Author unit / section: Corporate Medical Unit
Target audience: All FOD Inspectors, HSAOs, Occupational Health Inspectors, Medical Inspectors
1 This LAC aims to make Inspectors aware of changes to the way first aiders in the workplace are trained. It explains the implications for employers in ensuring they comply with the Health and Safety (First-Aid) Regulations 1981.
2 In 2003/04, HSE conducted a review of the Health and Safety (First-Aid) Regulations 1981 (the Regulations), aimed at evaluating whether they were still effective in meeting the needs of modern businesses. Following analysis of the review’s findings, the Health and Safety Commission agreed with the recommendation to change first aid training for workplace first aiders.
3 The main drivers for this change were to help employer duty holders access competent first aid, provide a more proportionate response to their first aid needs and to minimise burdens on business.
4 A person provided by an employer to carry out the role of first aider for the purposes of regulation 3(2), ‘…shall not be suitable unless he has undergone -
5 The present arrangement is that to comply with regulation 3(2)(a), first aiders provided by an employer for the purposes of the regulatory requirements must, before taking up their first aid duties, have a valid certificate in first aid at work issued by a training organisation approved by HSE for this purpose.
6 Persons appointed for the purposes of regulation 3(3) and (4) (‘appointed persons’) are not required to undergo first aid training to carry out their role. However, employers are strongly advised to consider the need for emergency first aid training for appointed persons. HSE approval is not required for this type of training.
7 From 1 October 2009, HSE is introducing new arrangements to the first aid training regime. This will not require any change to the current Regulations (see paragraph 16). The new arrangements will provide that to comply with regulation 3(2) (a), first aiders provided by an employer in the workplace for the purposes of the regulatory requirements must hold a certificate of competence in either:
8 Providing they have current knowledge and skills in first aid, the training and experience of the following qualify them to administer first aid in the workplace without the need to have an FAW or EFAW certificate:
9 EFAW training enables a first aider to give emergency first aid to someone who is injured or becomes ill while at work. FAW training includes EFAW and also equips the first aider to apply first aid to a range of specific injuries and illness. Employers should use the findings of their first aid needs assessment to help them decide whether first aiders should be trained in FAW or EFAW. If the needs of the workplace require FAW trained first aiders to be provided, it is not an acceptable alternative to provide EFAW trained first aiders.
10 On successful completion of an FAW or EFAW course, candidates will be issued with a certificate, which is valid for three years. At the end of the three-year period they will need to undertake an FAW requalification course (two days) or EFAW course (the same course set out in paragraph 7 above), as appropriate, to obtain another three-year certificate if they are to continue to fulfil the role of first aider for the purposes of the regulatory requirements. Employers need to arrange retraining before certificates expire.
11 Research has shown that following training, the practical skills of first aiders can deteriorate. HSE will introduce (in the guidance listed at paragraph 16 below) a strong recommendation that first aiders undertake annual refresher training during any three-year FAW/ EFAW certification period. Although not mandatory, this will help qualified first aiders maintain their basic skills and keep up to date with any changes to first aid procedures. Annual refresher training can be delivered by the training organisations referred to in paragraph 7. Where available, in-house occupational health professionals (a doctor registered with the General Medical Council or nurse registered with the Nursing and Midwifery Council) can run annual refresher training in the workplace, providing they have current experience of first aid skills, are competent to train and are familiar with the current standards HSE accepts for the first aid management of injuries and illness in the workplace1.
12 The new training arrangements do not affect first aiders holding a valid FAW certificate obtained under the existing arrangements (paragraphs 4-6). However, where a first aider retrains on or after 1 October 2009, the new arrangements will apply.
13 The ‘appointed person’ will remain the minimum requirement where an employer’s first aid needs assessment identifies that a first aider is not necessary. Their role will still be to take charge of the first aid arrangements, including looking after the first aid equipment and facilities and calling the emergency services when required. They can also provide emergency cover, within their role and competence, where a first aider is absent due to unforeseen circumstances (annual leave does not count). Appointed persons do not need first aid training, though emergency first aid training courses are available. HSE approval is not required for this type of training.
14 When revised, the HSE publications referred to in paragraph 16 (L74 and INDG214) will contain a flow chart providing a general guide on how many first aiders or appointed persons an employer might need and whether first aiders should be trained in FAW or EFAW. It is ultimately for the employer to assess the first aid needs of the workplace, and any employer should take into account all relevant information to make a valid assessment of their first aid needs. The minimum first aid provision on any work site will remain as:
15 The new first aid training arrangements described above will offer the employer more training options for first aiders when deciding on the level of first aid provision for the workplace. In addition, the training time taken to achieve compliance with regulation 3(2) (a) of the Regulations will be reduced. More frequent training through annual refreshers should help improve the competency of first aiders by maintaining their basic skills.
16 Guidance in the following HSE publications is being revised (for publication on 1 October 2009) to incorporate the changes to first aid training:
17 Relevant information is also available on the first aid web pages of HSE’s website.
18 Inspectors can contact the Corporate Medical Unit’s First Aid Approval and Monitoring Section with any queries about this Circular.
1 The standards are set out in: First aid training and qualifications for the purposes of the Health and Safety (First-Aid) Regulations 1981 - a guide for training organisations).
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