Corporate Health and Safety Policy

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IECHYD A DIOGELWCH CORFFORAETHOL                                                 Logo
CORPORATE HEALTH & SAFETY




  Corporate Health and Safety Guidance



                          First aid at work



                            Also available in this document series:
                            Corporate Policy:
                            Corporate Procedure:
                            Corporate Guidance:
                            Corporate Information:
                            Corporate Newsflash:




Written By:         09/08/2006          Gerry Lapington           Corporate H&S Advisor

Approved By:        August/2006         Helen Tapley              Corporate H&S Manager

Authorised by:      August/2006         Linda Atkin               Head of Central Personnel

Ratified by:        December/2006 Elected Members                 Corporate H&S Committee



Last Modified by:   /2006



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IECHYD A DIOGELWCH CORFFORAETHOL                                                   Logo
CORPORATE HEALTH & SAFETY




 Safety Statement:        Corporate Guidance: First aid at work
                               A stated objective of Denbighshire County Council in its Health and
                                Safety policy is to “comply with the provisions and requirements of the
                                Health and Safety at Work etc. Act 1974 and subordinate legislation
                                and other statutory provision”.

                               The Health and Safety (First Aid) Regulations defines the
                                requirement for Denbighshire County Council to make provision for
                                first aid at work for its employees.

                               Other relevant legislation

                               The Management of Health and Safety at Work regulations
                                requires employers to carry out suitable and sufficient risk
                                assessments for all activities.

                               The reporting of Injuries, Diseases and Dangerous Occurrences
                                Regulations 1995 (RIDDOR)
                                Requires employers to notify their enforcing authority in the event of
                                an accident at work to any employee resulting in death, major injury or
                                incapacity for normal work for three of more days. This includes any
                                act of non-consensual physical violence done to a person at work.

                               Safety Representative and Safety Committees Regulations 1997
                                (a) and the Health and Safety (Consultation with Employees)
                                Regulations 1996 (b)
                                Requires employers to inform, and consult with, employees in good
                                time on matters relating to their health and safety. Employee
                                representatives, either appointed by recognised trade unions under
                                (a) or elected under (b) may make representations to their employer
                                on matters affecting the health and safety of those they represent.

                               DCC also has a moral duty of care for its employees and others who
                                may be affected by its activities and operations.




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IECHYD A DIOGELWCH CORFFORAETHOL                                                     Logo
CORPORATE HEALTH & SAFETY



 Title:                   Corporate Guidance: First aid at work
 Purpose and              The purpose of this guidance is to provide the necessary information to
 Scope                    establish the level of first aid provision required by Denbighshire County
                          Council when carrying out any of its activities and operations.
 Contents:




                                Managers actions
                                Why make provision for first aid at work
                                What is first-aid at work?
                                Main requirements of the regulations
                                Consideration for non employees and the general public
                                Insurance for first aiders
                                Definition of a first aider
                                Definition of an appointed person
                                Availability of first aid personnel and appointed persons
                                Risk assessment
                                First aid containers
                                First aid room
                                Qualifications and training:
                                Guidance on the numbers of trained first aid personnel required.
                                Record keeping and accident reporting systems
                                Information for employees
                                Travelling and lone workers
                                Temporary and agency staff
                                Typical first aid signs




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IECHYD A DIOGELWCH CORFFORAETHOL                                                      Logo
CORPORATE HEALTH & SAFETY




                          Corporate Guidance: First aid at work
 Managers
 Actions:                 Guidance for managers
                          Managers have the task of ensuring that DCC complies with the main
                          requirements of the regulations and fulfils its duty of care.

                          It is necessary to establish a written procedure to address first aid issues at
                          work by following a systematic process;

                                Ensuring a risk assessment of the activities undertaken that could
                                 give rise to injury is carried out.

                                Determination of the level of first aid cover to be provided

                                Identification of equipment and treatment facilities required

                                Provision of first aiders and appointed persons

                                Provision of appropriate first-aid training and refresher training to
                                 designated personnel.

                                Provision of suitable accident reporting and record keeping systems.

                                Information for and communication with employees.

                             .




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IECHYD A DIOGELWCH CORFFORAETHOL                                                 Logo
CORPORATE HEALTH & SAFETY




           Corporate Guidance: First aid at work
           Why make provision for first aid at work
              A stated objective of Denbighshire County Council in its Health and Safety policy
                is to “comply with the provisions and requirements of the “Health and Safety at
                Work etc. Act 1974” and subordinate legislation and other statutory provision”.
              The requirement for organisations to make provision for first aid at work is defined
                in the “Health and Safety (First Aid) Regulations” and compliance of this is
                therefore an objective of DCC.
              The requirement to carry out suitable and sufficient risk assessments for all
                activities is defined in the “Management of Health and Safety at Work
                regulations”
              DCC also has a moral duty of care for its employees and others who may be
                affected by its activities and operations.

           What is first-aid at work?
           The initial management of any injury or illness suffered at work either caused by the work
           itself or by some factor outside of the employer’s control. This may require an ambulance
           to be called but it does not include giving tablets or medicines to treat illness.

           Main requirements of the regulations
           To establish a written procedure to address first aid issues at work including:-
               A risk assessment of the activities undertaken that could give rise to injury
               Determination of the level of first aid cover to be provided
               Identification of equipment and treatment facilities required
               Provision of competent first aiders and appointed persons whenever people are at
                 work
               Provision of appropriate first-aid training and refresher training to designated
                 personnel.
               Record keeping and accident reporting systems

           Consideration for non employees and the general public
           Although the “First Aid at Work Regulations” do not oblige employers to provide for first
           aid for anyone other than their own employees;
                As a service provider Denbighshire County Council already considers the public
                   where they are invited onto some county council premises i.e. leisure centres,
                   swimming pools and educational establishments etc. When determining the level
                   of first aid provision DCC should therefore consider any person affected by any of
                   our activities on any of our premises.




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IECHYD A DIOGELWCH CORFFORAETHOL                                                   Logo
CORPORATE HEALTH & SAFETY



           Insurance for first aiders
           Persons carrying out first aid duties often ask whether they are insured against litigation
           by their employer.
                When trained and authorised first aiders are carrying out their duties for DCC, they
                  are covered by the organisations public liability insurance.
                They are not insured for first aid activities outside of their work environment.
                An individual’s work environment is determined by the type of work they do i.e:-
                     o A home help is at a place of work when in a client’s home carrying out their
                        duties.
                     o A member of the public protection team, trading standards team or health
                        and safety team are at a place of work when visiting external facilities.

           Definition of a first aider
           A first aider is a person who has attended a recognised first aid course and has a current
           certificate of competence. Personal factors that will also be required for a first aider are;
                    Reliability, disposition and communication skills
                    Aptitude and ability to absorb new knowledge and learn new skills
                    Ability to cope with stressful and physically demanding emergency procedures
                    Normal duties such that they may be left to go immediately and rapidly to an
                       emergency.

           Definition of an appointed person
           Where an assessment of first aid needs identifies that a first aider is not necessary, the
           minimum requirement is to appoint a person to take charge of the first aid arrangements,
           including looking after the equipment and facilities and calling the emergency services
           when required.
                Arrangements should be made for an appointed person to be available to
                  undertake these duties at all times when people are at work.
                It should be remembered that appointed persons are not first aiders and so should
                  not attempt to give first aid for which they have not been trained.
                It is strongly recommended that appointed persons attend emergency first aid
                  training for appointed persons. These courses normally last for four hours and
                  cover the following subjects:
                   What to do in an emergency
                   Cardio-pulmonary resuscitation
                   First aid for the unconscious casualty
                   First aid for the wounded or bleeding




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IECHYD A DIOGELWCH CORFFORAETHOL                                                      Logo
CORPORATE HEALTH & SAFETY



           Availability of first aid personnel and appointed persons
               The risk assessment will identify the number of first aider \ appointed persons that
                 needs to be available whilst people are at work.
               This level of cover must be maintained during foreseeable absences such as
                 holidays, sickness, training etc.
           Example:
               County hall in Ruthin is a three storey office building.
               The first aid assessment has identified the need for one first aider per level to be
                 available whenever people are at work.
               To accommodate foreseeable absences there are four trained and authorised first
                 aiders per level.
               The names of the first aiders are identified on notice boards on each level.
               In extreme circumstances where the four first aiders from one level may be absent
                 at the same time, it is reasonable to rely on support from personnel on the other
                 levels.

           Risk assessment
           Employers may need to justify on what grounds the level of first aid has been set. DCC
           requires that a formal written risk assessment of the first aid need in all its facilities and
           covering all its employees is made. The assessment can be recorded on the DCC
           general risk assessment form (GRA06)

           Risk assessments are a line management responsibility although the actual task of
           completing assessments may be delegated to competent staff.

           The risk assessment should consider the following;

                 Workplace hazards and risks (type and variety of work being carried out,
                  equipment in use, work environment etc)
                 The size of the organisation (building, facility, site i.e. school, sports centre,
                  workshop, vehicle yard etc.)
                 The history of accidents (number, type, severity)
                 The nature and distribution of the workforce (number of people including the public
                  who may be present, potential age, potential capabilities, etc)
                 The number and likely locations of children on the premises
                 The number, changing circumstances and locations of new or expectant mothers
                  on the premises.
                 The remoteness of the site from emergency medical services, how long you
                  consider it may take for an ambulance to get to you in normal circumstances,
                  nearest doctor, nearest hospital etc.
                 The needs of travelling, remote and lone workers
                 Employees working on shared or multi-occupied sites (co-operation required
                  between groups using a multi site to ensure adequate provision, will the activities
                  of groups affect others)
                 Annual leave and other absences of first aiders and appointed persons



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IECHYD A DIOGELWCH CORFFORAETHOL                                                  Logo
CORPORATE HEALTH & SAFETY



           First aid containers
               First aid equipment should be kept in a suitably stocked and properly identified
                  first aid container
               All first-aid containers should be easily accessible and placed, if possible near to
                  hand washing facilities.
               First-aid containers should protect the contents from dust and damp and should
                  only be stocked with items useful for giving first-aid.
               Tablets and medicines should not be kept.

           There is no mandatory list of items that should be included in a first-aid container.
           Employers must decide what to include from information gathered during their
           assessment of first-aid needs. A minimum stock of first-aid items for a low risk
           workplace would normally be:
                  A leaflet giving general guidance on first-aid.
                  20 individually wrapped sterile adhesive dressing (assorted sizes), appropriate
                     to the type of work (e.g. coloured/detectable dressings for food handlers.
                  Two sterile eye pads
                  Four individually wrapped triangular bandages
                  Six safety pins
                  Six medium sized individually wrapped un-medicated wound dressings
                     approximately 18cm x 18 cm
                  Two pairs of disposable gloves

           Note this is a suggested contents list only.

                    A record of items that have been used should be maintained.
                    Persons using materials should remove any out of date, damaged or non
                     sterile items.
                    Persons using first aid materials should inform whoever is nominated for stock
                     replenishment of any shortage.
                    A stock check of items in the containers should be carried out regularly by the
                     persons nominated for this task and items should be replenished as
                     necessary.




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IECHYD A DIOGELWCH CORFFORAETHOL                                                  Logo
CORPORATE HEALTH & SAFETY



           First aid room
           Where the assessment identifies a first-aid room as a necessity, employers should
           provide a suitable first-aid room or rooms. The room should contain essential first-aid
           facilities and equipment, be easily accessible to stretchers and clearly signposted and
           identified. Where possible the room should be reserved exclusively for giving first-aid.

           For first aid rooms to be effective they should:
               Be large enough to hold a couch with water proof covering, with enough space at
                   each side for people to work.
               Have a desk
               Have a chair
               Have washable surfaces
               Have adequate heating
               Have ventilation
               Have suitable lighting
               Be kept clean
               Be kept tidy
               Be accessible for use at all times when people are at work
               Be positioned as near as possible to a point of access for transport to hospital
               Have a notice displayed on the door advising the names, locations and telephone
                   extension numbers of first aiders and how to contact them
           Typical examples of facilities and equipment a first aid room may contain are:-
               A sink with hot and cold running water
               Drinking water and disposable cups
               Soap and paper towels
               A store for first aid materials
               A foot operated waste bin lined with disposable yellow clinical waste bags
               A telephone or other means of communication equipment
               A record book for recording incidents where first aid has been given

           Qualifications and training:
            First aiders
                  o First-aiders must hold a valid certificate of competence in first-aid at work,
                     issued by an organisation whose training and qualifications are approved by
                     HSE.
                  o The training lasts for four days and includes an assessment
                  o Refresher training and re-testing of competence must be arranged prior to the
                     expiry of first-aid at work certificates.
                  o A training matrix is illustrated on the following page.
            Appointed persons
                  o Suitable and sufficient information and instruction to look after first aid
                     equipment.
                  o It is strongly recommended by the HSE that appointed persons attend a four to
                     six hour training session for emergency first aid. DCC has made this a
                     requirement for appointed persons.
            Trained persons should maintain their competence by practicing the techniques they
             learnt during their formal training.
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IECHYD A DIOGELWCH CORFFORAETHOL                                        Logo
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           Training matrix for first aiders (courtesy HSE June 2006)




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IECHYD A DIOGELWCH CORFFORAETHOL                                                Logo
CORPORATE HEALTH & SAFETY



             Guidance on numbers of trained first aid personnel to be available at all times
            when people are at work, based on assessments of risk and number of workers.
                   (extract from the “Health and Safety (first aid) Regulations 1981)

             Category of risk          Numbers employed       Suggested number of first-aid
                                       at any location        personnel
             Lower risk                Fewer than 50          At least one appointed person
             e.g. shops, offices,
             libraries                 50 – 100               At least one first-aider

                                       More than 100          One additional first-aider for every
                                                              100 employed
             Medium Risk             Fewer than 20            At least one appointed person
             e.g. light engineering
             and assembly work, food 20 – 100                 At least one first-aider for every 50
             processing, warehousing                          employed

                                       More than 100          One additional first-aider for every
                                                              100 employed
             Higher Risk               Fewer than 5           At least one appointed person
             e.g. most construction,
             slaughterhouse,           5 – 50                 At least one first-aider
             chemical manufacture,
             extensive work with       More than 50           One additional first-aider for every
             dangerous machinery or                           50 employed
             sharp instruments         Where there are        In addition, at least one first-aider
                                       hazards for which      trained in the specific emergency
                                       additional first-aid   action.
                                       skills are necessary

           Suggested risk category for DCC environments
            Low risk
                 Civic and other offices
                 Libraries
                 Small educational establishments such as village primary schools
            Medium risk
                 Special needs schools and large educational establishments such as junior
                    and secondary schools because of increased physical activities.
                 Work \ learning environments such as “Popty’r garn” and “task force”.
                 Sports centres.
            High risk
                 Vehicle workshops
                 Any construction works
                 Highways – road works
                 Workshops such as “Meifod”.



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IECHYD A DIOGELWCH CORFFORAETHOL                                                    Logo
CORPORATE HEALTH & SAFETY

           Record keeping and accident reporting systems
                 Records of risk assessments and their findings should be kept. To ensure that
                   risk assessments remain relevant they should be reviewed:-
                       o At least once in every two years
                       o Or when there has been an incident
                       o Or when a significant change occurs such as:-
                                       Numbers of people
                                       New staff
                                       Change of activities
                 Records of trained personnel should be held on the human resource system so
                   the availability of first aid cover can be identified at a glance.
                 All accidents or incidents that require first aid intervention should be recorded
                   along with the actions carried out by the first aider on an accident form.
                 Accident \ incident notifications should be entered onto the computer based
                   “SHE” system. The SHE system is an electronic data base that enables
                   accident and incident data to be used for statistics and analysis.

           Information for employees
           All employees should be made aware of the first aid provision in their workplace. The
           inclusion of first aid information in induction training will help to ensure that new
           employees are made aware of the first aid arrangements.

           Employees should be made aware of;
              The location of first aid equipment
              Who the first aiders and appointed persons are and where they may be located
              The fact that only trained personnel should carry out first aid.
              The fact that they may be asked to assist a first aider by calling the emergency
                services or maintaining an open area around an injured person.

           The information should be available in a suitable medium that can be understood by all
           employees so employers should consider:-
               The visually impaired
               Employees with language or reading difficulties
               People with other special needs who may be in the facility.

           Travelling, lone workers and remote workers
           DCC must meet the first aid needs of their employees working away from their main site
           or travelling as part of their work. The assessment should determine whether personnel
           in these positions carry a personal first aid kit and whether other arrangements should be
           put in place.
                Consider the need for a first aid kit on refuse vehicles and with road gangs
                Consider mobile communications equipment
                Is special training needed i.e. for those who may be at risk from physical hazards
                  or other people
                Where assessed as necessary, personal first aid kits for private cars used for
                  business may be provided, these are now commonly available (although the driver
                  may not be a trained first aider this kit could be used for self aid or other person to
                  assist)
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IECHYD A DIOGELWCH CORFFORAETHOL                                                  Logo
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                 Where first aid kits are provided for private car drivers these should be maintained
                  by the vehicle driver. Replacement items should be obtained through their line
                  manager who should purchase any required items.
                 Lone worker procedures should identify first aid and other emergency situations.

           Temporary and agency staff
           DCC has the same moral and legal duties to temporary and agency staff whilst they are
           employed by the organisation as they do for their permanent staff. Therefore these
           persons must be considered in the risk assessment;
               Are they at greater risk of injury due to lack of experience
               It is now common place for agency personnel to be foreign nationals therefore any
                 language barriers must be considered. Managers must find a reasonable method
                 of ensuring that all staff fully understand any instructions they are given.
               It should be considered that foreign nationals may be used to different working
                 conditions and Health and Safety standards to those enforced throughout the
                 United Kingdom of Wales, Scotland, England and Northern Ireland.
                  This is important because although there are theoretical harmonised standards
                     for Health and Safety throughout the European community. In reality the
                     standards applied in various countries vary significantly with the UK generally
                     having the most stringent standards.

           Signage.
           Facility managers are responsible for ensuring that appropriate signage is clearly visible
           and at suitable positions within the work environment identifying:-
               Who the first aiders are for a particular area
               Where the first aiders may be found
               Contact details for first aiders
               Where first aid equipment is located
               The first aid equipment itself should be clearly identified with a white cross on a
                   green background.

                 Suitable positions for signs are at facility entrance \ exit points, canteens,
                  workshops, reception areas etc. The signs need to be in areas where they will be
                  easily noticed by all staff.
                 The signs may be of the laminated type that enable names and other information
                  to be modified without the need to continually replace the signs
                 In DCC signs can be obtained from the “label centre” at Bodelwyddan or from the
                  ARCO and SETON catalogues




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IECHYD A DIOGELWCH CORFFORAETHOL                                          Logo
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                                         Typical first aid signs




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IECHYD A DIOGELWCH CORFFORAETHOL                                      Logo
CORPORATE HEALTH & SAFETY




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IECHYD A DIOGELWCH CORFFORAETHOL                                      Logo
CORPORATE HEALTH & SAFETY




        Eich Swyddogion Cymorth
               cyntaf yw:




          Your First Aiders are:




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