First aid at work?

So what do I need to do?

The Health and Safety (First-Aid) Regulations 1981 require you to provide adequate and appropriate equipment, facilities and personnel to enable first aid to be given to your employees if they are injured or become ill at work.

What is adequate and appropriate will depend on the circumstances in your workplace and you should assess what your first aid needs are (see Q3).

The minimum first-aid provision on any work site is:

• a suitably stocked first-aid box (see Q4);

• an appointed person to take charge of first-aid arrangements (see Q5).

Q3: What should I consider when assessing first-aid needs?

Many small firms will only need to make the minimum first-aid provision. However, there are factors which might make greater provision necessary. The following checklist covers the points you should consider.

Aspects to consider

1. You are required by law to make an assessment of significant risks in your workplace. What are the risks of injury and ill health identified in this risk assessment?

2. Are there any specific risks, eg working with:

   • hazardous substances;

   • dangerous tools;

   • dangerous machinery;

   • dangerous loads or animals?

3. Are there parts of your establishment where different levels of risk can be identified (eg in a University with research laboratories)?

4. What is your record of accidents and cases of ill health? What type are they and where did they happen?

5. How many people are employed on site?

6. Are there inexperienced workers on site, or employees with disabilities or special health problems?

7. Are the premises spread out, eg are there several buildings on the site or multi-floor buildings?

8. Is there shiftwork or out-of-hours working?

9. Is your workplace remote from emergency medical services?

10. Do you have employees who travel a lot or work alone?

11. Do any of your employees work at sites occupied by other employers?

12. Do you have any work experience trainees?

13. Do members of the public visit your premises?

Impact on first-aid provision

If the risks are significant you may need to employ first aiders (see Q6 and Q7).

You will need to consider:

• specific training for first aiders;

• extra first-aid equipment;

• precise siting of first-aid equipment.

You will probably need to make different levels of provision in different parts of the establishment.

You may need to:

• locate your provision in certain areas;

• review the contents of the first-aid box (see Q4).

You may need to employ first aiders (see Q6 and Q7).

You will need to consider:

• special equipment;

• local siting of equipment.

You will need to consider provision in each building or on several floors.

Remember that there needs to be first-aid provision at all times people are at work.

You will need to:

• inform local medical services of your location;

• consider special arrangements with the emergency services.

You will need to:

• consider issuing personal first-aid kits and training staff in their use;

• consider issuing personal communicators to employees.

You will need to make arrangements with the other site occupiers.

Your first-aid provision must cover them.

Q4: What should I put in the first-aid box?

There is no standard list of items to put in a first-aid box. It depends on what you assess the needs are. However, as a guide, and where there is no special risk in the workplace, a minimum stock of first-aid items would be:

• a leaflet giving general guidance on first aid eg HSE leaflet Basic advice on first aid at work (see 'Where can I get further information?');

• 20 individually wrapped sterile adhesive dressings (assorted sizes);

• two sterile eye pads;

• four individually wrapped triangular bandages (preferably sterile);

• six safety pins;

• six medium sized (approximately 12 cm x 12 cm) individually wrapped sterile unmedicated wound dressings;

• two large (approximately 18 cm x 18 cm) sterile individually wrapped unmedicated wound dressings;

• one pair of disposable gloves.

You should not keep tablets or medicines in the first-aid box.

Q5: What is an appointed person?

An appointed person is someone you choose to:

• take charge when someone is injured or falls ill, including calling an ambulance if required;

• look after the first-aid equipment, eg restocking the first-aid box.

Q6: What is a first aider?

Q7: How many first aiders or appointed persons do I need?

Q8: Do I have to do anything else?

You have to inform your employees of the first aid arrangements. Putting up notices telling staff who and where the first aiders or appointed persons are and where the first-aid box is will usually be sufficient. But don't forget that you will need to make special arrangements to give first-aid information to employees with reading or language difficulties.

Suggested numbers of first-aid personnel.
First-aid personnel should be available at all times people are at work, based on assessments of risk and number of workers.

Where there are special circumstances, such as remoteness from emergency medical services, shiftwork, or sites with several separate buildings, there may need to be more first-aid personnel than set out below. Increased provision will be necessary to cover for absences.

Q9: Where can I get further information?