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First Aid at Work - Legislation
  First Aid at Work - Legislation
In the event of sudden illness or injuries, failure to provide first aid could result in that person's death. The employer should therefore ensure that an employee who is injured or taken ill at work receives immediate attention.

HSE will prosecute in cases where there is a significant risk, a disregard for established standards or persistent poor compliance with the law.

Employers' Duties
Specific requirements for employment offshore
Specific requirements for employment in diving

Employers' Duties
Legal duties

The Health and Safety (First-Aid) Regulations 1981 require employers to provide adequate and appropriate equipment, facilities and personnel to enable first aid to be given to employees if they are injured or become ill at work. These Regulations apply to all workplaces including those with five or fewer employees and to the self-employed. Detailed information can be found in the Approved Code of Practice and Guidance: First aid at work. The Health and Safety (First-Aid) Regulations 1981 L74.

What is adequate 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 needed. Employers should carry out an assessment of first aid needs to determine this.


Assessment of first aid needs:

Employers are required to carry out an assessment of first aid needs. In other words they need to identify the level of risk to their employees in carrying out their work duties and consider what first aid equipment, personnel and facilities they need to make available.

First aid at work: your questions answered
HSE free leaflet. A useful checklist covering the points employers should consider when carrying out the assessment.
Application of the Health and Safety (First-Aid) Regulations 1981 to self-employed workers

As a self-employed worker, you are required to ensure you have adequate facilities to provide first aid to yourself while at work.

You must make an assessment of the hazards and risks in your workplace and establish an appropriate level of first aid provision. What this means in practice is that if you work in a low risk activity, eg clerical work at home, a normal domestic first aid box would be adequate. If your work involves driving long distances or you are continuously on the road, the assessment may identify the need to keep a personal first aid kit in your vehicle.

Many self-employed people work on mixed premises with other self-employed or with employed workers. Although you are legally responsible for your own first aid provision, it is sensible to make joint arrangements with the other occupiers and self-employed on the premises. This would generally mean that one employer would take responsibility for first aid cover for all workers on the premises. HSE recommends there is a written agreement for any such arrangement.


Specific requirements for employment offshore
Industry specific legislation exists for the offshore industry that aims to take account of the remoteness and difficulties of access to medical and health care expertise. The Offshore Installations and Pipeline Works (First-Aid) Regulations came into force in 1989. The Regulations require the person in control (the duty holder) to provide suitable first aid and medical facilities, as well as sufficiently trained and competent first aiders and medics. The Regulations require the duty holder to assess the level of first aid and health care provision needed on individual installations. This will include an assessment of how many trained medics and first aiders are needed, the amount and type of equipment and the types of drugs supplied. A minimum equipment list, First aid and medical equipment on offshore installations, has been produced by the United Kingdom Offshore Operators' Association:

www.ukooa.co.uk
United Kingdom Offshore Operators' Association (UKOOA) website.
The duty holder has to ensure that adequate basic health care and first aid is provided for everyone on the installation, including visitors and contractors. This requirement extends to people working on vessels connected to the installation and pipeline works. The duty holder also has to make arrangements for a registered medical practitioner to give advice if necessary. This practitioner is usually based onshore. The medic would normally have responsibility for the sickbay. The size, siting, layout and facilities of the sickbay should be sufficient to provide accommodation and medical support for an ill or injured person for up to 48 hours - see the UKOOA publication above for more information.

Detailed information can be found in the Approved Code of Practice (ACoP): Health care and first aid on offshore installations and pipeline works L123. This publication was revised in 2000 and provides supporting guidance to the Regulations. UKOOA has also produced guidelines for first aid and medical equipment on offshore installations. They provide guidance on sickbays, their arrangements, layout, equipment, facilities, and recommendations on core drug inventory for all normally attended offshore installations, and should be read in conjunction with the ACoP.

Specific requirements for employment in diving
Under the Diving at Work Regulations 1997 the diving contractor is required to provide first aid and medical equipment during a diving project. In the event of a diving medical incident, the diving supervisor remains in control of any action to be taken. Although diving emergencies are outside the scope of the Offshore Installations and Pipeline Works (First-Aid) Regulations 1989, an offshore medic should be able to offer help and assistance, where appropriate.

Diving at work
Additional information on first aid requirements for commercial inland/inshore and offshore diving projects.

   
HSE Books The following Approved Codes of Practice are available from HSE Books:

First aid at work. The Health and Safety (First-Aid) Regulations 1981.
Approved Code of Practice and Guidance L74
HSE Books 1997 ISBN 0 7176 1050 0

Safe work in confined spaces. Confined Spaces Regulations 1997.
Approved Code of Practice, Regulations and Guidance L101
HSE Books 1997 ISBN 0 7176 1405 0

Health care and first aid on offshore installations and pipeline works. Offshore Installations and Pipeline Works (First-Aid) Regulations 1989.
Approved Code of Practice and Guidance L123
HSE Books 2000 ISBN 0 7176 1851 X