Rank: Forum user
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I'd be interested in rural industry and rural non-industry opinions on the need for first aid training for lone workers.
Our organisation has many staff and volunteers who undertake lone working of various types, some of which in isolated locations where help will not be immediately available. In an effort to keep people safe, being reasonable and without overly restricting them, I have suggested that all lone workers who may be isolated should have a minimum of "appointed person" first aid and, together with items such as mobile phones, whistles and a foil blanket, be issued with a single person first aid kit.
As usual there is a small minority of H&S cynics who believe first aid training is excessive. Given we have a legal responsibility to ensure there is suitable and sufficient first aid provision for our staff and (in my opinion) none of us within the organisation are qualified to assess individual's competence on a one-to-one basis, is it not just sensible to provide and insist upon some basic and recorded training for everyone?
To clarifyy: Our lone workers are field habitat surveyors, mostly terrestrial or freshwater ecologists. Sometimes undertaking low-hazard practical tasks in very isolated places but not using machinery.
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Rank: Super forum user
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To be perfectly honest if you train every person in appointed person you will be guilty of using a sledge hammer to crack a nut. You say the work is sometimes low-risk by this do you mean all of it is low risk? You should provide a first aid kit to each person either at thier place of work or in thier vehicle there is no need to train them as appointed persons or even first aider at work people. You could give them basic first aid if your employer is willing to pay for it, but that would be almost as expensive and rather over the top. Imagine the number of people who work alone in the many industries and working environments who actually work alone many in such isolated places as you suggest and ask your self how many are first aid trained at all. You must provide first aid kits but there is no need to train them.
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Rank: Forum user
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Does it not as always come down to risk assessment?
The fact that your guys are in isolated locations, and working on over or near water would give me 2 immediate areas of concern that require mitigation. If you have special circumstances YOU need to make the special arrangements.
If its a cost issue, contact your local Heartstart group, who will come to you, and provide training in BLS, and control of bleeding absolutely free.
If your guys are on over or near water do they wear life jackets?
Have they been trained to wear them? What rescue measures do you have in place etc etc.
Lone working next to water is not something to be taken lightly.
If your guys aren't trained in BLS and basic rescue how are they going to get out, or commence resuscitation if required?
Phil
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Rank: Forum user
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Thanks for the posts so far -
Two differing approaches, both useful. In reply to the second mainly around RA:
We try to risk assess most situations, particularly around working on and near water, but as with so many lone working and isolated activities it is often difficult to determine exactly what levels of risk we face. Certainly for working (as against bankside surveying) freshwater habitats lone working requires a site specific RA agreed with line managers and all staff are trained in basic rescue and using life preservers, throw ropes etc.
I don't like to use the word 'dynamic' around RA but part of what we aim to achieve is equipping our staff and volunteers with the knowledge and material support to make sensible judgements in the field and to be able to deal with unforeseen problems. Personally I think a one day first aid training course helps people recognise what can happen.
Anyway - I'll look out for more views when the hols are over.
Cheers
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Rank: Super forum user
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I don't think first aid training per se is necessary or particularly relevant in the circumstances you describe. Being a first aider is primarily about looking after other people and not the individual themselves. That said, providing a first aid box and other equipment is necessary for those who work in isolation, as well as any other training/advice on survival in remote rural areas. No harm can come of first aid training but it would not be high on my list.
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Rank: New forum user
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I do arboricultural survey work which involves lone working as well as teamworking. I have a team FA in vehicle and a personal one I carry sometimes depending on the site but I often don't bother for various reasons.
Given that any field work accident is most likely due to be tripping or slipping I rely on my eyes as (dynamic?) risk assessment tools, the best I have as (like Tompkin) I don't always know where I'm going to end up. If site/survey area is inaccessible then abort.
I'd focus on the lone working protocols and elementary first aid as tool-box talks to provide training as 'assessments' aren't necessary. Regular reminders are probably useful as they keep the information fresh and accessible in one's mind.
Regards,
Andy P
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Rank: Super forum user
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RayRapp wrote:I don't think first aid training per se is necessary or particularly relevant in the circumstances you describe. Being a first aider is primarily about looking after other people and not the individual themselves. That said, providing a first aid box and other equipment is necessary for those who work in isolation, as well as any other training/advice on survival in remote rural areas. No harm can come of first aid training but it would not be high on my list.
Not sure I necessarily agree with that statement Ray. Whilst being a first aider in fixed settings might only mean first aid to others, in rural and lone working situations First Aid can easily be required to be administered to oneself. By saying that a first aid kit is necessary but that first aid training is not it seems a bit of a contradiction.
I do recommend that those working in agricultural / agricultural based industries get EFAW and where possible a version geared towards those working in more remote locations where the training is more appropriate. For sure agriculture and agricultural related industries may have a higher risk than most but I don't think first aid should be ignored just because it is expensive or intended to be delivered to oneself.
I have had to administer first aid to myself when I had an accident in a remote location. I definately think it is worthwhile to know what to do.
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Rank: Super forum user
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Clairel I often take note of many of your postings and consider them to be reasonable advice, however on this one I cannot believe how wrong you are. Are you suggesting that everyone be EFAW trained. That would make elf&safety a real thing in everyones view. The cost would be absolutely astronomic and it would be an ongoing cost every three years to keep it live. If you want to provide true evidence that such an OTT approach is really needed show us the figures to back up your view. I think that the as far as is reasonably practicable is something you obviously disagree with or have simply forgotten.
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Rank: Super forum user
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bob shillabeer wrote:I cannot believe how wrong you are.
I'm not wrong. It's a matter of opinion and I don't think I've ever been accused of being OTT in relation to H&S. Usually the opposite.
You'd be amazed how many farmers disagree with you too as many are EFAW trained and consider it to be sensible in their circumstances. It's not that expensive for EFAW. I'm sure I don't have to quote the fatality and serious injury stats in farming.
There are no right or wrongs just differences in opinion.
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Rank: Super forum user
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Claire
As a trained first aider I fully appreciate an individual can administer first aid to oneself (you don't need to be qualified to do this) and I did not dismiss first aid training altogether. However CPR could be a bit tricky. :)P
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Rank: Super forum user
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RayRapp wrote:Claire
As a trained first aider I fully appreciate an individual can administer first aid to oneself (you don't need to be qualified to do this) and I did not dismiss first aid training altogether. However CPR could be a bit tricky. :)P
No you don't need to be qualified and my interest is purely in people working in hazardous circumstances in remote locations having knowledge about first aid. But if you're going to pay to go through a course you may as well get a valid certificate at the end of it. It is a fact that farmers can be seriously injured a long way from help. They may need to stem their own blood loss or they may find that they are closer to a casualty working nearby than the emergency services.
EFAW to me is just about knowledge.
Any actually Bob I do think everyone should have basic first aid knowledge. And I do mean everyone. In fact I did a project many years ago when I did my A Levels on introducing basic first aid lessons to Junior School children. It was well received by teachers and pupils alike. Basic first aid skills should be taught to everyone ......and no I don't mean CPR Ray!!! :-P
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Rank: Forum user
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Me again - thanks for your views on this to-date, I think Clairel is more in sympathy with our situation than most. The question of expense seems a bit weak to me, surely you can get decent EFAW training for under £100. In a commercial setting you can write it off against tax and in the charitable sector (as I am) it's a matter of making sure costs are factored in.
Mixing first aid and lone working is an issue, for instance; if one of our surveyors is lone working they might not need EFAW but if the have a couple of university placements with them the lone working issue is gone but they need EFAW in case one of the placements hurt themselves?
I'm with Clairel, I simply can't see why everybody dosn't have some level of training.
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Rank: Super forum user
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Back from the hols
We have similar fieldworkers and we aim to issue each one with a basic one man first aid kit( something to carry rather than something to leave in the 4x4 ) and a basic one day first aid course. We are also concerned about how to keep in touch with our staff.
Cost does not come into it really; it’s factored into the project costs.
These jobs are risk assessed and we decide on a project by project basis what controls we need to apply.
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Rank: Forum user
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As I've already eluded to, if you do the Heartstart course, they will come to you FREE, so can't see the issue really.
I know that harnesses and lifejackets are often issued without training, and that really upsets me, but to dish out first aid kits without free training would be inexcusable really.
I can't see what the issue is, when we insist on CSCS, manual handling training, environmental training etc etc, but something as basic as first aid, particularly in isolated areas, we try and swerve.
If you do the risk assessment, how can you not have first aid facilities in a remote location?
Phil
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Rank: New forum user
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Hi Phil,
"If you do the risk assessment, how can you not have first aid facilities in a remote location?"
The implication is that comment is that regardless of, or in absence of, risk you would insist on first aid facilities - therefore no need to assess risk and just carry first aid kit.
I can't agree with that as it stands; if risk assessment of site shows likelihood of injury is very low and injury is very minor then I wouldn't carry one, it seems unnecessary. Surely that is the point of assessing risks?
I'm happy to learn and maybe I'm missing something however it seemed counter-intuitive to do the risk assessment but carry the first aid kit just because you did the risk assessment.
Andy P
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Rank: Super forum user
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We often use risks assessment as the philosopher's stone, they do not always provide the answer you are seeking. Indeed, I would say that a formal RA in the circumstances we are discussing is not really very helpful.
It really is about striking the right balance, is FA training necessary, are there other more useful means of controlling potential risks, have we discussed this with the guys out in the field? Lets not get bogged down with RAs and FA - we may be missing the big picture.
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Rank: Forum user
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So let me get this right in my head.
RA and paperwork aside.
When your surveyors are in the warm, safe office writing up their reports, we are all happy to supply a green box with FA supplies in, and even assign someone to make sure it's always nicely stocked. If there are a few surveyors we will even train someone to apply the contents of the said green box, and distribute cuddles.
All of this happens in a land of lethal paper cuts, and stapler incidents.
But we are happy to send out a surveyor on his or her own to an un controlled, isolated body of water without any of the above?
Just me then.
Phil
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Rank: Super forum user
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This is an interesting discussion. One argument seems to be if you provide a FA kit, it is almost essential to 'train' in EFAW. The views seem to be either EFAW (or more) training or nothing.
Let's look at how this works out of work, as a comparison: Going mountain biking / hiking / camping etc? Advice is always to take a FA kit - usually giving list of items which should be relevant (lots of plasters / blister kit if hiking, maybe anti-stick large dressings for cycling). The advice is also - 'and know how to use it'.
So - horses for courses. Sounds like risk assessment . . So back to work . . .
If you have lone workers, and the FA kit is for them, including a resuciade for example is obviously wasted. Most of EFAW training is life-saving, not putting on plasters, so that too is OTT.
So why can't the worker receive specific 'information' on how to self-aid with a (specific) kit, covering the likely scenarios (grazes, bruises, cuts, insect bite) rather than standard EFAW training? A briefing, leaflet and occasional TBT seems reasonable.
Isn't this what reasonably practicable, and proportional means? After all if there is a significant risk of serious injury, lone work would not be acceptable surely *.
I would put more emphasis on the ability to call for help, and rescuers being able to find people in trouble. Which is going to be rare and exceptional.
(* Farmers not low risk).
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Rank: Forum user
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Thank you all very much - it's been very interesting to take part in this discussion. Obviously there is no perfect answer, I think I'll be happy to continue to recommend that all Lone Workers receive suitable first aid training as part of the H&S protocols we put in place for them. what I will change however is what specific first aid is needed:
I think EFAW as a baseline, personally I find the awareness raising of more value than the actual skills transferred.
But Line Managers are free to seek more suitable training as long as their decisions are recorded, there are some pretty good variants out there.
I may even allow that, in exceptional circumstance, a Line Manager might decide that a Lone Worker need not have a formal qualification, but I'll strongly suggest that that is recorded on an individual basis.
How does that sound?
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Rank: Super forum user
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Interesting to read this debate and the various opinions.
Out of interest how many people have driven in France? You are required to stop at an accident if first on the scene and offer assistance and you are required to carry a first aid kit in your vehicle along with hi-viz warning triangle etc. No mention of training though!
Clairel is to be agreed with that every body should have some form of emergency first aid training either as part of the school curriculum or as part of their work induction, basic first aid can be covered in a few hours and may even save someone's life. sounds like a good practical and cost effective health and safety issue if ever I saw one.
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Rank: Super forum user
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HeO2 wrote:As I've already eluded to, if you do the Heartstart course, they will come to you FREE, so can't see the issue really.
I know that harnesses and lifejackets are often issued without training, and that really upsets me, but to dish out first aid kits without free training would be inexcusable really.
I can't see what the issue is, when we insist on CSCS, manual handling training, environmental training etc etc, but something as basic as first aid, particularly in isolated areas, we try and swerve.
If you do the risk assessment, how can you not have first aid facilities in a remote location?
Phil
Phil Heartstart is not a usufull alternative to EFAW or FAw and should not be promoted as such.. It is a general public access course and I agree as that can be useful in this instance...the company risk assessment should consider distance from the emergency services/emergency response. 3 miles in open country side can take 20 mins to get to...
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Rank: Forum user
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Steve I couldn't agree more.
But it seems that people are suggesting we provide NO training at all.
Im well aware that Heartstart doesn't indemnify you for EFAW or FAW. Im just stating that the cost implication shouldn't be an issue as to why you wouldn't train your staff in BASIC life support.
I suggested at the start of the thread that it comes down to as always risk assessment.
Phil
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