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Posted By Merv Newman
When I was first named as HSE manager the first aid boxes were in a poor state. I made a deal with a supplier to get them properly stocked and also had a good price on home first aid kits. The company agreed to pay half and all employees were offered a kit for about £1. Most of them took it up and there was little subsequent pilferage. What there was was replaced without much comment and finally when the "home market" was saturated the pilferage died out.
We had about 250 employees and recorded roughly 20 to 30 first aid injuries per year. No LTIs or other recordables in the six years I was on the job.
My next job was in an engineering plant of 500 employees. We had a full time nurse and lots of first aiders. One LTI in 10 years, 3 recordables and averaged 25 first aid cases per year.
During that period we fired one employee for persistent unsafe behaviour and disciplined another when he injured himself after short circuiting a safety device.
Disciplining employees may occasionally be necessary (but it is not the HSE persons job to apply it or even recommend it - that is an HR function). A friendly, kind and caring manner is much more effective, and can be fun.
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Posted By Kate Graham
Our first aid boxes are available to all and apart from plasters (which are after all very cheap) almost the only time we need to replace anything is when the sterile dressings get to the end of their shelf life. Don't forget that plasters are needed for hygiene reasons - if someone has cut themselves outside work I see no problem in them replacing their plaster when it falls off or gets manky with one from the first aid box.
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Posted By Michael Griffith
Hi all,
I posted this on the other thread first but i could really do with a serious answer from anyone who is generous enough to give one.
At the company i work for, each First Aider is supplied with their own personel First Aid Kit (free of any charge), and no one else has got any access to these. One first aider is then responsible for replacing any used items and also for frequently checking the 'use before' dates on the items in all the First Aid Boxes. The reason we adopted this way was so if anyone injured themselves even slightly which would just require a plaster, they would have to see a First Aider for one. The First Aider then makes an entry of the accident in the accident book immediately after treating the IP (we only allow first aiders to fill out the book, but we encourage all employees to report any accident no matter how small so the accident book can be filled out).
After reading some of the comments in the other thread, i am now wondering if the way we do things is wrong.
Could anyone let me know if the way we do things is O.K> or are we leaving ourselves open?
Cheers, Mick
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Posted By Hilary Charlton
Michael
I see no problem with the way you are doing this. We too issue grab bags for our first aiders but also stock one first aid room which holds the master supplies to restock the bags, and one first aid cabinet as we have two buildings. We keep two first aid books - one in each building and these have to be filled in.
We also have some of these plaster dispensers on the shop floor so if someone wants to replace a plaster they can go and get one. The main advantage of these is that the plaster automatically opens as you remove it from the box and must, therefore, be used immediately - this stops any petty pilfering - after all, who want to pinch 25 half opened plasters - duh!
I guess we probably go way over the top but better too much than too little. Like the rest of you, our stuff goes out of date and that is our biggest expense!
Hilary
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Posted By David A Jones
At our office complexes all first aiders are issued with a first aid kit (20 person kit) and we also have another kit available at reception.
Although most people would know the first aiders in their area we also have a one number phone call system that rings all first aiders simultaneously - so if you can't see a first aider locally then just ring the number and you will get a response.
We don't have a hard copy accident book - we use a centralised computer reporting system (managed in accordance with data protection requirements).
We insist on all 'first aid' treatment being reported, even if it is only replacement of a plaster that they came into work with - this may be over the top, but it avoids the grey area around accident reporting of whether it is work related or not (i.e. that decision is taken away from the individuals) - it's suprising what may initially seem not to be work related, but has been influenced by work.
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Posted By neil poyznts-powell
Michael,
I do not believe that the actions you have taken are correct, for the following reasons:
1. First Aid supplies should be easily accesible to all employees. If your first aider(s) are not available or in the event that the injured party is the first aider on duty your comapny could find itself in trouble.
2. As far as I am aware the staff have a legal right to fill in the Accident Reporting Book,themselves with or without assistance from a third party. Therefore, restricting access to the book would be unwise and could leave you open to litigation. The way I had it explained to me was that, the company must ensure that an accident book is maintained, however, the book in effect is "owned" by the company's employees.
To ensure accuarte reporting of accidents I would suggest that a full reporting procedure for all Incidents/Near Misses, with the owness being on the management to ensure timely and accurate reporting of incidents.
With regard to theft from first aid kits, my company's are kept in the shift managers office where they can be obtained at any time but are on balance secure.
Kind Regards,
Neil
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Posted By Sean Fraser
I've recently taken on a position within a manufacturing company and use of the first aid boxes is a persistent issue. Some of the responses here have been very useful in guiding my thoughts.
We are considering separating plasters from the main FA boxes so they are more accessible and allows us to make sure that FA boxes are properly stocked as they won't be used so often. There is still the issue of reporting use of the kits and hence associated incidents but we will handle that in due course.
The pliferproof plasters is a good idea - I know that Seton sell a plaster-only dispenser as we have one here and I am considering adding a few more around the place to implement the above idea.
I'm also going to get a routine briefing out to FA personnel with a short quiz - I found inter-active examples on a website for a training company called Abertay:
http://www.abertaytraining.co.uk/
(You might need to register first)
which gives some ideas on how to structure multiple guess questions. Keeping in touch with the First Aiders will encourage them to keep their knowledge up to date so it is avaialable if and when needed. I will also be marking up all the boxes and stations with a sign that states all injury incidents must be recorded.
We will consider if we want to hold routine practical FA training sessions or even mock-emergency exercises. I did respond to the HSE consultation on revision of the FA regs and I agreed that certified training would be more effective if it was annual rather than the 3 years it is now - at least it guarantees knowledge is being refreshed. After all, we all hope that we never need to use first-aid skills in our workplace, but it needs to be there in case it ever is.
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Posted By Kate Graham
But the first aid supplies *are* available - even if only through a first aider. I don't see what the problem is. If there were no first aiders available there would be more to worry about than whether someone could get a plaster for a scratch!
And if it is likely that the contents of the boxes will be nicked, then they are kept more available to everyone by having the first aiders look after them. Or what am I missing here?
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Posted By David A Jones
Totally agree with you Kate
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Posted By Michael Griffith
Thanks Everyone,
Neil,
I could be seen as going over the top at the company where i work, at present there are four first aiders and an appointed person, and we only employ 23 people on one shift so there isn't any real danger of there not being any one there to administer first aid in an emergency.
The reason why first aid supplies are not accesible to all employees is because;
1. The first aiders have been trained to administer first aid and, know how to use the equipment.
2. We don,t make plasters available for everyone to use, simply because thats all the IP would do, use a plaster. At least if there is a first aider present then the wound would be cleaned properly eliminating any infection later on.
The accident book is not locked away (completed forms are) everyone knows where it is situated. The reason why we only allow first aiders to write in the accident book is to make sure that details of the accident and the IP get entered.
Obviously if people still think that i am doing things wrong, then i will have to re-look at the way we do things.
Regards, Mick
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Posted By Mike Craven
Mick
Where I can see a potential problem is in the filling out of the accident book/form. I always insist that - as far as possible - the injured person should complete it. I realise that this isn't always possible because the injured person may be a child, people have differing levels of literacy, the injured person may not use English as his/her written language; in such cases, we would either look for a representative (eg parent, etc) to complete the form. At the very least, I would expect the injured person or their representative to sign the report/accident "book" entry.
The reason for this is that in case of future litigation, you don't want the court to be saying, "Here is the accident book/report Mr X, is that what happened?", only to be told, "No, that is XXX Ltd's version of events"!! I seem to recall that the last accident book issued by the Stationery Office prior to the new Data Protection Act considerations coming into force actually had a section for the injured person to confirm that the accident book entry was correct.
Of course there is the situation where the injured person may have been taken to hospital unconscious, broken both hands, had their hands chopped-off, etc and be physically unable to sign. Perhaps someone will start a new thread next week, asking if such people can be dismissed for breaking health and safety rules by not completing an accident report form!!!
Mike
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Posted By Michael Griffith
Merv,
Sorry, i didn't mention that the first aider (after administering first aid to the IP) will enter the details in the accident book with the IP present who will then check all details and then, if happy with what has been written the IP is required to sign and date the form along with the first aider.
Regards, Mick
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Posted By Michael Griffith
sorry.......
The above should have said Mike
Regards, Mick
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Posted By neil poyznts-powell
Michael,
In your circumstances it seems that you are well covered, with regards to the provision of First Aid Personel/Kits/Equipment. This is assuming that all employees are aware of the procedure.
We too advise all staff that only 'trained and authorised' employes are to use the First Aid Equipment. However, the kits are freely available in case of an unforseen event, as in my experience of litigation, heindsight is a great tool when deciding if situations were 'reasonably forseeable'.
However, with regard to filling in the accident book, in a previous employment I sought guidance from the Department for Work & Pensions, who advised that the employee should record the accident, unless they require a third party to assist or are unable to do so themselves (due to injury sustained or existing disibility).
Regards,
Neil
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Posted By John Murgatroyd
The first aid equipment is supposed to be "easily available"
Whether being locked up is that, is open to interpretation I suppose.
The incident book record of the accident/incident is supposed to be "accurate", I suppose a manager could fill it in and be accurate. My past memories suggest that in the event of a small company it will not be accurate.
In any event, the incident book is not supposed to be locked away. Although the tear-off pages are.
As to first aiders, we have had one who removed his name from the list stating that he was worried about personal liability. Another who is nearly qualified to proffessional level, and another who I wouldn't let dress a doll let alone a wound.
In any case, all wounds needing more than a plaster go to hospital and the first aiders are not qualified to remove foreign objects from eyes, so those go to hosital as well.
Basically, those trained to the basic level shouldn't be allowed to do much anyway.
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Posted By Laurie
In an FE College with some 20,000+ students keeping first aid boxes stocked (54 of them) was nigh on impossible, they would be empty within hours of being filled, although first aid supplies were the biggest single regular H&S expenditure - £1200 was my last annual figure.
If you're wondering why anyone would want to plunder 3 triangular bandages, you have never seen the various uses to which Art & Design students can put a piece of muslin!
No matter what the legal requirement is, you have to be "reasonably practicable" and don't forget that for much H&S legislation it is a defence to prove that the measures you have taken are at least as good at meeting the statutory requirement.
In my case this involved, as others have indicated, every first aider having their own kit for which they had sole responsibility, and if, for instance they came to me for a box of 100 plasters to replenish their kit, they would have to explain if I had not had at least 95 accident reports from them (I'm not an unreasonable man - I allowed five as replacements!).
We also had a fully stocked first aid room in every campus (6), and a system whereby any member of staff could get a taxi to A&E for those occasions when an ambulance was over the top, this taxi would then take the IP home if medically advised.
While we had one or two queries from the local enterprise company and other educational overseers, the people that really mattered, HSE, regarded our measures as more than adequate for our particular circumstances.
As usual it is virtually just a risk assessment - what's the problem, how do we solve it?
Laurie
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