Guidelines On First Aid at Places of Work
Guidelines On First Aid at Places of Work
AUTHORITY
May 2008
As required by
The Safety, Health and Welfare at Work (General
Application) Regulations 2007
(S.I. No. 299 of 2007)
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TABLE OF CONTENTS
Page
Introduction 4
Application 5
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CHAPTER 3: First Aid Rooms, Equipment and Communications 17
3.1 Criteria for Provision 17
3.2 Minimum Conditions for First Aid Rooms 17
3.3 First Aid Room Facilities and Equipment 18
3.4 Siting of New First Aid Rooms 18
3.5 Communication Links within the Worksite 19
3.6 Contacts with External Services 19
Appendix 1: Safety, Health and Welfare at Work (General Application) Regulations, 2007, Part 7,
Chapter 2, First Aid
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INTRODUCTION
This guidance gives comprehensive information to employers on the requirements of Chapter 2 of Part 7 of the Safety,
Health and Welfare at Work (General Application) Regulations (S.I. No. 299 of 2007) concerning first aid at work. The
guidance mirrors the existing “Guide to the Safety, Health and welfare at Work (General Application) Regulations,
Chapter 2 of Part 7: First Aid”. In addition it provides guidance and information on occupational first aid training and
occupational first aid training provider requirements. Finally it includes the new Further and Education Training
Awards Council (FETAC) occupational first aid standards.
Employers have a duty to provide first-aid m a t e r i a l s / equipment at all places of work where working
conditions require it. Depending on the size and/or specific hazards of the workplace, trained occupational first
aiders must also be provided. F irst aid rooms must be provided where appropriate in any place of work where the
size of the premises, the type of the activity being carried out and the frequency of accidents so dictate. These
rooms must be properly equipped with first aid equipment and facilities.
Necessary external contacts must be made as regards first-aid and emergency medical care. Information must be
provided to employees and/or safety representatives as regards the first-aid facilities and arrangements in place.
Occupational first aiders are required to be trained and certified as competent at least once every 2 years by a
registered occupational f irst aid t r a i n i n g p r o v i d e r . The Regulations and these g uidelines are intended
to provide a framework within which every workplace can develop effective first aid arrangements.
For the purposes of the Regulations and these guidelines “first aid” means:-
(a) in a case where a person requires treatment from a registered medical practitioner or a registered general nurse,
treatment for the purpose of preserving life or minimising the consequences of injury or illness until the services
of a practitioner or nurse are obtained, or
(b) in a case of a minor injury which would otherwise receive no treatment or which does not need treatment by
a registered medical practitioner or registered general nurse, treatment of that minor injury.
Attention is drawn to the 2 general types of circumstances under which first aid as defined may need to be rendered to
persons at the workplace. For example, where an employee has collapsed with a severe pain, or is bleeding severely,
urgent first aid, to preserve life, or prevent further serious injury, is required until a nurse, doctor or other person, such
as a trained emergency medical technician, can take over management of the situation. In relation to
preserving life, the “Chain of Survival Concept” is recognised. This is based on 4 vital links to save a
life; early access, early cardiopulmonary resuscitation (CPR), early defibrillation and early advanced
care. At the other end of the spectrum first aid might simply mean the provision of an adhesive plaster for a minor
cut to prevent infection and to aid healing.
An “occupational first aider” is defined in the Regulations as a person trained and qualified in occupational first aid.
Such training can only be provided by organisations or individuals on the Register of Occupational First Aid Training
Providers. This Register is maintained on behalf of the Health and Safety Authority by the occupational first aid
assessment agent (OFAAA).
It is stressed that the storage and/or administration of drugs and medications does not generally form part of first
aid provision as set out in the Regulations and guidelines. Drugs or medications should not be stored in
occupational first-aid boxes or kits and they should only be administered as prescribed by a registered medical
practitioner. In certain circumstances first aiders can assist in the administration of aspirin if available for suspected
cardiac chest pain.
There are 2 standards on occupational first aid, each leads to an award made by the Further Education and Training
Awards Council (FETAC). For those wishing to become occupational first aiders, the Level 5 Occupational First Aid
standard applies. It emphasises practical life saving and other skills. For those who are experienced occupational first
aiders and wish to become instructors, the Level 6 Occupational First Aid Instruction standard applies. The guidance
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outlines the requirements for those wishing to become occupational first aiders and occupational first aid instructors.
The text of the relevant Regulations is set out in Appendix 1 to these Guidelines and the FETAC Occupational
First Aid and Occupational First Aid Instruction standards are shown in Appendix 2 and 3 respectively.
APPLICATION
As far as first aid facilities and materials/equipment and occupational first aiders are concerned, the provisions of
Chapter 2 of Part 7 of the Regulations on first aid apply to all places of work to which the Safety, Health and Welfare at
Work Act, 2005 applies, and to employers and the self-employed alike. The provisions of Chapter 2 of Part 7 of the
Regulations relating to first aid rooms apply to all places of work except means of transport, fishing boats and
outlying agricultural land. It should also be noted that in the case of offshore installations, first aid provision and
facilities will continue to be governed by the Safety, Health and Welfare (Offshore Installations) (Operations)
Regulations, 1991 (S.I. No. 16 of 1991) which are made under the Safety, Health and Welfare (Offshore
Installations) Act, 1987. There may be other situations where additional occupational first aid provisions although
not specifically regulated, are required e.g. commercial diving.
The Regulations place requirements on employers in respect of their own employees while they are at work and
employees in this context include persons undergoing training for employment or receiving work experience on the
employer’s premises. Account will also need to be taken of non-employees on the employer’s premises (e.g. pupils in
schools, customers in shops and other places of public assembly). Where first aid provision is made for both employees
and visitors, care should be taken that the level of first aid provision available to employees is not less than the standard
required by the Regulations and these guidelines.
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CHAPTER 1:
Different work activities involve different hazards and therefore different first aid provision is required. Some
places of work (e.g. offices, libraries etc.) have relatively low hazards whereas others (e.g. factories and
construction work etc.) often have a greater degree of hazard or specific hazard involved. Requirements for first
aid provision at work will therefore depend on several factors including the size of the workplace, the numbers
employed, the hazards arising, access to medical services, dispersal of employees, employees working away from
their employer’s premises, workers in isolated locations etc. All of these issues will be described in the following
sections.
As a minimum every workplace should have an occupational first aid box or kit. The following Table 1 (and
the commentary on specific points which follows it) gives a broad indication of the type of first aid
materials/equipment and supplies which would be reasonable in different circumstances.
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Notes
*1: Where more than 50 persons are employed, pro rata provision should be made.
*2: Where mains tap water is not readily available for eye irrigation, sterile water or sterile normal saline
(0.9%) in sealed disposable containers should be provided. Each container should hold at least 20ml and
should be discarded once the seal is broken. Eye bath/eye cups/refillable containers should not be used for
eye irrigation due to risk of cross infection. The container should be CE marked.
*3: Where mains tap water is not readily available for cooling burnt area.
The above Table 1 provides a general guide on the recommended contents of occupational first-aid boxes and kits
based on numbers employed. Quantities indicated in Table 1 are minimum numbers and can be increased.
The requirements for sterile water and water based burns dressings as per note 2 and 3 above are
only where there is not a wholesome supply of tap water available. Also a single paramedic shears and
pocket face mask is considered adequate.
Occasionally the quantities indicated in Table 1 will be insufficient and the actual amounts required should
be based on a risk assessment. An obvious example is that drivers of dangerous goods vehicles would
require a quantity of 2x 500mls of sterile water for eye irrigation in their travel kits due to the risk of contact
with hazardous chemicals.
The appropriate number of boxes or kits required in any particular place of work will not only depend on the number
of employees but also the particular circumstances including the following in paragraphs 1.3 to 1.6 below.
Where a workplace has employees exposed to any special hazards, such as:-
(a) Risk of poisoning by toxic substances, e.g. certain cyanides or related compounds;
(b) Risk of burns from corrosive or oxidising substances, e.g. hydrofluoric acid;
(c) Risk of accidental exposure to hazardous substances, e.g. toxic, irritant or asphyxiant gases, requiring
oxygen for resuscitation;
(d) Other specific risks identified in the Safety Statement required by Section 20 of the Safety, Health and
Welfare at Work Act, 2005;
at least one first aid kit of the type specified in column 2 of Table 1 should be provided, together with any
equipment or special antidotes appropriate to the risk posed by that hazard. These should be located as close as
possible to the site where the hazardous process is carried on (see also paragraph 2.4).
Where employees regularly work away from the employer’s premises and there are no special hazards or problems
of isolation, no first aid materials/equipment need be provided by the employer. Where such work
involves the use of dangerous tools or substances (e.g. agricultural and forestry work, electricity, gas, water and
telecommunications services, transport of hazardous articles and substances etc.) the travel kit specified in column
2 of Table 1 should be provided along with any special materials/equipment or antidotes as appropriate (see
paragraph 1.3 above). It is not considered necessary that all employers should supply a travel kit to employees
who travel in the course of their duties unless special hazards or isolation factors apply.
Workers may be relatively isolated even when working within a particular workplace such as a factory. This
isolation may be accentuated on farms, forestry, mountainous areas etc. In such circumstances a first aid
t r a v e l kit (column 2 of Table 1) should be available even in the absence of other factors such as dangerous
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tools or special hazards and in those situations where the nearest appropriate medical facility is more than
1hours total travelling time from the place of work.
Where employees of more than one employer are working together, and the employers concerned wish to avoid
duplication of provision, they may make an agreement whereby one of them provides the necessary first aid
materials/equipment and facilities (e.g. on construction sites, the contractors involved might agree that all the
necessary first aid provision will be made by the contractor who has the largest number of employees on
site). In the absence of such an agreement each employer will need to carry their own responsibility.
In workplaces where there are occupational first aiders, first aid boxes and kits should be under their control.
Otherwise they should be under the control of a responsible person named in the Safety Statement. The
contents of the boxes and kits should be replenished as soon as possible after use in order to ensure that there is
always an adequate supply of all materials. Items should not be used after the expiry date shown. It is
therefore essential that first aid m a t e r i a l s / equipment be checked frequently, to make sure that there
are sufficient quantities and that all items are usable. First aid boxes should be made of suitable material
designed to protect the contents from contamination by heat, damp or dust and should be clearly identified as
first aid containers: the marking used should be a white cross on a green background. Sterile first aid dressings
should be packaged in such a way as to allow the user to apply the dressing to a wound without touching that
part which is to come into direct contact with the wound. That part of the dressing which comes into contact
with the wound should be absorbent. There should be a bandage or other fixture attached to the
dressings. Dressings, including adhesive ones, should be of a design and type which is appropriate for their use.
Where an employee has received additional training in the treatment of specific hazards which require the use
of special antidotes or special equipment, these may be stored near the hazard area or may be kept in the first
aid box. No other items should be stored in first aid boxes or kits.
In compact work places, where a number of employees work in close proximity, first aid materials/equipment
should be sited at a point convenient to the majority of the workforce or where there is greatest risk of an injury
occurring.
Where work places have a large number of employees but are divided into a number of self-contained working
areas, consideration should be given to setting up a main facility with supplementary materials/equipment in each
of these working areas. A large plant with a small number of employees dispersed over a wide area may require
provision in different parts of the workplace. Soap and water and disposable drying materials should be
provided for first aid purposes. Where soap and water are not available, individually wrapped moist cleansing
wipes may be used.
The provision of automated external defibrillators (AEDs) in workplaces to assist in the prevention of sudden
cardiac death should be considered. As mentioned in the Introduction, early defibrillation using an AED is one of
the vital links in the “Chain of Survival”. Ideally, wherever there is an occupational first aider(s) in a workplace,
provision of an AED should be considered. The training of other employees who are not occupational first aiders
in the use of AEDs is also encouraged.
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Whereas it may be practicable and desirable to have an AED in every workplace, due to cost considerations it
would be unreasonable to expect all employers (especially small and medium size enterprises (SMEs)) to have
one on their premises, even if there is an occupational first aider present. These costs not only include the
purchase price but also the vital cost of maintenance of the equipment and regular refresher training for those
trained in how to use AEDs.
However, different employers at the same location, such as in shopping centres, small business enterprise
centres etc., where relatively large numbers of employees or other persons are likely to be habitually present,
might find it feasible to co-operate in the provision of shared equipment, training and assistance.
Training in AEDs is part of Unit 4: Cardiac First Response of the FETAC Level 5 Occupational First Aid Standard
(see Appendix 2).
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CHAPTER 2:
The Regulations require employers and the self employed to provide, or ensure that there are provided, at each
place of work under their control such number (if any) of occupational first aiders as is necessary to render first
aid at the place of work concerned, taking account of the size or hazards (or both) of the w o r k p l a c e .
In this regard the Regulations define first aid as meaning either:-
(a) in a case where a person requires treatment from a registered medical practitioner or a registered general
nurse, treatment for purpose of preserving life or minimising the consequences of injury or illness until
the services of a practitioner or nurse are obtained,
or
(b) in a case of a minor injury which would otherwise receive no treatment or which does not need treatment
by a registered medical practitioner or registered general nurse, treatment of that minor injury.
A minor injury would not involve an alteration in the casualty’s vital signs (pulse, temperature, blood pressure
or breathing rate). An example of a minor injury would be a small clean wound where any bleeding is easily
controlled. An injury could not be considered to be a minor injury if function was in any way impaired.
2.2 CRITERIA FOR DECIDING ADEQUATE AND APPROPRIATE PROVISION OF OCCUPATIONAL FIRST AIDERS
Having regard to the definition of first aid in the Regulations, where a permanent occupational health service
exists (i.e. where a registered medical practitioner or a registered general nurse are permanently on the premises
within ten minutes call of any accident) the first aid arrangements should be provided and co-ordinated by that
service and only such occupational first aiders, as these occupational health staff consider necessary to assist
them with emergency duties need be available while such staff are on the premises. The usual number of
occupational first aiders recommended in these guidelines should otherwise be available.
As in all aspects of the preventive strategy enshrined in the Safety, Health and Welfare at Work Act, 2005, and
the Regulations under that Act, the preparation and maintenance of the Safety Statement required under
Section 20 of the Act plays a key role in relation to first aid provision. It is difficult to outline precisely when,
where and how many occupational first aiders should be provided. The best indicators will arise in the process
of identifying the hazards and assessing the risks arising in the context of the Safety Statement.
Several factors will need to be considered. These include the numbers employed, the nature of the work,
the degree of hazard, the level of accidents arising, the size and location of the workplac e, the distribution
of employees within the workplace, whether there is shift working, the availability of an o ccupational
h ealth service within the workplace and the distance and duration from external medical services etc.
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In each particular case a decision on whether any or how many o ccupational f irst aiders may be required
should be taken after an assessment of all the relevant factors and not solely, for example on the numbers of
employees at work (the principal relevant factors are dealt with in greater detail in the following paragraphs).
Even if the assessment indicates that there may be no necessity to have any occupational first aiders provided at
a particular w o r k p l a c e , it may be considered prudent to encourage employees and to assist them in
obtaining suitable training in basic life saving skills and the emergency treatment of injuries due to any special
hazards arising. This could apply especially in workplaces where no special occupational hazards arise but
where significant numbers of non-employees are likely to be present such as in schools, crèches, shops,
places of entertainment etc.
Again it is emphasised that the number of employees is but one of the factors to be considered. As a general rule
where the risk assessment indicates the need for occupational first aider(s), the following general criteria in
Table 2 should serve as a useful guide:
50-149 Minimum 1
150-299 Minimum 2
100-399 1
400-699 2
Where an o ccupational f irst aider is absent in temporary and exceptional circumstances, the employer may
ensure that a person(s) is designated, to take charge of an injured or ill person until medical assistance is
obtained. Such persons functions, if they have not received training in basic life saving skills, would, primarily be
to seek appropriate assistance as soon as possible and to ensure that nothing further is allowed to occur which
would exacerbate the problems of the injured person. It should be noted that, in this context, foreseeable
absences, such as planned annual leave, are not considered to be “temporary and exceptional circumstances”.
Where an undertaking presents specific or unusual hazards, the occupational first aiders should have received
additional or specialised training particular to the first aid requirements of the employer’s undertaking. Such
employments would include:-
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(a) Meat factories.
(c) Factories where, despite maximisation of safety arrangements, experience has shown that accidents
requiring first aid tend to occur frequently.
(d) Workplaces such as hospitals, where there is a significant risk of exposure to biological agents.
(e) Workplaces involving a risk of poisoning by toxic substances, e.g. certain cyanides or related compounds.
(f) Workplaces involving a risk of burns from corrosive or oxidising substances, e.g. hydrofluoric acid.
(g) Workplaces where there is a risk of accidental exposure to hazardous substances, e.g. toxic, irritant, or
asphyxiant gases, requiring oxygen for resuscitation.
(i) Workplaces where other specific requirements arise from risks identified in the Safety Statement required
by Section 20 of the Safety, Health and Welfare at Work Act, 2005.
2.5 ACCESSIBILITY
Occupational first aiders should be accessible to the majority of the workforce or situated where an injury is
most likely to occur. However, such centralised arrangements might not be suitable for a large plant or
premises with fewer employees dispersed over a wide area. In such conditions, occupational first aiders may
need to be more widely dispersed. Effective means of communicating including the use of pagers, mobile phones and
radio should be considered in these situations.
Where workplaces are more than 1 hour’s total travelling time from appropriate medical assistance, the numbers
of occupational first aiders per workplace shown in Table 2 should be doubled in each category.
2.7 PROVISION OF OCCUPATIONAL FIRST AIDERS WHEN EMPLOYEES OF MORE THAN ONE EMPLOYER ARE WORKING
TOGETHER
When employees of more than one employer are working together and the employers concerned wish to avoid
duplication of provision, they may make an agreement whereby one of them provides the necessary occupational
first aiders.
2.8 PROVISION OF OCCUPATIONAL FIRST-AIDERS WHEN EMPLOYEES WORK AWAY FROM EMPLOYER’S PREMISES
In the case of employees who regularly work away from their employer’s fixed location in isolated locations
or where the work involves travelling long distances in remote areas from which access to accident and
emergency facilities may be difficult, one of the working party should be an occupational first aider. This
would apply particularly in circumstances where potentially dangerous m a c h i n e r y a n d c h e m i c a l s
a r e used, e.g. forestry operations, agriculture contractors.
Many employees are glad of the opportunity to undergo first aid training and employers should encourage those
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with a reasonable aptitude to do so. In selecting occupational first aiders, it is important that the other work
tasks on which they are employed should be such as to allow them to leave these immediately and to go
rapidly to the scene of an emergency.
In many instances, the training in general first aid will suffice. However, o ccupational f irst aiders will need
to undergo additional specialised training if a workplace has employees exposed to any special hazards such as:-
(a) Risk of poisoning by toxic substances, e.g. certain cyanides and related compounds;
(b) Risk of burns from corrosive or oxidising substances, e.g. hydrofluoric acid;
(c) Risk of accidental exposure to hazardous substances, e.g. toxic, irritant or asphyxiant gases, requiring
oxygen for resuscitation;
(d) Other specific risks identified in the Safety Statement required by Section 20 of the Safety, Health and
Welfare at Work Act, 2005.
When planning to introduce any new process, the employer should consider whether additional or specific
hazard training for occupational first aiders will be necessary. If there is a need for occupational first aiders to
undergo further training and an employer has difficulty in arranging for such training to be given, advice can be
obtained from a Health and Safety Inspector.
In many cases, the occupational first aider’s skills will be used while the help of medical or nursing personnel
or the ambulance service is being obtained. First aid as defined in the Regulations also includes treatment of
minor injuries which will not always need the services of medical or nursing personnel. The occupational first
aider may on occasion, however, need medical or nursing advice on general matters associated with these
aspects of first aid.
Employers should ensure, therefore, that occupational first aiders are aware of possible sources of such advice,
e.g. from registered medical practitioners, registered general nurses, and paramedics. Where there is an
occupational health service available, whether at the workplace or otherwise, occupational first aiders should be
supervised by such services.
Occupational f irst aiders and o ccupational f irst aid instructors must consider the possibility of having to
render first aid to persons who are carriers of infection risks such as Hepatitis B or H.I.V. Techniques of first aid
which may involve contact with blood or other body fluids should be taught and carried out with this risk in
mind. Such training might include the use of ventilation equipment which avoids direct mouth to
mouth contact. Immunization against Hepatitis B should be considered where regular exposure to blood is a
possibility.
Provided the levels of availability of o ccupational f irst aiders set out in these g uidelines are adhered to,
employers and the self-employed may train other staff in first aid skills. Examples of these levels include
basic life-saving skills including cardiopulmonary resuscitation (CPR) and the emergency treatment of injuries
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due to any special hazards arising. This also includes a higher level for occupational first aiders in diving
operations.
It should be noted that the Regulations provide that where an o ccupational f irst aider is absent in
temporary and exceptional circumstances another person may be designated to take charge of relevant
situations. Such designated persons are not an acceptable full-time alternative to necessary occupational first
aiders. Foreseeable absences, such as planned annual leave, would not be considered to be “temporary and
exceptional circumstances” in this respect. Designated persons ideally should have training in emergency first
aid and basic life-saving skills. Their primary functions, however, would be to take charge of the situation (e.g.
to obtain medical assistance etc.) if a serious injury or illness occurs.
The Health and Safety Authority has appointed an occupational first aid assessment agent (OFAAA) to assess
and register occupational first aid training providers (see 2.18). Employers should only use registered OFAAA
training providers to deliver occupational first aid training. Details of those on the register can be found at
http://www.ofaaa.ie.
Thereafter further training, presented over at least 1 day, and assessment is necessary for re-certification.
Reassessment can be carried out by the registered provider (instructor) who provided the retraining or another
registered provider (instructor). All those who pass the re-assessment will receive a certificate from the registered
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provider (instructor) as FETAC does not issue certificates for refresher retraining.
Where on occasion a first aider’s certificate lapses, if the refresher training is repeated within 3 months of the lapsed
date, 1 day refresher training is adequate, if this period is exceeded, the full 3 day training is required.
Written records of the dates on which o ccupational f irst aiders obtained their certificates of competence
(including any certificates in additional or specific hazard first aid training and refresher training) should be
kept at each workplace, and should be made available on request to a Health and Safety Inspector.
Attendance at an occupational first aid instructor training course is recommended for those
occupational first aiders who wish to become instructors. However such training is not mandatory as in
some circumstances candidates may have sufficient competence and experience without the need to
attend such a course.
Organisations who carry out occupational first aid instructor training, should comply with the following
criteria:-
(a) Provision of a full training and development programme for instructors, presented over at least 5 days (or
2 days for persons already holding a certificate as an occupational first aider) and including the following:
(1) The FETAC Level 5 Occupational First Aid Standard (see Appendix 2).
(2) The FETAC Level 6 Occupational First Aid Instruction Standard (see Appendix 3).
(c) Availability of appropriate numbers of staff with knowledge and skills to carry out such a programme.
The occupational first aid assessment agent (OFAAA) will maintain a Register of Occupational First Aid
Training Providers. Details of those on the Register and the application process by both organisations
and individual instructors can be found at http://www.ofaaa.ie. The Register will include the names,
contacts, date of assessment and reassessment which must take place at least once in every 5 years,
or a lesser period if deemed necessary of all organisations and instructors who have successfully met
the assessment criteria.
The OFAAA will assess organisations on agreed criteria based on their policies and procedures, staff, resources
and competence. Successful organisations will be entered on the Register. Over the 5 year period of an
organisation’s registration, the OFAAA will also assess an agreed percentage of an organisation’s instructors.
Registered organisations can reassess their own instructors using the FETAC Level 6 Occupational First Aid
Instruction Standard, whenever their instructors 5 year period is due. Registered organisations can also assess
experienced and qualified occupational first aiders who wish to become instructors for the registered organisation
only.
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The OFAAA will assess individual instructors who wish to go on the Register using the FETAC Level 6 Instruction
Standard. The OFAAA will also assess instructors from registered organisations who wish to work in their own
right outside of the umbrella of the organisation.
All occupational first aiders who wish to become instructors will be assessed using the criteria outlined
in the FETAC Level 6 Occupational First Aid Instruction Standard. Those undergoing assessment must
have already achieved at least a FETAC Level 5 Occupational First Aid Standard Merit rating. They
must also have an up to date P r e H o s p i t a l E m e r g e n c y C a r e C o u n c i l ( P H E C C )
r e c o g n i s e d CFR instructor certificate. To become occupational first aid instructors, they must
achieve at least a Merit rating using the FETAC Level 6 Occupational First Aid Instruction Standard.
Where on occasion a first aid instructor’s certificate lapses, if the refresher assessment is not repeated within 3
months of the lapsed date, the instructor’s name will be removed from the OFAAA Register and the instructor is not
allowed to deliver training until the refresher assessment has taken place. If the instructor is employed by a registered
organisation, he/she is not allowed to deliver training until the refresher assessment has taken place.
Registered organisations and instructors who train employees to be occupational first aiders may use the
following formula in promotional literature “Training provided by an OFAAA registered provider”.
All existing occupational first aid instructors are required to achieve PHECC CFR instructor certification in order
to deliver the CFR unit of the new FETAC Level 5 Occupational First Aid Standard. Once this is verified for
instructors presently on the National Ambulance Training School Occupational First Aid Instructor Register
(maintained on behalf of the Authority), their details will be automatically entered on to the new OFAAA register.
They will be assessed by the OFAAA whenever their 5 year period has elapsed. Additionally they will require
recertification as CFR instructors every 2 years by a PHECC recognised institution.
Approved organisations under the old system will need to apply for assessment and registration by the OFAAA
prior to implementation of the new system.
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CHAPTER 3:
All places of work are required to have one or more first aid rooms if the Safety Statement - risk assessment
shows it necessary and based on the following criteria:-
(a) Size of the premises.
(b) Type of the activity being carried out.
(c) Frequency of accidents arising.
(d) Existence of special hazards.
(e) Distance from nearest appropriate medical facility.
Place of work in this context means a place intended to house workstations and work equipment and any
other place within the w o r k area to which employees have access in the course of their employment.
Apart from those areas specifically excluded, employers will need to determine whether the requirements of these
Regulations apply to their particular workplaces. The need for a first aid room is not solely dependent on the
number of persons employed in the workplace but also on the degree of risk. If the location of a place of work
makes access to accident and emergency facilities difficult or where there is dispersed working, the employer should
decide whether a first aid room may be needed. As a general rule, any employer whose workplace presents a
relatively high risk from hazards should provide a suitably equipped and staffed first aid room. It is inevitable that
any place of work which is required to have a first aid room will also need to have at least one occupational first
aider. Where an occupational health service exists on a premises, the surgery or office housing that service may
be considered to be a first aid room provided that the conditions set out in paragraph 3.2 are met.
Where first aid rooms are required, the following minimum conditions should be met:-
(a) An occupational first aider should be responsible for the upkeep of the first aid room so as to ensure that it
is kept stocked to the required standard and that it is at all times clean and ready for immediate use.
(b) An occupational first aider should be available at all times when employees are at work.
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(c) The room should be readily available at all times when employees are at work and should not be used for
any purpose other than the rendering of first aid or health screening.
(d) The room should be positioned as near as possible to a point of access for transport to hospital, taking into
account the location and layout of the workplace.
(e) The room should be large enough to hold a couch, with space for people to work around it, and a chair.
(f) The room’s entrance should be wide enough to accommodate an ambulance trolley, stretcher, wheelchair
or carrying chair.
(g) The room should contain suitable facilities and equipment, have an impervious floor covering and should
be effectively ventilated, heated, lighted and maintained. All surfaces should be easy to clean. The room
should be cleaned each working day and suitable arrangements for refuse disposal should be provided.
(h) Suitable facilities (for example one or more chairs) should be provided close to the first aid room if
employees have to wait for treatment. These should be kept clean and well maintained.
(i) The room should be clearly identified as a first aid room by means of a sign.
(j) A notice should be attached to the door of the first aid room clearly showing the names and locations of
the nearest occupational first aiders or other appropriate personnel.
(k) A telephone or other suitable means of communication should be provided.
The following minimum facilities and equipment should be provided in first aid rooms:-
(a) Sink with running hot and cold water always available
(b) Drinking water and disposable drinking vessels
(c) A suitable store for first aid equipment and materials
(d) First aid equipment
(e) Smooth topped working surfaces
(f) Soap
(g) Paper towels
(h) Suitable refuse containers lined with a disposable plastic bag
(i) A couch (with a waterproof surface) and frequently cleaned pillow and blankets
(j) A chair
(k) A bowl or basin
(l) Clean protective garments for use by first aiders
(m) A first aid treatment record book.
Where special first aid equipment is needed, this equipment may also be stored in the first aid room. Where, for
example, a place of work covers a large area or is divided into a number of separate and self-contained working areas,
it may be necessary to provide suitable equipment for the transport of casualties. Where blankets are provided, they
should be stored alongside the equipment and in such a way as to keep them free from dust and damp.
When siting a new first aid room, the necessity to have toilets nearby and for the room to be on the ground floor
should be considered. Corridors, lifts and doors etc., which lead to the first aid room, should allow access for
an ambulance trolley stretcher, wheelchair or carrying chair. Consideration should also be given to the
possibility of providing an appropriate form of emergency lighting.
18
3.5 COMMUNICATION LINKS WITHIN THE WORKPLACE
It is essential that in the event of an accident or sudden illness, immediate contact can be made with the
occupational f irst aider on call or other appropriate personnel. Effective means of communication should
therefore be provided between all work areas, the first aid room and the occupational first aider on call. In
most w o r k p l a c e s , the appropriate means will be a telephone link (landline or mobile), but where
the nature of the work undertaken or the layout of a workplace (e.g. a construction site) is such that a
telephone is not readily available in each work area, other means of communication (e.g. radio) will be
necessary. In the absence of occupational first aiders, this criteria applies to responsible persons named in the
Safety Statement.
Every employer must have adequate plans, procedures and measures to be followed and measures to be
taken in the case of an emergency as required by Section 11 of the Safety, Health and Welfare at Work Act,
2005. This includes arranging any necessary contacts with the appropriate emergency services, in particular
with regard to first aid and emergency medical care. This will require designating and training employees to
implement these plans, procedures and measures. It is important that necessary contact be maintained by
an employer with the local Ambulance Officer and the local emergency services, for example, where the
work being undertaken is potentially hazardous or where access to treatment within the place of work is
difficult, or where the workplace is isolated.
19
APPENDIX 1:
In this Chapter:
“First-Aid” means -
(a) in a case where a person requires treatment from a registered medical practitioner or a registered general
nurse, treatment for the purpose of preserving life or minimising the consequences of injury or illness until
the services of a practitioner or a nurse are obtained, or
(b) in a case of a minor injury which would otherwise receive no treatment or which does not need treatment
by a registered medical practitioner or registered general nurse, treatment of that minor injury;
(1) Subject to the provisions of paragraph (2), this Chapter applies to every place of work.
(2) Regulation 166 does not apply to the following places of work:
(a) means of transport used outside the undertaking or a place of work inside a means of transport;
(b) a fishing boat;
(c) a field, wood or land forming part of an agricultural or forestry undertaking which is situated away
from the undertaking’s buildings.
(c) ensure that the number of occupational first-aiders, their training and the equipment available to them
is adequate , taking account of the size or hazards, or both of each such place of work, and
20
(d) ensure that
(i) details of arrangements made for the provision of first-aid, including the names of occupational first-aiders
and the location of first-aid rooms, equipment and facilities for or at the place of work shall be included
in the safety statement, and
(ii) the names, addresses and telephone numbers of the local emergency services are clearly displayed at
each place of work..
(2) Where an occupational first-aider provided under paragraph (1) (b) is absent in temporary and
exceptional circumstances, it shall be sufficient compliance with that paragraph if the employer designates
a person, or ensures that a person is designated to take charge of an injured or ill person.
(b) ensure that every first-aid room provided under paragraph (a) is fitted with essential first-aid
equipment and facilities and is easily accessible for stretchers.
21
Appendix 2
FETAC Occupational First- Aid Standard
1
Level 5 Module Descriptor
Summary of Contents
Describes how the module functions as part of the national
Introduction vocational certificate framework.
Indicates the module content. This title appears on the
Module Title learner’s certificate
An individual code is assigned to each module; a letter at the
beginning denotes a vocational or general studies area under
Module Code which the module is grouped and the first digit denotes its level
within the National Framework of Qualifications.
Indicates where the module is placed in the National
Level Framework of Qualifications, from Level 1 to Level 10.
Denotes the amount of credit that a learner accumulates on
Credit Value achievement of the module.
Describes in summary what the learner will achieve on
successfully completing the module and in what learning and
Purpose vocational contexts the module has been developed. Where
relevant, it lists what certification will be awarded by other
certification agencies.
Recommends the level of previous achievement or experience
Preferred Entry Level of the learner.
Usually ‘none’ but in some cases detail is provided here of
specific learner or course provider requirements. There may
Special Requirements also be reference to the minimum safety or skill requirements
that learners must achieve prior to assessment.
Describe in 3-5 statements the broad skills and knowledge
General Aims learners will have achieved on successful completion of the
module.
Units Structure the learning outcomes.
Describe in specific terms the knowledge and skills that
Specific Learning
learners will have achieved on successful completion of the
Outcomes module.
Portfolio of Provides details on how the learning outcomes are to be
Assessment assessed.
Grading Provides details of the grading system used.
Individual Candidate List the assessment criteria for each assessment technique
Marking Sheets and the marking system.
Records the marks for each candidate in each assessment
Module Results
technique and in total. It is an important record for centres of
Summary Sheet their candidate’s achievements.
Appendices Can include approval forms for national governing bodies.
Glossary of
Explains the types of assessment techniques used to assess
Assessment standards.
Techniques
Assessment Describes the assessment principles that underpin the FETAC
Principles approach to assessment.
1
Introduction
While the FETAC is responsible for setting the standards for certification in
partnership with course providers and industry, it is the course providers
who are responsible for the design of the learning programmes. The
duration, content and delivery of learning programmes should be
appropriate to the learners’ needs and interests, and should enable the
learners to reach the standard as described in the modules. Modules may
be delivered alone or integrated with other modules.
• taking initiative
• taking responsibility for one’s own learning and progress
• problem solving
• applying theoretical knowledge in practical contexts
• being numerate and literate
• having information and communication technology skills
• sourcing and organising information effectively
• listening effectively
• communicating orally and in writing
• working effectively in group situations
• understanding health and safety issues
• reflecting on and evaluating quality of own learning and achievement.
2
1 Module Title Occupational First Aid
2 Module Code
3 Level 5
6 Preferred
Entry Level FETAC Level 4, Leaving Certificate or equivalent
qualifications and/or relevant life and work experiences.
7 Special
Requirements Module providers must be Occupational First Aid
Providers registered with the Occupational First Aid
Assessment Agent (OFAAA) on behalf of the Health and
Safety Authority.
8 General Aims
Learners who successfully complete this module will:
4
9 Units The specific learning outcomes are grouped into 8
units
10.1.1 List the role and responsibilities of the Occupational First Aider (OFA)
10.1.2 Describe the OFA’s responsibility related to personal safety
10.1.3 Discuss the roles and responsibilities of the OFA towards others at the scene of
an incident including the patient and bystanders
10.1.4 Describe the importance of scene safety for the rescuers
10.1.5 Assess for scene safety
10.1.6 Apply the principles of standard infection control precautions e.g. hand
washing, glove use and disposal, clinical waste disposal
10.1.7 Explain the importance, necessity and legality of patient confidentiality
10.1.8 With reference to the First Aid Regulations and Guide: define the terms first aid
and occupational first aider; describe the duties of an employer, identify the
contents of a first aid box for 11-25 persons and the minimum conditions and
facilities of a first aid room
10.1.9 State the procedure for the activation of emergency services
10.1.10 List possible emotional reactions that an OFA may experience when faced with
trauma, illness, death and dying
10.1.11 List the signs and symptoms of post traumatic stress
10.1.12 State possible steps that the OFA may take to help reduce/ alleviate stress
10.1.13 Describe the role of post traumatic stress management
5
Unit 2: Patient assessment
6
10.3.15 Recognise the signs of choking in an adult (child and infant where appropriate)
and take the appropriate steps to clear the airway obstruction
10.3.16 Demonstrate the relief of a foreign body airway obstruction in an unresponsive
adult (child and infant where appropriate)
10.3.17 Demonstrate the treatment of the patient with respiratory difficulties
10.3.18 Demonstrate the treatment of the patient in respiratory arrest
10.4.1 Describe the links in the chain of survival, adult (child and infant where
appropriate)
10.4.2 Explain the importance of calling the emergency services
10.4.3 Retrieve an automated external defibrillator (AED)
10.4.4 Explain the importance of early CPR and defibrillation
10.4.5 Describe when to start CPR
10.4.6 Describe when to use an AED
10.4.7 List the 4 major life threatening emergencies
10.4.8 Define heart attack, stroke, cardiac arrest and foreign body airway obstruction
10.4.9 List the signs of heart attack, stroke, cardiac arrest and foreign body airway
obstruction
10.4.10 Explain the functions of an AED
10.4.11 Outline the conditions in which an AED is used
10.4.12 List the safety precautions for use of an AED
10.4.13 List the special considerations for use of an AED
10.4.14 List the steps of one-rescuer adult CPR (child and infant where appropriate)
10.4.15 Describe the appropriate actions to take for each AED voice prompt
10.4.16 List the obvious signs of death and describe when resuscitation is not indicated
10.4.17 Describe the legal implication for those who attempt to provide pre-hospital
emergency care
10.4.18 Describe the clinical indemnity issues for those who attempt to provide pre-
hospital emergency care
10.4.19 Describe the importance of the pre-hospital emergency care continuum
emphasising the integration of all pre-hospital emergency responders
10.4.20 List the steps to be taken prior to aspirin (Acetylsalicylic Acid) 300mg tablet
administration for cardiac chest pain
10.4.21 Assess responsiveness
10.4.22 Demonstrate the techniques of airway, breathing and circulation assessment in
an adult (child and infant where appropriate)
10.4.23 Perform one-rescuer adult CPR (child and infant where appropriate)
10.4.24 Demonstrate safe defibrillation with an AED (adult only) with minimal delay and
interruption in CPR
10.4.25 Demonstrate how to troubleshoot the most common problems that might be
encountered whilst using and AED
10.4.26 Demonstrate the recovery position
10.4.27 Demonstrate the steps in aspirin (Acetylsalicylic Acid) 300mg tablet
administration for a patient suspected of having cardiac chest pain
7
Unit 5: Wounds and bleeding
8
Unit 7: Musculoskeletal injuries
9
11 Portfolio of
Assessment Please refer to the glossary of assessment techniques and
the note on assessment principles at the end of this
module descriptor.
All assessment is carried out in accordance with FETAC
regulations.
The OFA Instructor advises the format of assessment.
Assessment is carried out by the External OFA Assessor.
• CPR/AED
• Patient assessment
• Respiratory emergencies
• Wounds
• Bleeding
• Shock
• Altered levels of consciousness
• Musculoskeletal injuries
• Burns and scalds
• Electric shock
12 FETAC Grading
10
Occupational First Aid
Individual Candidate Skills
Marking Sheet 1 Code -
Skills Demonstration 70%
Maximum Candidate
Assessment Criteria
Mark Mark
Basic life saving skills 40
• CPR/AED
2 of the following occupational first aid skills 30
• Patient assessment
• Respiratory emergencies
• Wounds
• Bleeding
• Shock
• Altered levels of consciousness
• Musculoskeletal injuries
• Burns and scalds
• Electric shock
TOTAL MARKS 70
This mark should be transferred to the Module Results Summary Sheet
11
Individual Candidate Occupational First Aid
Marking Sheet 2 Code -
Short Answer Questions 30%
Maximum Candidate
Assessment Criteria
Mark Mark
Short Answer Questions
• 20/22 short answer questions (1.5 marks each) 30
TOTAL MARKS 30
This mark should be transferred to the Module Results Summary Sheet
12
Module Results Summary Sheet
Module
Title: Occupational First Aid
Module Mark Sheet Mark Sheet
Assessment Marking Sheets Total FETAC
Code: 1 2
100% Grade
Maximum Marks per Marking Sheet 70 30
Candidate Surname Candidate Forename
Need to insert 3 extra columns for
gender, DOB and PPSN.
13
Glossary of Assessment Techniques
14
FETAC Assessment Principles
1
Appendix 3
FETAC Occupational First- Aid Instruction
Standard
2
Level 6 Module Descriptor
Summary of Contents
Describes how the module functions as part of the national
Introduction vocational certificate framework.
Indicates the module content. This title appears on the
Module Title learner’s certificate
An individual code is assigned to each module; a letter at the
beginning denotes a vocational or general studies area under
Module Code which the module is grouped and the first digit denotes its level
within the National Framework of Qualifications.
Indicates where the module is placed in the National
Level Framework of Qualifications, from Level 1 to Level 10.
Denotes the amount of credit that a learner accumulates on
Credit Value achievement of the module.
Describes in summary what the learner will achieve on
successfully completing the module and in what learning and
Purpose vocational contexts the module has been developed. Where
relevant, it lists what certification will be awarded by other
certification agencies.
Recommends the level of previous achievement or experience
Preferred Entry Level of the learner.
Usually ‘none’ but in some cases detail is provided here of
specific learner or course provider requirements. There may
Special Requirements also be reference to the minimum safety or skill requirements
that learners must achieve prior to assessment.
Describe in 3-5 statements the broad skills and knowledge
General Aims learners will have achieved on successful completion of the
module.
Units Structure the learning outcomes.
Describe in specific terms the knowledge and skills that
Specific Learning
learners will have achieved on successful completion of the
Outcomes module.
Portfolio of Provides details on how the learning outcomes are to be
Assessment assessed.
3
Introduction
While the FETAC is responsible for setting the standards for certification in
partnership with course providers and industry, it is the course providers
who are responsible for the design of the learning programmes. The
duration, content and delivery of learning programmes should be
appropriate to the learners’ needs and interests, and should enable the
learners to reach the standard as described in the modules. Modules may
be delivered alone or integrated with other modules.
• taking initiative
• taking responsibility for one’s own learning and progress
• problem solving
• applying theoretical knowledge in practical contexts
• being numerate and literate
• having information and communication technology skills
• sourcing and organising information effectively
• listening effectively
• communicating orally and in writing
• working effectively in group situations
• understanding health and safety issues
• reflecting on and evaluating quality of own learning and achievement.
4
1 Module Title Occupational First Aid Instruction
2 Module Code
3 Level 6
6 Preferred
Entry Level FETAC Level 5, Leaving Certificate or equivalent
qualifications and/or relevant life and work experiences.
7 Special
Requirements Learners must have achieved at least FETAC Level 5
Occupational First Aid Certificate Merit and be recognised
occupational first aiders by the Health and Safety
Authority. They must also be a recognised Pre Hospital
Emergency Care Council (PHECC) CFR instructor.
8 General Aims
5
9 Units The specific learning outcomes are grouped into 4
units
10 Specific Learning
Outcomes
6
UNIT 3 Delivery of occupational first aid training
7
11 Portfolio of
Assessment Please refer to the glossary of assessment techniques and
the note on assessment principles at the end of this
module descriptor.
All assessment is carried out in accordance with FETAC
regulations.
Assessment is carried out by the assessors.
Summary
Lecture Skills and Lesson Plan Demonstration
40%
OFA Skills Demonstration 40%
Short Answer Questions 20%
8
11.3 Short Answer Questions
Candidates will be assessed on their ability to recall and
apply theory and understanding, requiring responses to a
range of short answer questions. These questions may be
answered in different media e.g. in writing or orally. 20 out
of a choice of 22 questions need to be answered in a 30
minute examination.
12 FETAC Grading
9
Occupational First Aid Instruction
Individual Candidate Code -
Marking Sheet 1 Lecture Skills and Lesson Plan Demonstration
40%
Maximum Candidate
Assessment Criteria
Mark Mark
Identification of occupational first aid training needs
10
Maximum Candidate
Assessment Criteria
Mark Mark
Delivery of occupational first aid training (contd)
• Introduction
• State aims and objectives 1
• Have reasons for aims and objectives 1
• Define roles, states level of interaction/questions 1
• Motivate trainee 1
• Dialogue (main part of learning session where trainee
and instructor interact)
• Deal with each main point in terms of introduction, learning
points in sequence, summary questions to identify progress 1
• Deliver session given in an enthusiastic and interesting
manner 1
• Use visual and other aids 1
• Draw from trainees and personal experience to illustrate
major points 1
• Respond appropriately to questions 1
• Control mannerisms appropriately 1
• Establish level of rapport with trainee 1
TOTAL MARKS 40
This mark should be transferred to the Module Results Summary Sheet
Assessor 1 Signature: _________________________________ Date: __________
11
Individual Candidate Occupational First Aid Instruction
Marking Sheet 2 Code -
OFA Skills Demonstration 40%
Maximum Candidate
Assessment Criteria
Mark Mark
• Introduction
• State aims and objectives 2
• Have reasons for aims and objectives 2
• Motivate trainee 2
• Closure
• Identify that trainee is proficient in skill 3
• Summarise key issues 3
TOTAL MARKS 40
This mark should be transferred to the Module Results Summary Sheet
12
Individual Candidate Occupational First Aid Instruction
Marking Sheet 3 Code -
Short Answer Questions 20%
Maximum Candidate
Assessment Criteria
Mark Mark
Short Answer Questions
20/22 short answer questions (1 mark each) 20
TOTAL MARKS 20
This mark should be transferred to the Module Results Summary Sheet
13
Module Results Summary Sheet
This sheet is for assessors to record the overall marks of individual candidates. The results should be forwarded to OFAAA.
14
Glossary of Assessment Techniques
15
FETAC Assessment Principles
4 Assessment techniques in FETAC modules are valid in that they test a range of
appropriate learning outcomes.
6 Arising from an extensive consultation process, each FETAC module describes what
is considered to be an optimum approach to assessment. When the necessary
procedures are in place, it will be possible for assessors to use other forms of
assessment, provided they are demonstrated to be valid and reliable.
7 To enable all candidates to demonstrate that they have reached the required
standard, candidate evidence may be submitted in written, oral, visual, multimedia or
other format as appropriate to the learning outcomes.
9 Group or teamwork may form part of the assessment of a module, provided each
candidate’s achievement is separately assessed.
16