Are you competent? As long as you can prove yes then I guess nothing... I have various thoughts on this topic, too long to go into, but on a previous chemical plant the HSE inspector insisted our Nurse held FAW. She specialised in Emergency care and worked in an A&E department for 2 days a week. With her I ran several in-house refresher courses, and with our Doctors help included specialist training for certain scenarios... Should we have all been approved by the HSE and would our training of sufficed - completing FAW every 3 years with an approved supplier was really just ticking boxes... That said - first aid training SAVES LIVES - poor training may result in first aiders who lack confidence / competence, that said I have seen some poor trainers who are HSE approved - I suppose at least they can be removed from their role... I agree - discuss :)