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					Community
Organisation
  Policy and Procedure for
Occupational Health & Safety
        Management
    For members, employees and volunteers
          working for the community


               Third Edition
                Revision 3.0
              January 1, 2006




             
Occupational Health & Safety Management                 Revision 3.0         January 1, 2006

                                                 Table of Contents
OHS CONSULTATION STATEMENT                                               3
Organisation Commitment                                                   3
OHS Reference Group                                                       3
OHS Representative                                                        3
POLICY AND PROCEDURES FOR OHS MANAGEMENT                                 4
General                                                                   4
 Policy                                                                   4
 Procedures                                                               4
 Responsibilities                                                         4
 Review                                                                   4
WORKPLACE-SPECIFIC INDIVIDUAL SAFETY AND HEALTH MATTERS 5
  Manual Handling                                                         5
  Hazardous Substances                                                    5
  Computer/Keyboard Work                                                  6
  Fire Safety                                                             6
  Use of Equipment                                                        7
  Accidents and Reporting                                                 7
  First Aid                                                               7
  Insurance                                                               7
RETURN-TO-WORK POLICY                                                    8
Commitments                                                               8
Procedures for action when injury occurs                                  8
  Follow-up after injury                                                  8
  Finding suitable duties                                                 8
  Involving a rehabilitation provider                                     8
  Consultation                                                            9
  Disputes                                                                9
Workplace Risk Analysis and Assessment                                    9
 Policy                                                                   9
 Procedure                                                                9
EMERGENCY PROCEDURES                                                     10
Fire                                                                     10
Internal Disaster                                                        10
  Bomb Threats                                                           10
  Armed hold up                                                          11
Fire Equipment                                                           11
  Water Stored Pressure (Red)                                            11
  Fire Blanket                                                           11
Procedures for treating a person who is Unconscious/Bleeding             13
Mouth To Mouth                                                           13
Cardiac massage – only if pulse is absent.                               14
Combination Mouth-To-Mouth And Cardiac Massage                           14
Control Of Bleeding                                                      14
PREVENTION PROCEDURES                                                    15
VDU Station / Desk Work Suggested Exercises                              15

REFER TO Community Organisation Policy and Procedure Manual FOR ALL OTHER POLICY AND
PROCEDURES


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Occupational Health & Safety Management                 Revision 3.0                              January 1, 2006

         OHS Consultation Statement
Organisation Commitment
   The organisation is committed to protecting the health and safety of all staff including employees,
   volunteers, members and their representatives.

   Injury and illness is needless, costly and preventable.

   Our organisation will consult with workers in implementing safety practices and systems that will ensure
   the health, safety and welfare of all involved. Worker involvement at all levels is critical to ensuring a safe
   workplace.

   An OHS Reference Group will be established to promote safety and health in the workplace and offer
   advice and guidance.

   The OHS Reference Group is to be chaired by a member of the group who carries Workcover OHS
   Accreditation.


OHS Reference Group
   A workgroup is made up of all staff normally present at the site.

   The OHS Reference Group shall consist of a minimum of four (4) staff from the workgroup, including an
   OHS Representative.

   The OHS Reference Group will assist with the development and monitoring of safe work practices and
   systems, and discuss issues that affect the health, safety and welfare of all people in the workgroup.

   The organisation will respond to OHS Reference Group recommendations within a timeframe agreed by
   the reference group, taking into account the particular issue and its complexity.


OHS Representative
   The OHS Representative‟s role is to be filled by a staff member from the workgroup who has Workcover
   OHS Accreditation.

   The representative is to be elected annually from all staff in the workgroup in accordance with the
   procedures detailed in the organisation policy and procedure manuals.

   The OHS representative is responsible for overseeing the operation of the OHS Reference Group which is
   in turn responsible for raising and resolving specific health and safety issues in relation to the workgroup.

   People are encouraged to raise OHS issues directly with their supervisor or their OHS Representative who
   will then raise the issue with the OHS Reference Group.

   The OHS Reference Group is to manage the issue in accordance with this statement in accordance with
   OHS Legislation and Regulations.

   Where the OHS Reference Group cannot resolve an OHS issue it has been agreed that they will refer the
   matter to mediation in accordance with the Organisation Policy and Procedure.

   This Statement will remain in force until modified by the OHS Reference Group.




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Occupational Health & Safety Management                 Revision 3.0                               January 1, 2006

Policy and Procedures for OHS Management
General

Policy
   It is the policy of the organisation that all staff including, clients and visitors shall be provided with a safe
   and healthy environment. To achieve this policy, staff members accept the need to ensure the health,
   safety and welfare of all other staff in the workgroup and at the site.

   The organisation will consult and encourage staff to contribute to decision making processes which
   directly affect their health, safety and welfare at work. This will be done through the OHS Reference Group
   acting in direct consultation under other agreed arrangements as per the code.

   In conjunction with this policy a series of procedures on specific individual safety and health matters have
   been prepared. These procedures have been prepared as a guide to dealing with specific OHS Issues
   although all staff members should familiarise themselves with all other relevant policies.
Procedures
   Checklists regarding orientation and OHS issues are utilised by management to ensure all relevant
   information is provided. Once the staff member is satisfied that he/she received all relevant information, it
   is signed by the immediate supervisor.

   Follow-ups with personnel are held one month from the commencement date to check that all information
   has been understood and retained. The person is to retain a copy of the checklist and a copy is to remain
   in the main filing system.

   All people working at the site are to receive an orientation and education session on OHS. This includes:

    1. Reading the Staff Induction Package & OHS Policy and Procedure.
    2. Introduction of the person to the OHS representative.
    3. Ensuring they are aware of the OHS Policy and Procedure and OHS Consultation Statement.
    4. Ensuring they understand, endorse and practice safe operating procedures with all of the equipment at
       the site which is applicable to their use and/or role.
    5. Ensuring they are aware of training and education programs offered by the organisation.
    6. Involving them in workplace inspections and explaining their importance.
    7. Ensuring they understand and follow the reporting and investigation of accidents guidelines.
    8. Ensuring they understand emergency procedures and location of emergency evacuation points.
    9. Ensuring they know the location of the first aid kit and who they may approach in the event of an injury
       requiring attention.
    10. Ensuring they are informed of the health and safety promotional material provide relating to
        Occupational Health and Safety guidelines at the site.
    11. Ensuring they are aware of workplace specific items as per the regulations under the OH&S Act which
        including but not limited to floors and passageways and stairs, manual handling, noise, hazardous
        substances, safe use of equipment e.g. computer and photocopier.
Responsibilities
  Managers will enact this policy, being responsible for the health, safety and welfare of all persons working
  in any operation under their control. Supervisors and all persons directing the work of others will be
  responsible for the safety of all persons in their charge.

   All staff must take care of their health, safety and welfare and that of their fellow members to the extent of
   their capability, and not misuse safety equipment. These responsibilities are non-delegable.
Review
  This policy will be reviewed annually, or when required by legislation or when business operations
  require it. The policy requires that the OHS Consultation process will be utilised when it is changed.


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Occupational Health & Safety Management                 Revision 3.0                             January 1, 2006

Workplace-Specific Individual Safety and Health Matters
    1. It will be the responsibility of an OHS Reference Group to review safe working practices and conditions
       at least annually.
    2. As a part of the orientation program, the OHS Representative will ensure that all people have a clear
       understanding of safe working practices.
    3. Fire extinguishers will be properly maintained under service contract by suitably qualified personnel and
       checked at least annually.
    4. Staff inductions will ensure that (as part of orientation) they are instructed in the use of fire
       extinguishers.
    5. OHS Reference Group will ensure that where possible all staff are invited to attend regular group
       discussions, and have the opportunity to raise OHS issues. A noticeboard located at the workplace, will
       similarly give everyone the opportunity to seek clarification or make suggestions on OHS issues.
    6. The Executive Officer will designate an employee to take on the responsibility of OHS Representative
       and ensure that OHS becomes a part of the daily routine of work requirements for the site.
    7. In the event of a fire the personal safety of all people is paramount.
    8. Hazardous chemicals will be disposed of safely by appropriate procedures.
    9. All staff will be instructed by the procedure to notify fire brigade and/or medical services should
       exposure to hazardous materials occur.
    10. All accidents will be documented and the insurer notified within the required timeframe and in the case
        of a significant injury reported to Workcover by the OHS Representative or nominated officer.
    11. The site will be a Smoke Free Zone.
Refer to General Policy and Procedure

Manual Handling
  Manual handling is a term used to describe everyday type activities such as carrying, stacking, pushing,
  pulling, rolling, sliding, lifting or lowering loads. All staff will be instructed in correct manual handling
  procedures and requirements. Clauses 79-81 of the OHS Regulation 2001 (NSW) deals with manual
  handling and employer responsibility.

   It is the responsibility of those performing any manual handling that it is done in a safe manner. This
   means not only avoiding risk to themselves but also preserving a safe working environment for their
   colleagues.

   If correct procedures are not followed, (e.g. lifting in an inappropriate manner), injuries may result. Please
   view the respective Manual Handling information located on the noticeboard in the kitchen for more
   information regarding safe methods for lifting.
Hazardous Substances
  The organisation recognises that many chemicals and other substances used or produced in the
  workplace can be hazardous to your health. Hazardous substances can take the form of liquids, solids,
  vapours, gases, fumes or dusts. Exposure can lead to a number of physiological problems, for example
  cancers, diseases, dermatitis or illness.

   In the event that you discover a hazardous substance (e.g. in the process of cleaning or maintaining the
   building), read the Material Safety Data Sheets (MSDS) for that substance which are designed to provide
   both staff and emergency personnel with the proper procedures for handling or working with a particular
   substance.

   MSDSs are intended for:

    1. Staff who may be occupationally exposed to a hazard at work.
    2. Staff who need to know the proper methods for storage etc.
    3. Emergency responders such as fire fighters, hazardous material crews, emergency medical
       technicians, and emergency room personnel.

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Occupational Health & Safety Management                 Revision 3.0                             January 1, 2006

   MSDS's include information such as physical data (e.g. melting point, boiling point, flash point), toxicity,
   health effects, first aid, reactivity, storage, disposal, protective equipment, and spill/leak procedures.
   These are of particular use if a spill or other accident occurs. If there is no label or you cannot locate the
   MSDS assume the product is hazardous and seek advice from the OHS Representative.

Computer/Keyboard Work
  The organisation endeavours to ensure that staff have the appropriate equipment to help prevent a range
  of injuries caused by extended periods of computer/keyboard work, poor posture or poor lighting. Well-
  adjusted chairs improve body position and blood circulation, reduce muscular effort and decrease
  pressure on the back. Chairs should swivel, have five wheels for stability, have breathable fabric on the
  seat, a rounded front edge and have adjustable seat height and a backrest with lumbar support.

   Always check:

     Work surface height (chair or work bench height).
     Chair (adjust for comfort).
     Keyboard referral (forearms need to be close to horizontal and the wrists straight (hand in line with
      forearm).
     Screen referral (the height of the monitor screen should be below eye level and the bottom of the
      screen can be read without a marked inclination of the head).
     Desktop layout (ensure no twisting needs to occur to reach task materials).
     Document holder (ensure no twisting or inclination of the head is required), and
     Posture and movement (change posture at frequent intervals, take short breaks every 30 minutes,
      avoid sharp increases in work rate, utilise the suggested exercise sheets near your computer regularly).

   Please view the Workcover “Health and Safety in the Office” booklet for guidelines regarding suggested
   height, distances, etc.

   Please also refer to the „Keyboard/Deskwork Checklist‟ and „Suggested Stretching Exercises‟ Sheet found
   in this document and ensure that a copy is always within view of your workstation.
Fire Safety
   An employer must ensure that risks associated with fire or explosion at a workplace are addressed by a
   number of specific factors. These factors are outlined in Clause 62 (sections 1 and 2) of the OHS
   Regulation 2001 (NSW) and include:

     Eliminating activities and potential ignition sources that may cause fire.
     Enclosing work areas containing flammable or explosive atmospheres as well as removing waste and
      providing adequate storage.
     Eliminating activities that have the potential to generate flammable or explosive atmospheres from the
      work process or, if elimination is not possible, minimising the potential for flammable or explosive
      atmospheres by providing adequate ventilation.
     Eliminating potential ignition sources, including naked flame, hot work and electrical equipment, and
      sources of static electricity, including friction, welding and slipping belts, from proximity to flammable
      substances, combustible dusts or waste materials.
   In line with The organisation fire procedure, the fire safety equipment must not be moved from its
   designated location unless it is about to be used on a small fire. (Other people expect to find it in its
   proper place). Do not stack any boxes or furniture in front of or under any fire safety equipment.

   The organisation has an emergency plan in place in the event of an emergency (see Emergency
   Procedures). Once staff have been informed of the emergency, those procedures must be adopted in the
   event of a fire. During the orientation program all staff are to be directed to read written emergency
   procedures located OHS noticeboard.

   There are periodic education sessions in the use of the fire equipment and the proper procedures to
   follow. All staff must attend these sessions.


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Occupational Health & Safety Management                 Revision 3.0                                 January 1, 2006

Use of Equipment
  The following policy applies to all staff required to use equipment in carrying out their duties:

     The Occupational Health and Safety Policy must be followed.
     If a staff member is inexperienced in using a piece of equipment or, after orientation, recognises the
      need to become more competent in their work environment they should approach their OHS
      Representative or supervisor and request further training.
     Any hazard/faults must be reported immediately.
     No safety equipment shall be removed from the The organisation premises (apart from use in the
      normal course of duties) without authorisation of the appointed member of OHS Representative.
     Fire Extinguishers and Fire Blanket. There are two fire extinguishers located at the entrance of the
      building, a fire blanket and two fire extinguishers located in the photocopy room near the back entrance
      to the building and a fire blanket and two fire extinguishers in the training/meeting room.
     We recommend all staff familiarise themselves with these locations as well as the Emergency
      Procedures Guidelines located in the same area.
     Electrical appliances – do not use any that have faulty connection, or worn or frayed cords until
      repaired. Do not let extension cords obstruct walkways and do not place under mats or carpets.
     Heaters – should not be placed in busy areas or near combustible materials (curtains, lounges etc). Do
      not move whilst operating.
     Faulty electrical equipment should be removed from service, tagged as out of service and reported to
      your supervisor.

   NOTE: In the case of an accident, a „near-miss‟ or you observe a potential hazard, please report it to
   your supervisor, as soon as possible.
Accidents and Reporting
  If you have an accident or sustain an injury, either on your way to or from the place of work, or while you
  are working, you must report it to your supervisor or the OHS Representative within 24 hours of the
  accident occurring. You will be asked to complete an official Accident Report which is located at reception
  of The organisation building.

   This form MUST be completed no matter how small and seemingly insignificant the incident may be.
   You will be assisted to complete the form if required.
First Aid
   The organisation recognises the importance of First Aid and maintains a number of First Aid Kits on site
   which are clearly marked and placed in highly visible areas. There is a First Aid Kit located next to the
   stove in the kitchen and another in the training/meeting room for use in the event of any minor injuries.

   The names of designated The organisation first aid officers are listed on the kits and all kits are well
   stocked with dressings and bandages, disinfectants, fasteners, safety pins and other equipment such as
   resuscitation masks, scissors and splinter forceps. Similarly, The organisation First Aid Kits provide clear
   instruction leaflets and guides that can easily be referred to in case of minor injury.

   In the event of any person treating any injury they are to fill out the Fist Aid Kit Register, located at the First
   Aid Boxes.
Insurance
   All staff are covered by insurance policies, which provide benefits in the case of serious injury and also
   cover the loss of your “no-claim bonus” and any excess if you are already comprehensively insured.

   Depending on the circumstances of an incident the following are some insurance categories:

     Personal Injury – Public/Products Liability, Volunteer Personal Accident, Compulsory Third Party Bodily
      Injury (Green Slip).
     Property Damage – Public/Products Liability, Fire and Perils, Burglary/Theft.
     Economic Loss – Professional Indemnity and Directors & Officers Insurance or Fidelity Guarantee
      Insurance.
     Please read the insurance information located in the Risk Management Policy & Procedure document.
      The office administrator will assist you with paperwork in the event of need to make a claim.

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Occupational Health & Safety Management                 Revision 3.0                            January 1, 2006

Return-to-work Policy
   This policy has been developed in consultation with the staff and members of this organisation and
   complies with the Workplace Injury Management and Workers Compensation Act 1998 and the
   requirements for a Category 2 employer (an employer who pays less than $50,000 in annual workers
   compensation premiums).

Commitments
   This organisation is committed to the return to work of injured staff:

     We will prevent injury and illness by providing a safe and healthy working environment.
     We will ensure that injury management activities commence as soon as possible after a person is
      injured and that every effort is made to provide suitable and meaningful duties consistent with the
      nature of the injury/illness, and after seeking appropriate medical judgement.
     We will provide the injured person with support to minimise the effects of the injury and to ensure that
      an early return to work is a normal practice and expectation.
     We will provide suitable duties/employment for an injured person as soon as is safely possible, as an
      integral part of injury management.
     We will consult with our staff and any union representing them to ensure that the return-to-work policy
      operates effectively.
     We will ensure that participation in a return-to-work program will not, of itself, prejudice an injured staff
      member

Procedures for action when injury occurs
   When an injury occurs:

     It is the staff responsibility to notify the Executive Officer of the organisation of any injury and complete
      the Register of Injuries as soon as is practicable.
     Once an injury is notified the management will ensure that the injured person receives appropriate first
      aid and/or medical treatment as soon as possible and will conduct an investigation of the accident in
      order to prevent a recurrence.
     When the manager becomes aware of an injury the organisation will notify their workers compensation
      insurance company. For a “significant injury” the organisation will notify the insurance company within
      48 hours. For other types of injury the organisation will notify the insurance company within 7 days.
     For a “significant injury”, the organisation will also complete a WorkCover Accident Notification Form
      and send it to the nearest WorkCover office.
Follow-up after injury
   The management and the injured staff person will cooperate with the workers compensation insurance
   company in developing and complying with an injury management plan for that injured person.
Finding suitable duties
   When the injured staff member is, according to medical judgment, capable of returning to work, an
   individual return-to-work program will be developed offering suitable duties.

   Management will consult with all parties to develop a written return-to-work program.

   Appropriate assistance will be given to those from a non-English speaking background and to those
   permanently unable to return to pre-injury duties.
Involving a rehabilitation provider
   We will use accredited rehabilitation provider(s) to assist when required in the injury management of those
   who suffer a work-related injury or illness. Those injured have the right to nominate an accredited
   rehabilitation provider of their own choice.




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Occupational Health & Safety Management                 Revision 3.0                              January 1, 2006

Consultation
  Consultation about the organisation‟s return-to-work policy will take place in staff meetings and through
  relevant unions. All staff will be informed of their rights and responsibilities at this time and again following
  an injury.
Disputes
   If there are disputes about suitable duties or the return-to-work process, management will work with the
   injured staff member and any union representing them to try to resolve the disputes. Assistance may be
   sought from the workers compensation insurance company, WorkCover, or an injury management
   consultant.

Workplace Risk Analysis and Assessment

Policy
   Risk Analysis and assessment are the processes that the The organisation utilises to determine the level
   of risk associated with a particular event or operation. Usually this involves making a qualitative or
   quantitative determination of the frequency, likelihood and severity of a particular event occurring.
Procedure
   As part of The organisation Risk Analysis and Assessment site checks need to be carried out at set
   frequencies. The organisation has adopted a set of WorkCover supplied forms to help with the process.

   The OHS Reference Group has chosen when site checks are to be carried out. These are listed as
   follows:

         External Site Check – every three months
         Internal Site Check – every three months
         Safety and Security Check – every three months
         Check it out (Assess) HAZPAK– as required
         Fix It Form – as required
         Chemical Register – Needs to be reviewed and updated every three months or as required


   Refer to Risk Management Policy and Procedure for further information

   Standard Forms for each of the above checks are maintained as part of the The organisation Policy and
   Procedure.




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Occupational Health & Safety Management                 Revision 3.0                           January 1, 2006

Emergency Procedures
Fire
     In event of a fire, the person discovering the fire must remain calm.
     Report fire and its location.
     Alert Others near Fire (Alert others in the immediate area of the fire)
     DO NOT SHOUT FIRE! (As to do so could cause panic).
     Endeavour to extinguish fire if safe to do so.
     If not involved – Stay Clear.

   The most senior staff at location should make the decision to evacuate.

   Notify the Fire Brigade – Phone 000.

   Switch off all electrical and gas supplies. Close all windows and doors.

   Evacuate as per “EMERGENCY EVACUATION PROCEDURE” posted around Centre.

   Any small fire even if extinguished immediately with little or no damage must be reported to the Fire Safety
   Officer.

   Note: Where practical the senior staff member nominated should act as a co-ordinator, remaining in a
   prominent position until the evacuation is completed and/or the Fire Brigade assumes responsibility.


Internal Disaster

Bomb Threats
    Always treat as genuine
     Remain calm. Be courteous and dont interrupt the caller.
     Note whether the caller is male or female, an adult or a child.
     Keep the caller on the phone as long as possible. Dont hang up until the caller does. The phone
      company may be able to trace the call if you stay on the line long enough.
     If the switchboard or a caller ID system displays the callers phone number, write it down.
     Ask questions to get information. Write all information down.
     Try to find out:
              a. The location of the bomb
              b. The time of detonation
              c. What kind of bomb it is and what it looks like
              d. Where the caller is
              e. How the caller knows about the bomb
              f. If the caller is familiar with the building
              g. When the bomb is set to explode
              h. Whether other bombs have been placed and where
              i. Why the bomb was placed
              j. Inform the caller that the building is occupied and that the bomb could cause injuries or
                 death.
              k. Listen for any background noises and any caller mannerisms, voice characteristics or
                 accents.
              l. After the caller hangs up, call your local emergency number and the owner or manager of the
                 business in which you are working. Explain the situation.
              m. Do not use walkie-talkies, beepers or two-way radios during a bomb threat. Some bombs
                 can be set off by these communication devices.



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Occupational Health & Safety Management                 Revision 3.0                              January 1, 2006

Armed hold up
    Do not be heroic and turn a hold-up into a murder, no amount of money or property is worth a life.
     Stay as calm as possible. Control fear by concentrating on observing and making mental notes of
      exactly what is happening.
         Obey the bandit's instructions, but do only what you are told, nothing more, nothing less. Do not
         volunteer any information.
     Stay out of danger if you are not directly involved and activate the holdup alarm if one is available, and it
      can be done with safety. If you can leave the building, do so and then raise the alarm.
     Be deliberate in your actions. If you are ordered to hand money to the bandit, put as much coin into the
      bag as possible, followed by smaller denomination notes. Only do this with safety to yourself.
     Phone the Police emergency number "000" if you or some other responsible member of your staff is
      able to do so without danger. Keep the line open. (Police can, if necessary, contact Ambulance, etc.)
     Carefully observe any vehicle used by the bandit, taking particular note of its registration number, type
      and colour.
     Observe as much as possible. In particular note speech, mannerisms, clothing, scars, or any other
      distinguishing features.
     Record these observations in writing as quickly as you can after the holdup.
     The Police want individual impressions of what happened. Don't be influenced by other staff members.
     Audible local alarms (bells, sirens etc.,) are not favored for holdup use as the sudden warning sound
      may force the bandit into a panic situation, where a firearm may be accidentally discharged as a reflex
      action.

   Do not attempt any action that puts your life or anybody else‟s in danger.

   Await instructions from a senior staff member & stand by to assist if requested.

   If evacuation is necessary follow evacuation orders as per fire evacuation procedures

Fire Equipment

Water Stored Pressure (Red)

   For small fires in paper, wood, floor coverings, curtains, etc in all counselling rooms and offices. („A‟ Class
   Fires)

   DO NOT USE on Electrical Apparatus or Flammable Liquids.

   Carbon Dioxide (Co2) Extinguisher (Red With Black Band Around The Centre)

   To Operate: Pull pin, direct nozzle towards flames and squeeze trigger.

   It is important that insulated grip be used to hold the hose as the gas lowers the temperature of the nozzle
   to below freezing.

   Do not be alarmed by the noise caused by velocity of issuing gas.

   Be calm, remember that fear and panic must not occur. If clients are aware of fire, give them the
   assurance that there will be plenty of help to assist them necessary. Safe to use on live electrical fires.

Fire Blanket

   For smothering contained fires such as flammable liquids („B” class Fires).

   To Operate: Pull tapes to release blanket. Wrap fire blanket around the victim. Roll the victim on the
   ground.


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Occupational Health & Safety Management                 Revision 3.0                              January 1, 2006

   It is your responsibility to know where the fire fighting equipment in your work area is located.

   Standard Fire Orders

     Rescue any person in immediate danger only if safe to do so
     Close the door
     Call the fire brigade on 000
     Attack the fire if safe to do so
     Evacuate to assembly point
     Remain at assembly point (in front of building at bus stop) and ensure everybody is accounted for.
      (book – volunteers & personal)




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Occupational Health & Safety Management                 Revision 3.0                   January 1, 2006

Procedures for treating a person who is Unconscious/Bleeding

Call for assistance (9) then, if capable proceed as follows.

Check airway is open.




Check breathing is present.
If not, start mouth-to-mouth resuscitation.




Check pulse, if absent, start external
cardiac compression.




Check for serious bleed and control.


Mouth To Mouth

Place victim on back on hard surface.

Clear airway – loosen clothing at neck – check this, remove only if causing obstruction – remove
foreign matter from mouth.

Tilt head of victim backwards.

Kneel or lie alongside victim. Place palm of hand on forehead to maintain head tilt. Pinch nostrils
with thumb and index finger.

Grasp lower jaw with other hand and pull chin upwards.

Inhale deeply, place open lips over victim’s mouth and then exhale at rate of 12 – 15 breaths per
minute.

After 20 exhaled breaths per minute (1/3 secs) for 2 minutes continue at a rate of 12 – 15 breaths per
minute.

Have someone call doctor and/or ambulance.




Community Organisation                                                                       Page 13
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Occupational Health & Safety Management                 Revision 3.0                  January 1, 2006


Cardiac massage – only if pulse is absent.

Place victim on hard surface.

Kneel at victim’s side.

Place heel of one hand on lower half of breastbone. Place heel of other hand on top first hand, the
fingers of both hands being apart and raised.

Keeping arms vertical and elbows straight depress breastbone 38-50mm (1 and a half – 2 inches) for
adults.

Release pressure – keep hands on breastbone.

Continue at a rate of one press per second. Note: Do not press whilst victim is drawing breath, after
breathing commences or when a resuscitator is exhaling breath into victim.


Combination Mouth-To-Mouth And Cardiac Massage
USE THIS CYCLE- One breath of expired air into victim’s lungs followed by 5 presses of chest
passage by a second person.


Control Of Bleeding

Act quickly – every drop of blood is important.

Apply direct pressure to wound (if no dressing available grasp sides of would and squeeze together).

Rest the casualty.

Elevate the part (if possible).

Use shirt/singlet etc., as a pad – to control bleeding.

Never remove a dressing – use second dressing over first.




Community Organisation                                                                      Page 14
C:\Docstoc\Working\pdf\b8b0074c-7b29-4aa0-bf74-e3ab44fbfbd0.doc
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               i                                                              Exercises for rest breaks

               M
               A
               s
               a
               a
               t
               g A few minutes every half-hour walk around a little
               N                                                              Tall Stretch:
               n
               e and do the following exercises.
               a
               A
               /                                                              Interlock fingers, palms up.
               G
               f
               a
               r                                                              Stretch arms above the head
               g
               A Stretching Exercises
               f
               E                                                              until they are straight. Do not
                                                                              arch the back.
               d
               e
               (
               M
               m
               f
               E
                 Each exercise to be performed over periods of 30
               N
               e
               -
               i                                                              Toe-in, toe-out:
                 seconds
               T
               m
               t
               n                                                              Place feet shoulder-width
               -
               i
               b
               t
               )                                                              apart, heels on the floor.
               s
               e                                                              Swing toes in, then out.
               r
               P
               m
               t                            Bend your wrist and
               a
               s
               r                            fingers with your other
               a
               x
               o                            hand,      bending      your
                                            elbow slightly at the
               .
               t
               g
                                            same time, until you feel
               i
               r                                                              Shoulder roll:
                                            the stretch over the back
               9
               a
               v                                                              Roll the shoulders – raise
                                            of your forearm. Hold the
               m
               e                            position for 30 seconds.
                                                                              them, pull them back, then
               m                                                              drop them and relax. Repeat
               (
               e
               A                                                              in the opposite direction.
               V
               s
               m                             Stretch your arm out in
               b
               s
               M                             front of you with the elbow
               P
               i
               e                             straight, palm facing away
                                             from you (fingers pointing
               r
               s
               )                                                              Side stretch:
                                             up or down). Then with
               s
               t                             your other hand pull your
                                                                              Drop left shoulder, reaching
               C
               ,
               a                             fingers backwards until
                                                                              left hand towards the floor.
               n
               o                                                              Return to starting position.
                                             you feel the stretch over
               t
               o
               v                             the front of your forearm.       Repeat on right side.
               o
               r                             Hold the position for 30
               l
               (
               d                             seconds.
               f
               u
               i
               -
               n                                                              Back curl:
               a
               t                                           Tuck your          Grasp shin, lift leg off the
               e
               )
               t                                           chin down          floor. Bend forward curling the
               e
               o                                           onto your          back, with nose towards the
               r                                           chest and          knee.     Note: This exercise
               s                                           gently             should be avoided in pre- or
                                                           turn your          post-natal conditions.
               (
               p                                           head from
               -                                           side       to      Ankle flex:
               t                                           side,              Hold one foot off the floor, leg
               )                                           keeping
                                                           Turn your          straight. Flex ankle (pointing
                                                           your chin
                                                           head               toes up) and extend (pointing
                                                           on
                                                           slowly your        toes toward the floor). Repeat
                                                           chest. side
                                                                     Do       with other leg.
                                                           from
                                                           this
                                                           to side ten
                                                           times.
                                                                              Leg lift:
                                                                              Sit forward on the chair and
                                                                              place feet on the floor. With a
                                                                              straight leg, lift one off the
                                                                              floor. Hold for a second and
                                                                              the return it to the floor.
                                                                              Repeat with the other leg.



           Community Organisation                                                                                     Page 15
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