First Aid at Work Candidate Assesment

• Client / Site

• Location
  Address

• Assessor Name:

• Delegate Name:

• Conducted on

  Date

• Document Serial No:

CPR ASSESSMENT

• Check for further danger

  Yes

  No

  N/A

• Check for response - AVPU

  Yes

  No

  N/A

• Calls for help

  Yes

  No

  N/A

• Opens Airway - Head Tilt & Chin Lift

  Yes

  No

  N/A

• Checks for normal breathing, Look, Listen, Feel. Maximum 10 seconds

  Yes

  No

  N/A

• Calls 999 if not already done

  Yes

  No

  N/A

• Positions hands in the centre of the chest

  Yes

  No

  N/A

• Gives 30 chest compressions

  Yes

  No

  N/A

• Good rate of compressions 100 - 120 per minute

  Yes

  No

  N/A

• Gives 2 rescue breathes approximately 6 secs each

  Yes

  No

  N/A

• Repeats cycle 30:2 at lest 1 breath in 2 attempts is effective

  Yes

  No

  N/A

• Compresses chest 5-6cm

  Yes

  No

  N/A

• Know to change rescuers every 1- 2 minutes

  Yes

  No

  N/A

WOUNDS & BLEEDING ASSESSMENT

• Check for further danger

  Yes

  No

  N/A

• Call for help / First Aid Kit

  Yes

  No

  N/A

• Personal hygiene puts on protective gloves

  Yes

  No

  N/A

• Sits or Lays the IP down as appropriate

  Yes

  No

  N/A

• Exposes & Examines the wound

  Yes

  No

  N/A

• Applies direct or indirect pressure as appropriate

  Yes

  No

  N/A

• Aseptic technique maintained throughout

  Yes

  No

  N/A

• Dressing appropriately selected and applied

  Yes

  No

  N/A

• Dressing firmly applied but not constrictive

  Yes

  No

  N/A

• Ambulance requested when required

  Yes

  No

  N/A

• Aftermath clearing the site restock of first aid kit and accident reported

  Yes

  No

  N/A

UNCONSCIOUS CASUALTY ASSESSMENT

• Checks for further danger

  Yes

  No

  N/A

• Checks level of consciousness AVPU

  Yes

  No

  N/A

• Calls for help

  Yes

  No

  N/A

• Opens airway head tilt Chin lift

  Yes

  No

  N/A

• Checks for normal breathing

  Yes

  No

  N/A

• Considers secondary injuries

  Yes

  No

  N/A

• Places in recovery position

  Yes

  No

  N/A

• Circulation checks for severe bleeding

  Yes

  No

  N/A

• Calls 999 if not already done

  Yes

  No

  N/A

• Monitors ABC repeats primary survey

  Yes

  No

  N/A

• Keeps casualty warm if in cold environment

  Yes

  No

  N/A

OVERALL ASSESSMENT RESULT

• The assessor has determined that overall the candidate has...

  PASS

  REFER

  FAIL

Signatures

• Ass

  Sign

• Del

  Sign