First Aid Needs Assessment (AA-HS-SF-4016)

• Site conducted

  Select

• Conducted on

  Date

• Completed by

FACTORS TO CONSIDER

HAZARDS

• Does the workplace have low-level hazards, e.g. those found in an office?

  Yes

  No

• Does the workplace have high level hazards e.g. those found in a lab or mechanical workshops?

  Yes

  No

• Consider hazards such as toxic substances, explosives, pathogens, high voltages, manual handling, machinery, fieldwork in remote areas.

STAFF

• How many people work in the work areas?

• Are there staff on site that may be at higher risk?

  Yes

  No

• Consider inexperienced workers, those with existing health problems, young persons, new and expectant mothers, disability etc.

ACCIDENT HISTORY/RECORDS

• What types of accidents and injuries have previously occurred?

WORKING ARRANGEMENTS:

• Are any identified employee groups Lone Working?

  Yes

  No

• Out of Hours / Shift Working?

  Yes

  No

• Does the department occupy more than one building or operate on multiple floors?

  Yes

  No

• Are there times when the First Aider might be on holiday/absent?

  Yes

  No

NON-EMPLOYEES:

• Do members of the public, visitors, contractors, visit the workplace?

  Yes

  No

EMERGENCY SERVICES:

• Closest hospital?

SUGGESTED NUMBER OF FIRST AID PERSONNEL (HSE L74)

• Risk Level:

  Low Risk

  High Risk

• Number of Personnel:

  Under 25

  25-50

  Over 50

• At least 1 Appointed person

• At least 1 EFAW trained First Aider

• At least 1 FAW trained First Aider for every 100 (or part thereof)

• Number of Personnel

  Under 5

  5-50

  Over 50

• At least 1 Appointed person

• At least 1 EFAW trained First Aider (consider the type of injuries that may occur)

• At least 1 FAW trained First Aider for every 50 (or part thereof)

• *The HSE strongly advise that arrangements for First Aid provisions also take into account non-employees that may be on site.

DETERMINATION OF REQUIREMENTS

• Appointed person required:

  Yes

  No

  In Place

• EFAW First Aider

  Yes

  No

  In Place

• FAW First Aider

  Yes

  No

  In Place

• First Aider with additional training (please specify)

  Yes

  No

  In Place

• First Aid Kits

  Yes

  No

  In Place

• Additional Equipment (e.g. Defibrillator)

  Yes

  No

  In Place

• First Aid Room

  Yes

  No

  In Place

• Eye Wash Stations

  Yes

  No

  In Place

• Ensure that Eye Wash Provision is made at the point of potential injury from the use or handling of chemical substances which may cause eye injury.

• Completed by:

  Sign