First Aid Procedure_Entura Cambridge
HSE
P0902
–First Aid Procedure
Purpose:
The purpose of this procedure is to ensure the provision of First Aid services at all Hydro
Tasmania managed workplaces and assets.
Table of Content
Currency of first aid assessment 4
Numbers of First Aiders and Training Requirements
First aid kits and first aid equipment
Health professionals and access to medical services
Automated external defibrillator
Notifying injured person’s family of injury /illness
Debrief to all persons involved in event
3.15
Annual review Ошибка! Закладка не определена.
Owner(s):
Approver:
Hydro Tasmania Document
Revision 0
Revision Date: 19 March 2014
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Revision 0
Print Date: 13/04/2020
1.
OBJECTIVES
To describe the processes of delivering First Aid services at all Hydro Tasmania managed workplaces and assets, and the methodology;
First aid assessment,
Designation of facility type,
Types of first aiders required,
Training required,
First aid kits, their composition and location,
First aid rooms and their composition,
Health professionals and access to medical services,
Communication of first aid provisions & procedures.
Page2 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
2.
PROCESS
Hydro Tasmania
Group Workplace
1. First Aid
Assessment (FAA) done for workplace?
N
2. FAA of workplace
3. Workplace designated as High or Low Risk
4. First Aiders trained based on
FAA
5. First Aid kits supplied and maintained based on FAA
Y
Y
Does FAA require review?
See Section 3.1
Revision 0
Print Date: 13/04/2020
1.
Establish if a First Aid Assessment (FAA) has been conducted for the workplace. If the FAA is valid and all controls are in place, no further action is required. If the FAA is not valid or all controls are not in place, proceed to step 2.
Ref. Section 3.1
2.
A FAA (Appendix A) shall be conducted in accordance with Section 3.2
3.
Based on the assessment, the workplace will be deemed as a High Risk or a Low Risk workplace.
Ref. Section 3.3
4.
First aiders shall be trained in accordance with
Section 3.4.
5.
First aid kits are to be supplied and maintained in the workplace and will conform as a minimum to the requirements in Appendix B.
The type, number and location of the first aid kits will be driven by the First aid assessment.
Ref. Section 3.5
6.
First aid rooms will be established as required and meet minimum levels of first aid equipment (Appendix C). Additional first aid equipment may be required based on the First
Aid Assessment. Ref. Section 3.6
7.
First aid arrangements and procedures shall be communicated to employees, contractors and visitors as appropriate. Ref. Section 3.9
N
6. First Aid room established and equipped based on
FAA
7. First Aid arrangements and procedures communicated
End
Page3 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
3.
PROCESS DETAIL
3.1
Currency of first aid assessment
3.2
Conduct first aid assessment
Revision 0
Print Date: 13/04/2020
All Hydro Tasmania managed workplaces shall have suitable means of providing first aid which are appropriate to the workplace.
A First Aid Assessment (FAA) shall be used to review FA requirements. A FAA will be conducted:
For green field projects
When Major projects/outages are likely to significantly change the first aid capability for the area/work site.
During a review of Emergency Management documentation or in response to drills.
In response to an Incident Investigation finding
Where Legislation requires it.
To ensure a systematic approach is adopted in the identification of first aid needs in the workplace, an assessment shall be carried out. The assessment shall consider at least the following factors:
Work process, size and layout of the workplace,
The number and distribution of employees, contractors and visitors, including arrangements such as shift work, overtime and flexible hours,
Nature of hazards and the severity of the risk at the workplace,
Location of the workplace; and
Known occurrences of accidents or illnesses.
Workers working in isolation
Substances/materials used
Medical response times
Communication systems and procedures.
The first aid assessment can be found in Appendix A. Subsequent
Risk Assessment and Corrective Action should be applied according to HSEP0301 – Hazard Identification and Risk Management
Procedure
3.3
Workplace risk level
Based on the First Aid Assessment, the workplace will be assessed as High Risk or Low Risk.
Low Risk workplaces are those where workers are not exposed to hazards that could result in serious injury or illness (i.e. offices).
Potential work-related injuries and illnesses requiring first aid would be minor in nature.
High risk workplaces are those where workers are exposed to hazards that could result in serious injury or illness and would require first aid. Examples of workplaces that may be considered high risk are ones in which workers:
Page4 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Revision 0
Print Date: 13/04/2020
3.4
Numbers of First
Aiders and
Training
Requirements
3.5
First aid kits and first aid equipment
use hazardous machinery (for example, mobile plant, chainsaws, power presses and lathes)
use hazardous substances (for fuels, fertilizers, etc.)
are at risk of falls that could result in serious injury (for example, dam maintenance, wind turbine maintenance & inspection)
carry out hazardous forms of work (for example, working in confined spaces, welding, demolition, electrical work and abrasive blasting)
work in or around extreme heat or cold.
Level 1 first aid is the minimum requirement for all workers engaged for trade and construction type work activities including access to hazardous and restricted areas of Hydro Tasmania.
Note: All Hydro Tasmania field based personnel shall have Level 2 first aid (Apply First Aid).
All office based First Aiders shall have Level 2 first aid (Apply First
Aid). All other office based personnel are not required to have first aid training. The number of First Aiders required at a workplace will vary according to the nature and scale of the risks.
Safework Australia recommends the following;
low risk workplaces – one first aider for every 50 workers
high risk workplaces – one first aider for every 25 workers.
High risk workplaces that do not have timely access to medical and ambulance services should have at least one first aider for every 10 workers.
Training for the use of first aid equipment deemed necessary by the first aid assessment (i.e. AED’s, Oxy Resuscitators etc.) should be provided to First Aiders who will be utilising it.
Training shall be kept up to date.
Note: Please see Hydro Tasmania’s Safe Work Practice Handbook
(Section 2 - Table 5 and Section 5.6) for more information.
All workplaces should have access to a First Aid Kit, the minimum composition of which is listed in Appendix B.
Vehicles should have a basic kit (Appendix B).
First Aid Kits shall be clearly identified, accessible and located either in, or nearby to, areas where injuries are likely to occur (i.e. workshops, warehouses, kitchens etc.)
First Aid Kits shall be maintained and restocked on a regular basis,
Page5 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Revision 0
Print Date: 13/04/2020 the frequency of which is dependent on the nature and scale of the risks at the workplace and detailed in the First Aid Assessment. First
Aid Kits should be refilled after use by a competent person. A maximum allowable time between restocking is twelve months.
Automated External Defibrillators (AED’s) should be provided in sufficient numbers in the workplace as identified in the First Aid
Assessment. AED’s should be located so as to ensure a rapid response within 3 minutes. Areas for consideration include:
areas where many people work closely together, such as office buildings or warehousing operations;
close to a confined space; and
areas where electric-powered devices are used.
Other first aid equipment (i.e. Oxy Resuscitators) should be provided if identified in the first aid assessment.
Persons in a workplace should be consulted regarding the number and composition of first aid kits and first aid equipment.
3.6
First aid rooms A first aid room should be established at a workplace if the first aid assessment indicates that it would be difficult to provide appropriate first aid unless a first aid room is provided.
3.7
Health professionals and access to medical services
Safework Australia recommends the provision of a first aid room in the following situations:
low risk workplaces with 200 workers or more
high risk workplaces with 100 workers or more.
The items provided in a first aid room will be based on the first aid assessment of the workplace. The minimum requirements can be found in Appendix C.
Maintaining a first aid room should be allocated to a trained occupational first aider (Manage First aid in the Workplace).
The First Aid Assessment shall identify;
the closest Occupational medical services provider
the nearest hospital providing emergency department
if after hours work is required, then does the emergency department work a night shift service.
As a general rule all persons should err on the side of caution. If ever in doubt about a patient’s status, call an ambulance.
Emergency personnel will ascertain over phone or in person whether the patient needs to be taken to hospital.
Page6 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Revision 0
Print Date: 13/04/2020
3.8
Automated external defibrillator
The AED machines are to be used in conjunction with cardiopulmonary resuscitation (CPR). The AED is not to be used on patients weighing less than 25 kg or less than eight years of age. A response time of six minutes from time of incident to first shock is the ideal time frame in order to increase likelihood of the patient’s survival.
All First Aid Officers are trained in the use of AED machines, with the training updated annually as part of the annual first aid update refresher .
AED machines should be located in accordance with Section 3.5 of this procedure.
3.9
Communications All persons working for Hydro Tasmania shall be provided with site specific induction training. This training shall include:
The identity of First Aiders
The responsibilities of First Aiders, and how personnel shall be treated in the event of an injury
First aid facilities and locations
First aid arrangements and procedures at Hydro Tasmania shall be communicated to employees, contractors and visitors. This may be achieved by;
Site induction
Posters of trained First Aiders with names and pictures
Signage of first aid kits and first aid rooms.
Emergency Management Documentation
3.10
Reporting and confidentiality
All first aid incidents shall be reported by using procedure
HSEP1401 – Incident Management Procedure and the Incident
Management module of mysap.
Medical records and details of treatment are confidential and shall be treated as such.
3.11
Infection control Universal standard precautions in first aid response is an assumption that all blood and bodily fluids are a potential source of infection, independent of diagnosis or perceived risk. All First
Aiders are required to adopt the universal precaution approach as prescribed in their training.
Face masks are available in each first aid kit and are to be used to provide emergency expired air resuscitation. When a face mask has been used First Aiders should contact the manager to arrange a replacement for the first aid kit.
First Aiders should be aware of what to do if they have accidental contact with blood or body substances, or a sharps injury contact with a person known to have a contagious illness. Any part of the
Page7 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Revision 0
Print Date: 13/04/2020
3.12
Notifying injured person’s family of injury /illness
3.13
Decision to call
Ambulance body comes in contact with blood or body substances should be washed with soap and water immediately. Prompt medical advice should be obtained.
All First Aiders should be offered hepatitis B virus vaccination.
All items that are soiled with blood or body substances should be placed in plastic bags and tied securely. Sharps, including scissors and tweezers, that have become contaminated with blood or body substances should be disposed of in a rigid-walled, punctureresistant sharps container.
If a First Aider sustains a sharps injury or thinks they are at risk of infection from blood or bodily fluid contamination, they should seek prompt medical advice.
In the event that a person requires further medical attention beyond that which can be provided at a Hydro Tasmania workplace and the patient is not able to contact their family or nominee, the manager to which the patient is associated is responsible for arranging for the immediate family or nominee to be notified. This can be assisted through:
The patient advising a Hydro Tasmania representative of the relevant persons and their contact details and requesting that those person/s be notified;
If the patient is not conscious:
The emergency contact information located within the staff personnel file can either be given to emergency service personnel or used directly by the manager to advise family of the incident.
If the patient is a contractor the relevant contact within the workplace is to contact the person’s employer.
If the patient is a member of public the manager shall at their discretion contact the injured person’s nominated next of kin.
Alternately emergency services personnel can be requested to make this contact.
As a general rule all persons should err on the side of caution. If ever in doubt about a patient’s status, call an ambulance.
Emergency personnel will ascertain over phone or in person whether the patient needs to be taken to hospital.
A patient has the right to refuse to go with paramedics in an ambulance, however once a patient has made this decision against the advice of paramedics they are obligated to leave the Hydro
Tasmania premises. The manager shall arrange for a taxi or family member to be contacted to arrange a safe journey home.
Under no circumstances should Hydro Tasmania staff drive a patient in their personal car or company vehicle. The only exception to this would be in the event of field trip to a remote
Page8 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Revision 0
Print Date: 13/04/2020
3.14
Debrief to all persons involved in event area and emergency personnel determine the most appropriate course of action is that the injured party is driven from the area to another location where emergency services await.
For any first aid response which requires significant support and care of the patient or which occurs during extenuating circumstances, a debrief of the event will take place as part of the incident / investigation process.
The aim of any debrief is to identify the strengths, and deficiencies of the response plan as revealed by the incident. The following personnel should be involved in the evaluation:
Human Resources Manager
First Aid Officer who responded
Work Support Officer
4.
ROLES & RESPONSIBILITIES
First Aider
Providing First Aid to sick and injured employees, visitors, contractors and customers appropriate to the level of the first aid qualifications held
Avoiding risk to themselves and others through adherence to safe procedures in all treatment situations, including the management of communicable diseases
Attend first aid training
HR Training of First Aiders
Maintenance of Training records
Occupational First Aider
Maintain the first aid room.
Workplace Manager
Ensure the provision of First Aid services as appropriate to their workplace and the activities undertaken there.
5.
DEFINITIONS
Automated external defibrillator (AED)
A medical device designed to analyse the heart rhythm and deliver an electric shock to victims of ventricular fibrillation to restore the heart rhythm to normal. Ventricular fibrillation is the uncoordinated heart rhythm most often responsible for sudden cardiac arrest.
First aid
First Aider
First aid equipment
The immediate treatment or care given to a person suffering from an injury or illness until more advanced care is provided or the person recovers.
A person who has successfully completed a nationally accredited training course or an equivalent level of training that has given them the competencies required to administer first aid.
Includes first aid kits and other equipment used to treat injuries and illnesses.
Page9 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
First aid facilities
Revision 0
Print Date: 13/04/2020
Includes first aid rooms, health centres, clean water supplies and other facilities needed for administering first aid.
High risk workplace
Low risk workplace
A workplace where workers are exposed to hazards that could result in serious injury or illness and would require first aid.
A workplace where workers are not exposed to hazards that could result in serious injury or illness (such as offices). Potential workrelated injuries and illnesses requiring first aid would be minor in nature.
6.
RELATED DOCUMENTS & RESOURCES
First Aid in the Workplace – Code of Practice : Safework Australia 2012
HSEP0301 – Hazard Identification and Risk Management Procedure
HSEP1401 – Incident Management Procedure
Safe Work Practices Section 5.6 – First Aid
Safe Work Practices Section 9.2 – Transmissible infections and diseases
7.
REVISION HISTORY
Revision number
0
1
Revision date
Detailed revision description
09/12/2013 Draft document prepared for hearing
24/02/2014
Entura document altered to encompass all of
Hydro Tasmania.
Reviewed by
Adam
Rosevear
Approved by
Page10 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Appendix A – First Aid Assessment
The size and location of the workplace
Revision 0
Print Date: 13/04/2020
Site description
Nearest hospital
Office building consisting of three single story, open plan interconnected office accommodation wings.
The building also contains a library, wet and electronics laboratories, kitchens, plus various meeting and computer rooms.
15 km
Nearest medical or occupational health service
Maximum time to medical service
1 km
5 minutes
Response time for emergency services <15 minutes
The number and composition of the staff and other persons at the workplace
Number of staff
Number of other visitors
Shift
Overtime worked
Injuries, illness and incidents
220
10 to 15 visitors per day
Day shift only
Yes – regularly
Last 12 months' claims data
Incidents not resulting in injury
Other
Nil
Leakage of rain water from sky light.
Team member at risk of hitting head on protruding metal threads.
Hand sanitiser placed at all entrances during the Flu season to minimise the spread of infection.
Nature of work being carried out and the nature of hazards at the workplace
Hazards
Sitting for long periods at workstations
Working with electricity in the high voltage test lab
Working with chemicals in the wet lab
How the hazard could cause harm
Potential for RSI and posture related issues
Potential for electrocution
Potential for substance burns and inhalation of toxic fumes
Likelihood of occurrence and degree of harm
Low likelihood of occurrence.
Mitigated by ergonomic assessments.
Unlikely to treat with first aid.
Low likelihood of occurrence.
Mitigated by safe equipment and safe systems of work.
Incident may require first aid treatment.
Low likelihood of occurrence.
Mitigated by provision of ventilation and safe systems of work.
Incident would likely require first aid treatment.
Page11 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Manual handling of equipment in ancillary building
Potential for strain injury.
Revision 0
Print Date: 13/04/2020
Medium likelihood of occurrence.
Mitigated by the use of manual handling equipment and safe systems of work.
Incident would likely require first aid treatment.
Required first aid
Number of first aiders needed
Training and competencies for first aiders
First aid facilities
Number and location of first aid kits
Contents of first aid kits and modules
First aid kit maintenance
Other first aid equipment
Under the ‘First aid in the workplace’ Code of
Practise (CoP) the Cambridge site is considered to be a low risk workplace.
Accordingly a ratio of 1 first aider for every
50 staff is recommended, which equates to 5 first aiders for the site. Seven designated first aiders are in place.
First aiders are required to be trained to
‘Apply First Aid’ standard.
First aiders at Cambridge are trained in
‘Apply First Aid’, plus ‘Administer Oxygen’.
Given the number of staff at the site the First
Aid CoP recommends establishment of a first aid room. A first aid room has been established.
All workers must be able to access a first aid kit. Accordingly two kits shall be available in each office wing, plus additional kits shall be in place in high risk areas such as the laboratories and the ancillary building.
The First Aid CoP provides advice on contents of first aid kits. This is considered appropriate for the Cambridge site and kits have been stocked accordingly.
Maintenance is coordinated by the Service
Officer on Reception.
The First Aid CoP refers to Automatic
Defibrillators as a useful addition for workplaces where there is a risk of electrocution. Accordingly an AED is available on site; additionally oxygen resuscitation equipment is available.
Page12 of 16
Appendix B – First Aid Kit Contents
For most workplaces, a first aid kit should include the following items:
Item
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Revision 0
Print Date: 13/04/2020
Instructions for providing first aid – including Cardio-Pulmonary Resuscitation
(CPR) flow chart
Note book and pen
Resuscitation face mask or face shield
Disposable nitrile examination gloves
Gauze pieces 7.5 x 7.5 cm, sterile (3 per pack)
Saline (15 ml)
Wound cleaning wipe (single 1% Cetrimide BP)
Adhesive dressing strips – plastic or fabric (packet of 50)
Splinter probes (single use, disposable)
Tweezers/forceps
Antiseptic liquid/spray (50 ml)
Non-adherent wound dressing/pad 5 x 5 cm (small)
Non-adherent wound dressing/pad 7.5 x 10 cm (medium)
Non-adherent wound dressing/pad 10 x 10 cm (large)
Conforming cotton bandage, 5 cm width
Conforming cotton bandage, 7.5 cm width
Crepe bandage 10 cm (for serious bleeding and pressure application)
Scissors
Non-stretch, hypoallergenic adhesive tape – 2.5 cm wide roll
Safety pins (packet of 6)
BPC wound dressings No. 14, medium
BPC wound dressings No. 15, large
Dressing – Combine Pad 9 x 20 cm
Plastic bags - clip seal
Triangular bandage (calico or cotton minimum width 90 cm)
Emergency rescue blanket (for shock or hypothermia)
Eye pad (single use)
Access to 20 minutes of clean running water or (if this is not available) hydro gel
(3.5 g.m. sachets)
Instant ice pack (e.g. for treatment of soft tissue injuries and some stings).
Kit contents
Quantity
1
2
1
4
5
1
1
1
1
3
1
1
1
1
6
3
1
3
8
10
1
10
1
1
5 pairs
5 packs
1
1
1
Page13 of 16
Vehicle First Aid Kit;
Item
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Bandage conforming 5cm x 1.5m
Tape hypo-allergenic 2.5cm X 9.1m
Bandage triangular 110 X 110cm
Dressing wound No.15
Dressing non-adherent 10 X 10cm
Pad eye - Large
Strips adhesive in box X 50
Scissors S/S. sharp/blunt 12.5cm
Blanket emergency shock
Safety pin in bag X 12
Note pad & pencil in bag
Resus-O-Mask
Plastic bag S.J resealable 150 X 230mm
Swabs antiseptic (skin prep) each
Gloves nitrile in bag x 2 (med)
First aid quick reference
Revision 0
Print Date: 13/04/2020
Kit content
Quantity
1
1
1
1
2
2
1
1
1
1
1
1
1
2
1
1
Safety Warning Triangle
Safety Vest
1
1
Plastic Bag Resealable 100 X 180mm S.J. 1
Medication, including analgesics such as paracetamol and aspirin, should not be included in first aid kits because of their potential to cause adverse health effects in some people including asthmatics, pregnant women and people with medical conditions.
From the First Aid Assessment, some types of workplaces may require additional items to treat specific types of injuries or illnesses.
Outdoor work
If work is performed outside and there is a risk of insect or plant stings or snake bites, assess whether the following items should also be included in the first aid kit:
a heavy duty crepe bandage
sting relief cream, gel or spray.
Remote work
Where people work in remote locations, a first aid kit should include:
a heavy duty crepe bandage 10 cm (for snake bites)
large clean sheeting (for covering burns)
thermal blanket (for treating shock)
whistle (for attracting attention)
torch/flashlight.
The appropriate contents will vary according to the nature of the work and its associated risks.
Page14 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Revision 0
Print Date: 13/04/2020
Burn injuries
If people are at risk of receiving burns, the first aid kit should include the following items:
burn treatment instructions on two water-proof instruction cards: one for the first aid kit and the other to be located on the wall next to the emergency shower or water supply
hydro gel (8 × 3.5 gram sachets)
hydro gel dressings
clean polythene sheets (small, medium and large)
7.5cm cotton conforming bandage.
Page15 of 16
HSEP00902 – First Aid Procedure
C AUTION : Printed document is uncontrolled - Make sure you are using the current revision
Revision 0
Print Date: 13/04/2020
Appendix C - First Aid Room Requirements
Requirements
The contents of a first aid room should suit the hazards that are specific to the workplace.
The location and size of the room should allow easy access and movement of injured people who may need to be supported or moved by stretcher or wheelchair.
A first aid room should:
be located within easy access to a sink with hot and cold water (where this is not provided in the room) and toilet facilities
offer privacy via screening or a door
be easily accessible to emergency services (minimum door width of 1 metre for stretcher access)
be well lit and ventilated
have an appropriate floor area (14 square metres as a guide)
have an entrance that is clearly marked with first aid signage.
The following items should be provided in the room:
a first aid kit appropriate for the workplace
hygienic hand cleanser and disposable paper towels
an examination couch with waterproof surface and disposable sheets
an examination lamp with magnifier
a cupboard for storage
a container with disposable lining for soiled waste
a container for the safe disposal of sharps
a bowl or bucket (minimum two litres capacity)
electric power points
a chair and a table or desk
a telephone and/or emergency call system
the names and contact details of first aiders and emergency organisations.
Page16 of 16
