RIDDOR February 1998 GUIDANCE ON MAKING A REPORT UNDER THE REPORTING OF INJURIES, DISEASES, AND DANGEROUS OCCURRENCES REGULATIONS (RIDDOR) 1995 INTRODUCTION R1. The Reporting of Injuries Diseases and Dangerous Occurrences Regulations (RIDDOR) 1995 require certain accidents, dangerous occurrences and work related ill health to be reported to the Health and Safety Executive (HSE). R2. The requirement applies not only to employees of the Trust and School but in certain circumstances also non-employees such as patients, students, visitors and self employed workers. R3. A report of a work related death, major injury (listed under R6.1 - R6.9) or a dangerous occurrence must be made as soon as possible by telephone (normal working hours) and then followed up within 10 days by completing RIDDOR form F2508. A note should be kept of details of the telephone call. A report of an over 3 day injury, requiring 4 or more days away from normal duties should also be made within 10 days. See R14 for details of form. R4. Guidance is given in the Royal Free Occupational Health Guidelines for Managers. The Safety Advisers may also be contacted for advice on extension 8034/8035 or telephone 0171 830 2520/2521. PERSON RESPONSIBLE FOR MAKING THE RIDDOR REPORT R5. The reporting requirements relate to the following types of incident. Type of Incident To Be Reported By A Death, major injury and over 3 day injury Head of Department/Senior Manager B Dangerous Occurrence Building Senior Projects/Works Manager C Dangerous Occurrence Fire Fire Officer D Dangerous Occurrence Biological Agent Head of Department/Senior Manager in consultation with Biological Safety Officer or Infection Control Officer or OH Consultant E Dangerous Occurrence Breathing Apparatus Head of Department/Senior Manager in consultation with Safety Adviser. F Work related ill health OHSU doctor 1 CLASSIFICATION OF TYPES OF INJURIES R6. In addition to death, the following classes of injuries are reportable as a result of a work related accident. Major Injuries R6.1 Any fracture except fingers, thumbs or toes. R6.2 Any amputation. R6.3 Dislocation of the shoulder, hip, knee or spine. R6.4 Loss of sight (temporary or permanent). R6.5 Chemical or hot metal burn to the eye or any penetrating injury to the eye. R6.6 Any injury resulting from an electric shock or electric burn leading to unconsciousness or requiring resuscitation or admission to hospital for more than 24 hours. R6.7 Any other injury leading to hypothermia, heat induced illness or to unconsciousness, requiring resuscitation or admittance to hospital for more than 24 hours. R6.8 Loss of consciousness caused by asphyxia or exposure to harmful chemical or biological agent(1). R6.9 Acute illness requiring medical treatment or loss of consciousness as a result of absorption of a chemical or biological agent by inhalation, ingestion or through the skin. Also acute illness as a result of exposure to a biological agent, its toxins or infected material. Over 3 Day Injury R6.10 This includes being off work for more than 3 days or being incapacitated to such an extent that normal duties cannot be performed. This does not include the day of the accident but weekend days should be counted where the person would have been off work or on modified duties had they been normal working days. A - REPORTING A DEATH, MAJOR INJURY OR OVER 3 DAY INJURY R7. R8. Different reporting criteria apply to making reports for employees and non-employees. These are detailed in R8 to R11. Employees The following should also be regarded as employees for the purposes of RIDDOR: agency staff, volunteers and postgraduate students who are employed. If any employee dies as a result of an accident or suffers any of the injuries listed in point R6, then the accident is reportable under RIDDOR. Death associated with an accident is also reportable if it occurs for up to one year following the accident. This report is required irrespective of whether a RIDDOR report was made at the time of the accident. 2 R9. R10. R11. Violence to an employee is now included in the definition of an accident. To be reportable under RIDDOR, the injury must be of the severity of one of the classes listed in R6. Violence to non-employees (other than volunteers and postgraduate students) is not reportable. Non-employees Non employees include the following: patients, visitors, contractors and undergraduate students. A report needs to be made if as a result of an accident any of the following occur: i death ii an injury to a non employee who is at a site other than the Royal Free Hospital and needs to be taken to any A&E Department. iii an injury to a non employee who is already at the Royal Free Hospital (or School of Medicine) and who has one of the injuries listed under R 6.1 to R 6.9. A self employed person working under the direction of a Trust or School manager should be treated like an employee for the purposes of RIDDOR. Contractors are responsible for making a report for their own employees. This includes contract staff who may be permanently based on site. Where a report is made by a contractor, the Safety Adviser must also receive a copy of the report. B, C, D, E - REPORTING A DANGEROUS OCCURRENCE R12. Most dangerous occurrences relate to problems with building structures. Where these occur, the report will be made by one of the Projects or Works Directors or Senior Managers. There are three exceptions: fire, release of a biological agent and failure of breathing apparatus Fire which causes stoppage or suspension of normal work in the area where it occurs will be reported by the Fire Officer. Copies of the RIDDOR report will also be forwarded to the Directors of Projects and Operations. Accidental releases of biological agents are reportable where the agent is classed in either Hazard Groups 3 or 4(2). The report should be made after consultation with the Biological Safety Officer or the Infection Control Officer. The Occupational Health Consultant will report staff related exposure. Breathing apparatus: Failure of breathing apparatus when in use should be reported by the manager concerned, in consultation with the Safety Adviser. F - REPORTING A CASE OF DISEASE R13. This requirement applies only to employees (including volunteers and both undergraduate and postgraduate students). RIDDOR requires the reporting of any occupational disease listed in Schedule 3 of the Regulations and arising out of specified activities. Those where there is a potential risk in the Trust or School include: 3 • Conditions caused by exposure to ionising radiation. • Certain work related upper limb disorders, eg cramp of hand or forearm, inflammation of the tendons associated with repetitive movements etc. • Certain infections, eg hepatitis, legionellosis, • Poisoning by certain substances, eg acrylamide, arsenic, benzene, beryllium, cadmium, carbon mercury etc. • Occupational dermatitis • Occupational asthma tuberculosis etc. All possible cases of occupational disease must be referred to the OHSU who will be responsible for reporting to the HSE. This includes cases of work related illness where the diagnosis has been made by the employee's General Practitioner. Further guidance is given in the Occupational Health Guidelines for Managers. Report Forms F2508 R14. Trust. F2508 forms are available from the Directors/General Managers office of all clinical Divisions, the Directorates of Finance, Operations and Projects/Works. The forms for other Directorates are available from the Safety Advisor. School F2508 forms are obtainable from the Secretary's office. R15. Reports on form F2508 should be forwarded to: Health and Safety Executive St Dunstan’s House 201-211 Borough High Street London SE1 1GZ Tel: 0171 556 2100 Fax: 0171 556 2153 Copies of all reports must also be forwarded to the Safety Adviser in OHSU. References (1) Biological agent includes any bacterium, virus or fungus. (2) Categorisation of biological agents according to hazard and categories of containment, ACDP, 4th Edition, 1995. C\Policies\RIDDOR January 1998 4 5