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Appointed
Persons
What is
an “Appointed Person”?
Can appointed
persons perform first aid, eg CPR?
Are appointed
persons required to take an approved training course
in first aid?
Defibrillators
Should I
provide a defibrillator for use in the workplace?
Electric
Shock
What is
the first aid treatment for an electric shock?
First
Aid Box
What should
a first aid box in the workplace contain?
First
Aid Equipment
What first aid equipment
should be provided?
First
Aid Cover for the General Public
Do I need to make first
aid provision for members of the public, who visit my
premises?
Do the Health and Safety
(First-Aid) Regulations 1981 cover large events such
as concerts?
Travel
First Aid, Remote and Lone Workers
I have sales people
who travel regularly and some work form home, what should
I do about first aid provision for them?
First
Aid in Schools
How do the Health and
Safety (First-Aid) Regulations 1981 relate to first
aid provision in schools?
First
Aid Rooms
Do I need to provide
a room for first aid?
What should be kept
in the first aid room?
Who should have access
to the first aid room?
First
Aid Signs
What signs should I
have?
Where should I put them?
First
Aiders
How many First Aiders
do I need?
Can legal action be
taken against First Aiders?
Does my employee need
to do any training to be a first aider?
Record
Keeping
Do I need to record
incidents requiring the attention of a first aider?
Who is responsible for
keeping the records?
Tablets
and Medications
Are First Aiders allowed
to give tablets and medications to casualties?
Cyanide
Poisoning
What is the first aid
treatment for cyanide poisoning?
Appointed Persons
What
is an “Appointed Person”?
An appointed person is someone in your company that you choose
to:
- Take charge when someone is injured or
falls ill, including calling an ambulance if required;
- Maintain the first aid equipment, e.g.
checking the first aid box and restocking when appropriate.
Can
Appointed Persons perform first aid, eg CPR?
Appointed Persons should not attempt to give first aid for
which they have not been trained. However, the Appointed Persons
course introduces an adequate level of training for the person
to provide emergency support.
Are
Appointed Persons required to take an approved training course
in first aid?
There are no legal requirements for Appointed Persons to have
any approved training in order to carry out their responsibilities.
It is wise to consider some form of training to ensure adequate
understanding of responsibilities. The OPTIMUM Appointed Persons
course covers this information and it provides the nominated
person with the confidence and skill to assist in an emergency
situation.
Click Here to book an OPTIMUM Appointed Persons First
Aid course.
Defibrillators
Should
I provide a defibrillator for use in the workplace?
As an employer, you will need to carry out an assessment of
first aid needs appropriate to the circumstances of the workplace.
There is no legal bar to employers making a defibrillator
available in the workplace if the assessment of first aid
needs indicates such equipment is required. You may also want
to consider provision of first aid, possibly including a defibrillator,
for the public, although this is not a legal requirement.
The Health and Safety (First-Aid)
Regulations 1981, do not prevent someone who is specially
trained from taking action beyond the initial management of
a casualty. It is important that the person who will be required
to use a defibrillator, usually a first aider, is appropriately
trained. Courses in the use of defibrillators are available
upon request, please contact
us.
Electric Shock
What
is the first aid treatment for an electric shock?
Low Voltage Electricity
Treatment
- If the casualty is still in contact
with the source then do not touch them.
Remove the cause by:
Switching off at the mains
or removing the plug
or ensuring you are standing on something that will
insulate you (book, newspapers) and using a wooden broom
handle or non-conductive material to push the limbs
away from the cause.
- Only when the cause (DANGER) has been
removed can you proceed with the Response, Airway, Breathing.
- If they are breathing, look for burns
and cool with cold water. Place the casualty in the recovery
position.
- If they are conscious but shaken advise
them to rest and seek medical aid.
Even minor electric shocks should
be reported and recorded as this will allow the Employer to
assess whether or not the equipment requires further maintenance.
For a copy of our wall poster
that includes this procedure please Click
Here.
High Voltage Electricity
Treatment
- Immediately contact the emergency services
and explain what has happened.
- DO NOT approach the casualty until you
are sure it is safe. Keep all bystanders 18 metres away
until you have been informed by the emergency services that
it has been isolated.
- Once it is safe to proceed, carry out
Check for danger, Response, Airway, Breathing and begin
to resuscitate if necessary.
- Place in the recovery position and treat
any burns and other injuries.
First Aid Box
What
should a first aid box in the workplace contain?
There is no mandatory list of contents for first aid boxes.
Deciding what to include should be based on the employer's
assessment of first aid needs. This list is for guidance only.
| ITEM |
Number
Of Employees |
| |
1 |
2-10 |
11-50 |
| Individually Wrapped Adhesive Dressings |
6 |
10 |
20 |
| Sterile Eye Pad with Attachment |
0 |
1 |
2 |
| Triangular Bandages |
2 |
3 |
6 |
| Large Unmedicated Sterile Dressings |
0 |
1 |
2 |
| Safety Pins |
6 |
6 |
12 |
| Medium Unmedicated Sterile Dressings |
1 |
3 |
6 |
| Extra Large Unmedicated Sterile Dressings |
1 |
2 |
3 |
| Disposable gloves |
1 |
1 |
2 |
| Guidance Card |
1 |
1 |
1 |
For purchase of any First Aid supplies Click
Here
First Aid Equipment
What first aid equipment
should be provided?
Once an assessment of first aid needs has been carried out,
the findings can be used to decide what first aid equipment
should be provided in the workplace. The minimum level of
first aid equipment is a suitably stocked first aid box. The
assessment may indicate that additional materials and equipment
are required such as scissors, adhesive tape, disposable aprons,
resuscitation shields and individually wrapped, non-alcohol
based moist wipes. They may be put in a suitable first aid
container if there is room or stored separately.
If there is a need for items such as protective
equipment where First Aiders may to enter dangerous atmospheres
this should be provided. This should be securely stored near
the first aid box, in the first aid room or the hazard area,
as appropriate. Access to the equipment should be restricted
to those trained in its use.
If mains tap water is not readily available
for eye irrigation, at least one litre of sterile water or
sterile normal saline (0.9%) in sealed, disposable containers
should be provided. When the seal has been broken, the container
should not be reused. The container should not be used beyond
its expiry date. To order: Saline
First Aid Cover for the General Public
Do I need to make
first aid provision for members of the public, who visit my
premises?
The Health and Safety (First-Aid) Regulations 1981 do not
oblige employers to provide first aid for members of the public.
However, the HSE strongly recommends that employers include
the public and others who visit their premises when making
their assessment of first aid needs.
Do the Health and
Safety (First-Aid) Regulations 1981 cover large events such
as concerts?
Only in so far as employers are responsible for providing
first aid for their employees. At an event, for example a
pop concert, it is the organiser's responsibility to ensure
that there is adequate first aid provision.
Travel First Aid, Remote and Lone Workers
I have sales people
who travel regularly and some work form home, what should
I do about first aid provision for them?
As an employer you are responsible for meeting the first aid
needs of your employees that work away from the main site.
Your assessment of first aid needs should determine whether:
- those who travel long distances or are
continuously mobile, i.e. sales people should carry a personal
first aid box;
- arrangements need to be made for employees
who work in remote areas; and
- to provide other means of summoning help,
such as a mobile phone, for employees who work alone.
For travel size first aid kits, click
here
First Aid in Schools
How do the Health
and Safety (First-Aid) Regulations 1981 relate to first aid
provision in schools?
As an employer the school is responsible for the provision
of appropriate first aid equipment and facilities and trained
First Aiders in respect of staff and teachers: schools are
workplaces. However, the Regulations do not oblige employers
to provide first aid for anyone else (e.g. children). Nevertheless,
the HSE strongly encourages schools to consider children and
visitors when carrying out their assessment of first aid needs
and to make provision for them.
Click here for First
Aid for Childcarers© course, which is specific to
the childcare environment.
First Aid Rooms
Do I need to provide
a room for first aid?
You should provide a suitable first aid room or rooms where
your assessment of first aid needs identifies this as necessary.
What should be
kept in the first aid room?
The room should contain essential first aid facilities and
equipment. Typical examples of these are:
- a sink with hot and cold running water;
- drinking water and disposable cups;
- soap and paper towels;
- a store for first aid materials;
- foot-operated refuse containers, lined
with disposable yellow clinical waste bags or a container
for the safe disposal of clinical waste;
- a couch with waterproof protection, clean
pillows and blankets;
- a chair;
- a telephone or other communication equipment;
- a record book for recording incidents
where first aid has been given.
For a new Data Protection Compliant accident
book, click here.
Who should have
access to the first aid room?
A first aid room should be reserved specifically for providing
first aid and your appointed person and/or first aider should
be given the responsibility for the room. It should be easily
accessible to stretchers and emergency personnel and be clearly
signposted and identified.
(First aid rooms should be easily identifiable
by white lettering or a white cross on a green background).
For first aid signs, click
here.
First Aid Signs
What signs should
I have?
All first aid boxes must have a white cross on a green background.
First Aid signs should be white writing on a green background.
These should be prominently displayed and completed with the
names of the designated people. First Aid boxes that are stored
in a cupboard must have a sign on the cupboard door.
Some First Aid boxes are orange, but still
have a sign on the box which is white lettering and green
background. These are used for outdoor activities, i.e. construction
sites or childcare trips.
Where should I
put them?
The signs should be placed where they can be seen (not obstructed
from view) and easily identified.
First Aiders
How many First
Aiders do I need?
The table
provides some guidance on the number of First Aiders, depending
on the level of risk identified. There is no definitive answer
to the question as it will largely depend on the outcome of
your assessment of first aid needs. For advice please call
0800 5942134.
To book your own on-site training course
Click
Here
To book an open course Click
Here
Can legal action
be taken against First Aiders?
It is very unlikely that any action would be taken against
a first aider who was using the first aid training they have
received. We cannot give any specific advice on this issue
as we are not lawyers. However, in our experience, First Aiders
are not sued for giving first aid, but many companies are
sued for a breach in health and safety legislation that resulted
in the injury requiring first aid.
Every case is unique and we would suggest
you seek legal advice or check with your employer’s
insurance broker on the first aid liability cover.
An example when a first aider may be sued:
the casualty is hysterical and the first aider slaps across
the face. This would be classed as “assault”,
not first aid.
Does my employee
need to do any training to be a first aider?
Yes. If you have identified that your workplace needs First
Aiders, they must have completed an approved training course.
Click
Here to find a suitable course.
Record Keeping
Do I need to record
incidents requiring the attention of a first aider?
It is good practice to provide your First Aiders/appointed
persons with a book in which to record incidents that required
their attendance. The information kept can help you identify
accident trends, blackspots in the workplace and possible
areas for improvement in the control of health and safety
risks. It can also be used for reference in future first aid
needs assessments. This record book is not the same as the
statutory accident book though the two could be combined.
The statutory accident book changed on 31st December 2003
to incorporate the Data Protection Act. To get a new book
Click Here.
Useful information to record from
any incident might include:
- date, time and place of incident;
- name and job of the injured or ill person;
- details of the injury/illness and what
first aid was given;
- what happened to the person immediately
afterwards (for example went home, went back to work, went
to hospital);
- name and signature of the first aider
or person dealing with the incident.
Who is responsible
for keeping the records?
It is usually the first aider or appointed person who looks
after the accident book. However, employers have overall responsibility.
Tablets and Medications
Are First Aiders
allowed to give tablets and medications to casualties?
First aid at work is the initial assistance given at the scene
of an accident or when presented with illness. It does not
include giving tablets or medications to treat illness and
these items should not be kept in the first aid box. However,
strictly speaking, there is no legal bar to employers making
such items available to employees, if the assessment of first
aid needs indicates they should be provided. There is no objection
to paracetamol or aspirin being made available in the workplace.
First Aiders issuing these tablets should have a reasonable
understanding of what is involved.
Some employers choose to provide vending
machines for dispensing paracetamol. These machines should
not be located in areas where the public will have access
to them.
Where employees carry their own medications,
such as inhalers for asthma or 'Epipens', which contain injectable
adrenaline for the treatment of severe allergic reactions
(anaphylactic shock), the first aider's role is limited to
helping the employee to do so and contacting the emergency
services as appropriate.
Medicines legislation restricts the administration
of injectable medicines. Unless self administered, they may
only be administered by or in accordance with the instructions
of a doctor (eg by a nurse). However, in the case of adrenaline
there is an exemption to this restriction which means in an
emergency, a suitably trained lay person is permitted to administer
it by injection for the purpose of saving life. The use of
an Epipen to treat anaphylactic shock falls into this category.
Therefore, First Aiders may administer an Epipen if they are
dealing with a life threatening emergency in a casualty who
has been prescribed and is in possession of an Epipen and
where the first aider is trained to use it.
Cyanide Poisoning
What is the first
aid treatment for cyanide poisoning?
| OVERALL OUTLINE
OF FIRST AID TREATMENT FOR CYANIDE POISONING |
| Speed is of the essence.
Obtain immediate medical aid. |
| Protect yourself and the
casualty from further exposure during decontamination
and treatment. |
| Inhalation: |
Remove casualty from exposure,
rest and keep warm. Oxygen should be administered if available.
If breathing has stopped give artificial ventilations
using oxygen and a suitable mechanical device such as
a bag and mask. Do not use mouth to mouth resuscitation. |
| Skin contact: |
Remove all contaminated clothing immediately.
Wash the skin with plenty of water. Treat casualty as
for inhalation. |
| Eye contact: |
Immediately irrigate with water for
at least twenty minutes. Treat casualty as for inhalation. |
| Ingestion: |
Do not give anything by mouth. Treat
casualty as for inhalation. |
There is no recommended use of any antidote
in the first aid treatment of cyanide poisoning. Employers
will not be required to keep supplies of an antidote.
The Law
People at work can suffer injury
or illness. It doesn't matter whether this is caused by their
work or not - what is important is that arrangements have
been made to ensure people receive immediate attention if
they are injured or taken ill at work. The initial management
of injuries and illness, until medical aid is available, could
make a difference between life and death.
This page draws together mainstream
advice on all aspects of First Aid -including the number of
first aiders needed, what should be kept in a first aid box,
first aid offshore. The information and guidance available
on this site is for everyone - employers, employees and First
Aiders. To keep abreast of developments in First Aid join
our Members List and benefit from:
- Early Birds Discounts on courses
- Notification of new Product Releases
- E-mail newsletter with updates on First
Aid related topics
- Ask the First Aider” Updates –
a continuous professional development programme that keeps
you abreast of changes in First Aid techniques
The Health and Safety (First-Aid)
Regulations 1981 require that in order to provide first aid
to their employees who are injured or become ill at work,
employers must have adequate and appropriate equipment, facilities
and personnel. Regulation 3(2) states that:
- For this purpose a person shall not be
suitable unless he has undergone such training and has such
qualifications as the is approved.
Detailed information can be
found in the Approved Code of Practice and Guidance: First
Aid at Work. The Health and Safety (First-Aid) Regulations
1981 L74.
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