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HEALTH AND SAFETY - FIRST AID

A brief description of the basics of First Aid in the Workplace are outlined below.

What do I need to do?

*The Health and Safety (First-Aid) Regulations 1981 require you to provide adequate and appropriate equipment, facilities and personnel to enable first aid to be given to your employees if they are injured or become ill at work. What is adequate and appropriate will depend on the circumstances in your workplace and you should assess what your first aid needs are. The minimum first-aid provision on any work site is:

  • a suitably stocked first-aid box;

  • an appointed person to take charge of first-aid arrangements.

  • It is also important to remember that accidents can happen at any time. First-aid provision needs to be available at all times people are at work.

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Assessing first-aid needs?

Many small firms will only need to make the minimum first-aid provision. However, there are factors which might make greater provision necessary. The following checklist covers the points you should consider.

Aspects to consider Impact on first-aid provision:

 

THINGS TO CONSIDER

FIRST AID PROVISION

1 You are required by law to make an assessment of significant risks in your workplace. What are the risks of injury and ill health identified in this risk assessment? If the risks are significant you may need to employ first aiders
2 Are there any specific risks,e.g working with:
hazardous substances;
dangerous tools;
dangerous machinery;
dangerous loads or animals?
You will need to consider:
specific training for first aiders;
extra first aid equipment
precise siting of first aid equipment
3 Are there parts of your establishment where different levels of risk can be identified (e.g in a university with research laboratories)? You will probably need to make different levels of provision in different parts of the establishment
4 What is your record of accidents and cases of ill health? What type are they and where did they happen? You may need to locate your provision in certain areas;
review the contents of the first aid box
5 How many people are employed on site? You may need to employ first aiders
6 Are there inexperienced workers on site, or employees with disabilities or special health problems? You will need to consider;
special equipment;
local siting of equipment
7 Are the premises spread out, e.g are there several buildings on the site or multi-floor buildings? You will need to consider provision in each building or on several floors
8 Is there shiftwork or out of hours working? Remember that there needs to be first aid provision at all times people are at work
9 Is your workplace remote from emergency medical services? You will need to:
inform local medical services of your location;
consider special arrangements with the emergency services
10 Do you have employees who travel a lot or work alone? You will need to:
consider issuing personal first aid kits and training staff in their use;
consider issuing personal communicators to employees
11 Do any of your employees work at sites occupied by other employers? You will need to make arrangements with the other site occupiers
12 Do you have any work experience trainees? Your first aid provision must cover them
13 Do members of the public visit your premises? You have no legal responsibilities for non employees, but HSE strongly recommends you include them in your first aid provision.


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First aid box Contents ?

There is no standard list of items to put in a first aid box. It depends on what you assess the needs are. However, as a guide, and where there is no special risk in the workplace, a minimum stock of first aid items would be:

  • 20 individually wrapped sterile adhesive dressings (assorted sizes)

  • two sterile eye pads

  • four individually wrapped triangular bandages (preferably sterile)

  • six safety pins

  • six medium sized (approximately 12cm x 12cm) individually wrapped sterile unmedicated wound dressings

  • two large (approximately 18cm x 18cm) sterile individually wrapped unmedicated wound dressings

  • one pair of disposable gloves.

You should not keep tablets or medicines in the first aid box. The above is a suggested contents list only; equivalent but different items will be considered acceptable.

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What is an Appointed Person?

An appointed person is someone you choose to: take charge when someone is injured or falls ill, including calling an ambulance if required. look at the first aid equipment, e.g restocking the first aid box Appointed persons should not attempt to give first aid for which they have not been trained, through short emergency first aid courses are available. Remember that an appointed person should be available at all times people are at work on site - this may mean appointing more than one.

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What is a First Aider?

A first aider is someone who has undergone a training course in administering first aid at work and holds a current first aid at work certificate. You may decide, following your first aid assessment, that you need one or more first aiders. A first aider can undertake the duties of an appointed person.

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How many First Aiders or Appointed Persons do I need?

This will depend on the circumstances of each particular organisation or worksite. Refer to the following table after working through the assessment checklist in 2. It offers suggestions on how many first aiders or appointed persons might be needed in relation to categories of risk and number of employees. The details in the table are suggestions only - they are not definitive nor are they a legal requirement. It is for you to assess your first aid needs in the light of your particular circumstances.

Suggested numbers of first aid personnel.
First aid personnel should be available at all times people are at work, based on assessments of risk and number of workers.

Category of risk Numbers employed at any location Suggested number of first aid personnel
Lower risk 
e.g shops and offices, libraries
Fewer than 50 At least one appointed person
50 - 100 At least one first aider
More than 100 One additional first aider for every 100 employed
Medium risk 
e.g.light engineering and assembly work, food processing, warehousing
Fewer than 20 At least one appointed person
20 - 100 At least one first aider for every 50 employed (or part thereof)
More than 100 One additional first aider for every 100 employed
Higher risk 
e.g most construction, slaughter-houses, chemical manufacturer, extensive work with dangerous machinery or sharp instruments
Fewer than five At least one appointed person
5 - 50 At least one first aider
More than 50 One additional first aider for every 50 employed


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Anything else?

You have to inform your employees of the first aid arrangements. Putting up notices telling staff who and where the first aiders or appointed persons are and where the first aid box is will usually be sufficient. But don't forget that you will need to make special arrangements to give first aid information to employees with reading or language difficulties.

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Further information?

The free leaflet Basic Advice in First Aid at Work (IND(G)215l 1997) is published by HSE Books.  This leaflet is available in priced packs of 15 from HSE Books. Single free copies are also available from HSE Books.

A detailed practical guidance to complying with your duties has been published by the Health and Safety Commission -           First aid at work; Approved Code of Practice and Guidance L74 1997 ISBN 0 7176 1050 0.

HSE priced and free publications are available by mail order from: HSE Books, P O Box 1999, Sudbury, Suffolk CO10 6FS. Tel 01787 881165 Fax 01787 313995. HSE priced publications are also available from good booksellers.

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