The Health and Safety (First-Aid) Regulations 1981 require employers to provide adequate and appropriate equipment, facilities and trained personnel, to ensure their employees receive immediate attention if they are injured or taken ill at work.
What is ‘adequate and appropriate’ will depend on the circumstances in the workplace. This includes whether trained First Aiders are needed, what should be included in a First Aid box and if a First Aid room is required.
In order to produce a Risk Assessment of First Aid Needs, consideration of workplace hazards and risks, the size of the organisation and other relevant factors need to be taken into account in order to determine what First Aid equipment, facilities and trained personnel should be provided.
This course will provide detailed information about the considerations and relevant factors in order to determine the needs and requirements and to ultimately produce a Risk Assessment of First Aid Needs for the business.
This is a 6-hour classroom based course. Dependent on the learner’s experience, there may well be some pre-course or post-course reading.
The course is made up of theoretical sessions delivered by your Instructor who will provide a detailed course programme.
A range of subjects are covered that will enable you to understand:
• The role and responsibilities of a First Aid Appointed Person
• The employer’s responsibilities in respect of First Aid
• How to manage a First Aid related incident in the absence of a qualified First Aider or Emergency First Aider
This is achieved by on-going theoretical teaching by the instructor, culminating with a written test. This is a lifetime qualification, although refresher training is always recommended.
QCF Level 2 Award (England, Northern Ireland & Wales)
Qualification title: FAA Level 2 Award in First Aid Risk Assessment – Principles and Practice (QCF) Code 601/2365/5
Unit title: First Aid Risk Assessment Unit code J/505/8405
Credit value: 1
A maximum of 16 students can be accommodated on this course and all candidates must be a minimum of 16 years of age to attend.
This 6 hour course costs £40* per person which has to be paid when booking is made, this includes certification and booklet.
A guild to conducting a First Aid Risk Assessment
The method of conducting a first aid needs assessment advocated here employs the widely used methods used to assess the risk of any adverse event occurring. The key procedure is the calculation of a numerical score based on two variables:
- The likelihood of an event occurring.
- The consequences or severity if the event actually occurred.
Each of these variables is given a score from 1 – 5 and the product of the two scores provides a total score on which to base actions.
1. The likelihood of cardiac arrest occurring
The risk of an arrest occurring varies according to several factors, each of which should be considered when assigning the score.
- The number of people passing through the site/footfall. In most cases, the larger the number present, the greater the risk.
- The age of those present (as cardiac arrest is commoner with increasing age).
- The nature of the location. Some places are higher risk than others. Experience has shown that where large numbers of the public are present in busy places like transport hubs (e.g. airports and railway stations) cardiac arrests are more likely to occur. In others places, the nature of the work undertaken (e.g. the use of toxic chemicals) may be relevant to deciding on the need to invest in an AED.
To help attach a numerical value to the likelihood of cardiac arrest occurring, the descriptions in the following table can be used.
|Probability||Score||Probability of risk being realised||Description|
|Almost certain||5||76 – 100%||Risk has high likelihood of occurring despite precautions|
|Likely||4||51 – 75%||Risk has high likelihood of occurring|
|Moderate||3||26 – 50%||Risk has a moderate likelihood of occurring|
|Unlikely||2||11 – 25%||Risk is considered unlikely to occur|
|Rare||1||0 – 10%||Risk will occur in rare circumstances|
In the case of cardiac arrest the likelihood of the event occurring in most public places and workplaces will be low with a score of 1 or 2. Examples might include a small shop, garage or workshop. Some higher risk sites like busy transport hubs and sports centres will justify a score of 3, possibly even 4. Higher scores are unlikely outside a specialist healthcare setting.
At present there is insufficient published evidence to give precise or dogmatic advice for an individual location and the rating score applied has to be a ‘best-guess’ or estimate. More accurate information will be available with increasing experience and we encourage research in this area.
2. The consequences (severity) of cardiac arrest occurring
In a typical risk assessment, a score of 1 – 5 will be allocated based on the consequences of the event occurring. Table 2 shows a convenient grid that might be used.
|1||Negligible||Minimal or no effects if event occurs|
|2||Minor||Consequences very minor, no lasting effects|
|4||Major||Significant impact / injury on anyone affected|
|5||Extreme||Death or serious injury|
However, cardiac arrest is uniformly fatal (unless treated), so the score will always be 5. Even if resuscitation is successful, the impact on the individual will be significant, for example they will be in hospital for some time and probably require additional clinical interventions, so the score will remain the same at 5.
Risk rating score
Risk = Severity (5) x Likelihood
By multiplying the scores for the severity and likelihood, the risk is given a numerical value ranging from 1 (unlikely to happen and with minimal consequences even if it does occur) to 25 (highly likely to happen with disastrous consequences). Given the severe consequences of cardiac arrest in the present example the minimum score will be 5. Table 3 shows a convenient way to plan a response depending on the score calculated.
|1 – 4*||Broadly acceptable – No action required|
|5-9||Moderate – reduce risks if reasonably practicable|
|10 – 15||High Risk – priory action to be undertaken|
|16-25||Unacceptable -action must be taken IMMEDIATELY|
* This score will not be possible in the case of cardiac arrest because of the severe consequences necessitating a minimum score of 5.
Alternatively, the colour of the square on the grid in Figure 1 that contains the calculated risk score can be used to guide actions.
Figure 1. Risk Assessment grid
Low risk (green) – Quick, easy measures implemented immediately and further action planned for when resources permit.
Moderate risk (orange) – Actions implemented as soon as possible, but no later than the next financial year.
High risk (yellow) – Actions implemented as soon as possible and no later than six months.
Extreme risk (red) – Requires urgent action. Senior management to be made aware and immediate corrective action to be implemented.
The majority of locations with a low footfall will score below 10, but busy transport hubs would score at least 15, possibly 20.