE
METOCLOPRAMIDE HCL 5 mg/ml 2 m. x 2 Amps
14. INJ. XYLOCARD
Lignocaine HCL 21.3 mg/ml 5 ml x 1 Vial
15. CAP. NIFEDIPINE 10 mg. 30
16. CAP. PHEHYTOIN SODIUM 100 mg. 100
17. SALBUTAMOL ROTACAP WITH DISPENSER 1 pack

Note: For injections, medicines and equipment that are not available, substitutes may be used,
provided the same are certified by Registered Medical Practitioner as alternate to those
injections, medicines and equipment.

5. PERIODIC EXAMINATION OF THE PHYSICIAN'S KIT

5.1 The stowage and the intact condition of the seal of the Physician's Kit shall be
ensured prior to every flight by a person designated by the organization. The
responsibility of the designated person with regard to this check shall be included
in the Operations Manual.

5.2 The completeness of the contents of such Kit shall be examined and certified by
Registered Medical Practitioners once in a year provided the expiry dates of
injections and medicines are within limits.

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Form C.11.2 Appendix-
2

CERTIFICATE

PHYSICIAN'S KIT

I hereby certify that the completeness of the contents of the Physician's Kit is in
accordance with the items as specified in Nepalese Civil Airworthiness Requirements
Chapter C.11 paragraph 4 of Appendix-2 and sealed in my presence.

Date: . Signature: ..

Registration No.: ...

orm C.11.3 Appendix-3

USE OF PHYSICIAN'S KIT

Date: . Time:
Patient's Name: .. Age: .
Name and dose of injection/medicine given: .
Remarks regarding condition of patient/injuries: ..

Name and address of physician:

Signature: Registration No.: ...

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