Outdoor First Aid Limited (OFA)
Health & Safety Policy
OFA – HEALTH & SAFETY ON COURSES
1.1 First Aid courses are a combination of indoor theoretical and practical sessions followed by scenarios, possibly outside, where students play the role of rescuers and casualties.
1.2 This Centre understands the key role it has for Health & Safety on all training courses. All training staff will be inducted to the Health & Safety procedures listed in this document.
1.3 OFA requires trainers and assessors to observe the Health & Safety policies and risk assessments at the course venue.
1.4 Unfamiliar venues have potential hazards and must be risk-assessed by the Tutor on the day. Appendix 1,2 3 are provided by this Centre for the guidance of tutors.
2. This Centre requires the trainer to assess the course venue, to confirm it as a safe place of work, prior to course commencement:
2.1 Venue tick list:
- Fire escapes are clearly marked and adequately maintained and not obstructed.
- Fire fighting equipment is clearly marked and placed and fire marshals nominated.
- Access to training rooms is clear and safe.
- Lighting, heating and ventilation is adequate
- Computers/projectors (if provided) for training have been PAT tested.
- Washing and toilet facilities are adequate and appropriate for gender mix.
- First aid and accident reporting procedures are in place.
- Any other relevant matters coming to trainers attention
2.3 Actions by tutor:
OFA will support the tutor when a decision is made to cancel a course if the venue is deemed unsafe. The tutor should inform OFA director as soon as is practicable in this case.
2.4 Tutor conduct:
- Wear gloves when stripping/cleaning/removing manikin lungs
- Consider students wearing gloves according to gender mix when doing secondary surveys
- Use kneeling mats to protect knees in all demonstrations on prone casualties, and set good example to students.
- Show professional judgement and courtesy and respect clients wishes when selecting or asking for volunteers as casualties from the group.
- Ensure all practical exercises are carried out in a safe manner. No demonstrations or rehearsals of CPR on LIVE casualties.
- Ensure pocket size or dry type hand cleanser is present in training and trainers uses before each hands on demo.
- Please confirm safe arrival home after course by phone, fax, text or email to allow us to comply with the essence of lone worker regulations.
3. Policy Renewal
3.1 This policy will be reviewed annually
3.2 A Health & safety log will be maintained to record all occurrences
Appendix 1: Carrying out a Risk Assessment
Start with a risk assessment chart
Risk – 1 2 3
Hazard – A B C
Must receive attention
Should receive attention
Must receive attention
Unacceptable = Sort immediately
Urgent = ASAP (this day)
Must risk assess = Reduce hazard or risk within week
Should risk assess = Reduce hazard or risk within month
Low priority = Monitor situation
First identify and rate the hazard according to severity and consequence
A = death, major injury, major damage or loss of property/equipment
B = over 3 days absence, damage to property/equipment
C = minor injury/minor damage to property/equipment
Then rate the risk
1 = extremely likely
2 = frequent/often/likely
3 = slight chance
The steps to risk assessment having drawn the chart are
a) Look for/identify hazards
b) Decide who could be harmed – groups, numbers, vulnerable people
c) Evaluate the risk – use chart, severity, frequency, exposure, current controls
d) Record and evaluate – current controls, recommendations of competent person, and the additional controls/information/training.
e) Monitor – always check that everything is being complied with, new equipment, past accident, young children, new staff etc.
f) Review – Go through the process again and modify.
Where there are 5 or more employees, the employer must record
(a) Significant findings (b) Groups at risk. Identified by the risk assessment process.
Hierarchy of controls
Control at source by separation/isolation
Follow safe working procedures
Training supervision and instruction
Welfare/first aid/emergency procedures
Appendix 2: Example Risk Assessment for ‘Outdoor First Aid’ Scenarios
- Slips, trips, falls
- Environment – weather, hot, cold, wet
- Moving and/or lifting simulated casualties
- Cuts, grazes, stings
- Pathogens – soil, rubbish, needles, dogs
People at risk
- Course participants
- Training staff
- The public
Look at identified hazards sequentially
It can be a hazard in its own right; it may contribute to increased risk for all other hazards listed.
Frequency, typically on courses from November to February
Current controls, casualties pre-briefed, scenario area checked in daylight by Trainer.
Work within Centre grounds so cannot get lost.
Risk Rating C3
Slips, trips and falls
Severity, major injury possible, slipping on mud, wet grass, snow, tripping over terrain. Equipment put down and lost. Stepping in to holes.
Frequency, typically every outdoor scenario on every course.
Current controls. Scenario area checked beforehand for hazards. Scenarios not to occur on steep banks, dense undergrowth, public roads. Clear casualty briefing, including boundaries and aims/objectives of exercise. Access to First Aid kit.
Every course, every time!
Risk Rating B2
Severity depends upon weather conditions. Extremes of temp/weather in high summer or mid winter. Hypothermia and heat exhaustion possible.
Frequency most courses.
Current controls. Ensure everyone has, waterproofs, hats, gloves, and sunscreen as appropriate. Have spare clothing available. Modify length of scenario. Warm area close by for clothes to dry. Main training area to be heated and ventilated.
Risk Rating B3
Severity, if uncoordinated, unplanned lifting is attempted, casualties and students could get hurt. Problems increase on various types of terrain.
Frequency; not often, unless group require specific training in use of stretchers and improvised carriers.
Current controls. Demonstrate and practice good principles before any scenarios. Ensure no one has injury problems with, knees/back/neck. If they have, caution them on limiting their activities. Position casualties where there is reasonable access. Restrict movement to rolling, sliding or turning the casualty.
Risk Rating B2
Cuts, grazes, stings
Severity, mainly uncomfortable unless student is anaphylactic.
Frequency, one would think quite likely, however because of thick outdoor protective clothing and the experience of course members has proven to hardly ever occur.
Current controls, scenario area swept before exercise. Real First Aid kit close by in training room. Students asked at beginning of course for pre-existing medical conditions.
Risk Rating B3
Severity, if pathogen infection occurs it could be life threatening.
Frequency, potentially every scenario, casualties lying on ground, students kneeling every scenario.
Current controls, area swept beforehand, minimise using public parks and outdoor areas where drug users congregate, rubbish is left or there is lots of dog mess. Use the grounds of outdoor venues where course is delivered.
Risk Rating A3
Implementation of Controls
Students to read ‘please read’ in front of ITC manual.
Trainers to use pre-course check list covering hazards.
Students briefed prior to each outdoor scenarios.
Tutor to maintain professional vigilance at all times
Appendix 3: Glossary
First Aid courses are a combination of indoor theoretical and practical sessions followed by scenarios, perhaps outside, where students play the role of rescuers and casualties.
Unplanned, uncontrollable, unforeseen event/s that could result in injury, loss or damage to persons, property and equipment.
Reasonably practical steps (money, time, effort constraints) are taken to identify hazards and risks.
Anything with potential to cause harm.
Likelihood of harm being realised or caused by hazard.
Someone with knowledge of work and environment, who can communicate and is aware of health and safety concerns
Evaluations are made and measures are introduced e.g. changing the way something is done, providing a piece of equipment and training in that equipment.
Areas of concern
- Management of Health and Safety at Work Regulations.
- Workplace H, S & W – pests, toilets, temperature etc.
- Safe use of working equipment – portable appliance testing, training etc.
- Manual Handling – loads, people.
- Control of substances hazardous to health.
- First Aid Regulations
- Personal protective equipment
- Fire Regulations.
- Accidents could occur in any of the above areas.
POPMAR – One way of carrying out a Risk Assessment is to follow POPMAR
Produce a health and safety policy, organise risk assessments, plan training, monitor this in progress, audit what has been done and review to find any changes.