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HEALTH & SAFETY

First Aid Assessment Samples

safety.unimelb.edu.au HEALTH & SAFETY: FIRST AID ASSESSMENT SAMPLES 1 of 16

Date: July 2019 Version: 1.1 Authorised by: Manager, Health & Safety, Specialist Services Next Review: July 2024© The University of Melbourne – Uncontrolled when printed.

ContentsFirst aid assessment: Art studio

First aid assessment: Commercial Kitchen

First aid assessment: Farm

First aid assessment: Laboratory

First aid assessment: Office

First aid assessment: Workshop

Example of a first aid assessment: Field work

How to use the first aid assessments in this guide

1. Select the first aid assessment that you intend to use – ensure that you copy the assessment from the title banner to the last row in table 3.

2. Copy your selection.3. Open a new blank document.4. In Page Setup change the margin sizes as indicated in figure 1 and change the header and footer

distances as indicated in figure 2.5. Copy your selection to the new blank document.

Note: You will need to add a new footer for document control as per your local area requirements.

Figure 1: Margin sizes Figure 2: Header and footer distances



FIRST AID ASSESSMENTART STUDIO

Use this form in conjunction with the process Health & Safety: First aid requirements.See: https://staff.unimelb.edu.au/health-safety-wellbeing/safety-emergency/first-aid . This is a generic first aid risk assessment that includes assessment factors that are common to art studios at the University. You should add or edit information in Sections 1 to 2 specific to your area where required.For an art studio, you can use either: this generic risk assessment, which means you will adopt the first aid requirements listed in Section 3; or a blank First aid assessment form to determine custom first aid requirements.For further information contact your local Health and Safety Business Partner.

1. ASSESSMENT FACTORS

Location Name: Building No: Date:

Assessed by:

HSR/Employee Rep:

NATURE OF HAZARDS AND SEVERITY OF RISKHazardsList known hazards/risks

DescriptionDescribe the hazard

Manual handling Tins of paint, art media, supplies, awkward shapesPlant and equipment Printer rollers – manually operated, entrapmentChemicals Art paints, spray cans, glues, other art mediaHousekeeping Electrical leads poorly placed (trip hazard), spilt chemicalsHand tools Knives, scissors

KNOWN INJURIES, ILLNESSES AND INCIDENTSIncidents resulting in injuryList the injuries that have occurred in the area

DescriptionProvide a brief description of how they occurred

Sprains/strains Sustained static postures, lifting awkward/unbalanced objects, operating equipmentCuts and abrasions Laceration from knivesChemical burns Spilled chemical, spray cansElectric shock Faulty equipment, damaged power cablesFractures Slipping on spilt chemicalsRespiratory tract difficulties Chemical fumes Incidents not resulting in injuryList incidents that have occurred in the area that could have resulted in injury but did not

DescriptionProvide a brief description of the incident



http://safety.unimelb.edu.au/people/community

https://staff.unimelb.edu.au/health-safety-wellbeing/safety-emergency/first-aid

LOCATION, SIZE AND LAYOUT OF THE WORKPLACEItem Detail

Provide detailsMaximum distance to first aid kit Number of floors Access between floors Nearest hospital Nearest doctor/medical service Nearest emergency shower/eyewash

NUMBER AND DISTRIBUTION OF STAFFItem Detail

Provide detailsNumber of staff Primary working hours Overtime worked Staff working in isolation Other

2. OUTCOME OF ASSESSMENT

OUTCOMEItem Description

Briefly provide a description based on the information obtained from the assessmentPeople exposed Injuries/adverse outcomes that may occur Chemical burns, inhalation, lacerations, sprains/strainsRisk controls Risk assessments, signage, information & training, supervision, SDSLevel of Risk High risk work locationOther

3. FIRST AID FACILITIES REQUIRED

FACILITIESFacilities/Resources Detail

Provide details of the required facilities/resourcesNumber of first aiders 1 first aider per 25 staff

2 first aiders per 26 – 50 staff1 additional first aider for every additional 50 staff

Competencies of first aiders Provide First Aid (HLTAID003)Number and location of first aid kits 1 kit per 25 staff

2 kits for 26 – 50 staff up to 200 staff1 additional kit for every 50 staff above 50 staff

Contents of first aid kits Basic first aid kit contentsAdditional Modules – Burns Module

Additional/specialist first aid equipment Oxygen therapy (where applicable)Automated external defibrillator (AED) Consider in multistory buildings, large occupancy, difficult to access locations etc.Emergency shower/eyewash Required where corrosive chemicals are in use and/or stated on the SDSFirst aid room For more than 100 staff a first aid room is requiredProvision of first aid information in languages other than English

Nil – English competency required for all staff and students who do not have English as a first language

Other



http://safety.unimelb.edu.au/__data/assets/word_doc/0003/1824078/first-aid-kit-basic-contents.docx

FIRST AID ASSESSMENTCOMMERCIAL KITCHEN

Use this form in conjunction with the process Health & Safety: First aid requirements.See: https://staff.unimelb.edu.au/health-safety-wellbeing/safety-emergency/first-aid . This is a generic first aid risk assessment that includes assessment factors that are common to commercial kitchens at the University. You should add or edit information in Sections 1 to 2 specific to your area where required.For a commercial kitchen, you can use either: this generic risk assessment, which means you will adopt the first aid requirements listed in Section 3; or a blank First aid assessment form to determine custom first aid requirements.For further information contact your local Health and Safety Business Partner



Assessed by:

HSR/Employee Rep:



Manual handling Lifting and moving boxes, food, suppliesPlant and equipment Industrial dish washer, oven, stove top, pasta maker, dough mixer, meat slicersChemicals Dishwashing liquid, oven cleanerHousekeeping Electrical leads poorly placed, liquid and food spills.Cooking utensils Knives, grater, peeler



Sprains/strains Lifting food supplies and setting up workCuts and abrasions Cut on meat slicer, sharp knives whilst slicing foodDegloving, amputation Entrapment/entanglement (eg fingers/hands caught in dough maker)Burns Hot oil, Hot surfaces – oven door, stove topFractures Tripping/slipping on spilled food/fluid Incidents not resulting in injuryList incidents that have occurred in the area that could have resulted in injury but did not












Briefly provide a description based on the information obtained from the assessmentPeople exposed Injuries/adverse outcomes that may occur Burns, lacerations, fractures, sprains/strainsRisk controls Risk assessments, signage, information and training, supervision, restricted accessLevel of Risk High risk work locationOther







Contents of first aid kits Basic first aid kit contentsAdditional Modules – Burns Module

Automated external defibrillator (AED) Consider in multistory buildings, large occupancy, difficult to access locations etc.Additional/specialist first aid equipment N/AEmergency shower/eyewash N/AFirst aid room For more than 100 staff a first aid room is requiredProvision of first aid information in languages other than English


Other




FIRST AID ASSESSMENTFARM

Use this form in conjunction with the process Health & Safety: First aid requirements.See: https://staff.unimelb.edu.au/health-safety-wellbeing/safety-emergency/first-aid . This is a generic first aid risk assessment that includes assessment factors that are common to a farm (rural environment) at the University. You should add or edit information in Sections 1 to 2 specific to your area where required.For a farm, you can use either: this generic risk assessment, which means you will adopt the first aid requirements listed in Section 3; or a blank First aid assessment form to determine custom first aid requirements.For further information contact your local Health and Safety Business Partner



Assessed by:

HSR/Employee Rep:



Manual handling Lifting and moving materials and equipment, handling live animalsPlant and equipment Mobile plant – tractor, workshop plant – grinder, latheChemicals Pesticides, herbicides, fertilizer, diesel, paint, thinnersOutside environment Weather conditions, uneven terrain, snake bites



Sprains/strains Lifting materials and setting up work. Handling live animalsCuts and abrasions Sharp edges on materialsDegloving, amputation Entrapment/entanglement (eg fingers/hands caught in equipment)Burns (also chemical) Hot welds, hot metal, chemicals on skin/in eyes, sun burnFractures Tripping/slipping overElectric shock Faulty electrical equipment, damaged power cablesRespiratory tract difficulties Foreign bodies Splinters, projectiles in eyes – swarf, insects flying into eyes Incidents not resulting in injuryList incidents that have occurred in the area that could have resulted in injury but did not


Leaking cylinder (oxy-acetylene) Possible inhalation of gases, fire and explosionPlant failure Brakes fail on a tractor






Provide detailsMaximum distance to first aid kit Number of floors Access between floors Nearest hospital Rural location – hospital > 1 hour’s driveNearest doctor/medical service Rural location – hospital > 1 hour’s driveNearest emergency shower/eyewash





Briefly provide a description based on the information obtained from the assessmentPeople exposed Injuries/adverse outcomes that may occur Burns, lacerations, amputation, foreign bodies, fractures, bitesRisk controls Risk assessments, signage, information and training, supervision, restricted accessLevel of Risk High risk work locationOther



Provide details of the required facilities/resourcesNumber of first aiders Staff working remotely first aid trained

1 first aider per 25 staff2 first aiders per 26 – 50 staff1 additional first aider for every additional 50 staff

Competencies of first aiders Provide First Aid (HLTAID003)Number and location of first aid kits 1 kit per workshop/shed/farm building

1 portable kit per vehicleContents of first aid kits Basic first aid kit contents

Additional Modules – Eye module, Burns ModuleSnakebite kit

Automated external defibrillator (AED) Remote, man down alarm, system for working in isolation may be more appropriateAdditional/specialist first aid equipment Oxygen therapy (where applicable)Emergency shower/eyewash Required where corrosive chemicals are in use and/or stated on the SDSFirst aid room For more than 100 staff a first aid room is requiredProvision of first aid information in languages other than English


Other




FIRST AID ASSESSMENTLABORATORY

Use this form in conjunction with the process Health & Safety: First aid requirements.See: https://staff.unimelb.edu.au/health-safety-wellbeing/safety-emergency/first-aid . This is a generic first aid risk assessment that includes assessment factors that are common to a laboratory at the University. You should add or edit information in Sections 1 to 2 specific to your area where required.For a farm, you can use either: this generic risk assessment, which means you will adopt the first aid requirements listed in Section 3; or a blank First aid assessment form to determine custom first aid requirements.For further information contact your local Health and Safety Business Partner



Assessed by:

HSR/Employee Rep:



Manual handling Lifting drums, decanting, static postures, pipettingPlant and equipment Centrifuge, glass washer, incubator, orbital shaker, orbital mixer, incubatorNon-ionising/ionising radiation UV light source, radioisotope, microwave, laserChemicals Polyaromatic hydrocarbons, alcohols, esters, alkalines, acids, chlorinated hydrocarbonsHousekeeping Electrical leads poorly placed (trip hazard), spilt chemicalsElectrical MicroscopeBiological Body fluids, cultures, animal tissues, bacterium, virusesSharps Needles, scalpel blades

Example of a risk register for biological laboratoriesExample of a risk register for chemical laboratories



Sprains/strains Sustained static postures (eg looking down a microscope)Cuts and abrasions Broken glassware, sharps injuryChemical burns Spilled chemical, chemical released under pressureInfection Contact with biological contaminant, sharps injuryElectric shock Faulty electrical equipment, damaged power cablesRespiratory tract difficulties Chemical fumes Incidents not resulting in injuryList incidents that have occurred in the area that could have resulted in injury but did not


Leaking cylinder (nitrogen) Deoxygenating of roomRuptured glassware Buildup of pressure inside glassware



http://safety.unimelb.edu.au/__data/assets/word_doc/0003/1716726/division-OHS-risk-register-example-chemical-laboratory.doc

http://www.safety.unimelb.edu.au/__data/assets/word_doc/0011/1716725/division-OHS-risk-register-example-biological-laboratory.doc









Briefly provide a description based on the information obtained from the assessmentPeople exposed Injuries/adverse outcomes that may occur Risk controls Risk assessments, signage, information & training, supervision, restricted access, SDS,

emergency shower/eyewashLevel of Risk High risk work locationOther







Contents of first aid kits Basic first aid kit contentsFirst requirements for specific hazards – refer to SDS



Other




FIRST AID ASSESSMENTOFFICE

Use this form in conjunction with the process Health & Safety: First aid requirements.See: https://staff.unimelb.edu.au/health-safety-wellbeing/safety-emergency/first-aid . This is a generic first aid risk assessment that includes assessment factors that are common to an office at the University. You should add or edit information in Sections 1 to 2 specific to your area where required.For an office, you can use either: this generic risk assessment, which means you will adopt the first aid requirements listed in Section 3; or a blank First aid assessment form to determine custom first aid requirements.For further information contact your local Health and Safety Business Partner



Assessed by:

HSR/Employee Rep:



Manual handling Filing, lifting stationery, carrying files, opening cupboards/drawersErgonomic Data entry, long periods of time sitting at work stationPlant and equipment Photocopier/printer, shredder, fax machine, kitchen facilities – kettle, microwaveChemicals Toner (eg photocopier), dishwashing liquidOffice furniture Chairs, shelving, compactors, filing cabinets, step ladders/platformsHousekeeping Water/liquid on floor, electrical leads poorly placed (trip hazard)Electrical Electrical equipment (computer, photocopier) power cables

Example of a risk register for office based activities



Sprains/strains Lifting and filing on shelves, chair wheeling away from under staffCuts Sharp edges, kitchen knifeAbrasions Knocking against office furnitureBurns Boiling water from urn/kettleFractures Tripping/slipping over, falling down stairsElectric shock Faulty electrical equipment, damaged power cable Incidents not resulting in injuryList incidents that have occurred in the area that could have resulted in injury but did not


Broken light fittings Broken glass, trip hazardsBroken furniture Castor comes off chair, drawer will not close properly



http://safety.unimelb.edu.au/__data/assets/word_doc/0004/1716727/division-OHS-risk-register-example-office.doc




Provide detailsMaximum distance to first aid kit Number of floors Access between floors Nearest hospital Nearest doctor/medical service Nearest emergency shower/eyewash Other





Briefly provide a description based on the information obtained from the assessmentPeople exposed Injuries/adverse outcomes that may occur Sprains/strains, cuts, abrasions, contusions, fracturesRisk controls Risk assessments, signage, information and training, supervisionLevel of Risk Low risk work locationOther



Provide details of the required facilities/resourcesNumber of first aiders 1 first aider per 10 – 50 staff


Competencies of first aiders Provide First Aid (HLTAID003)Number and location of first aid kits 1 kit per 10 – 50 staff

1 additional kit for every additional 50 staff up to 200 staff1 additional kit for every 100 staff above 200 staff

Contents of first aid kits Basic first aid kit contentsAdditional/specialist first aid equipment NilAutomated external defibrillator (AED) Consider in multistory buildings, large occupancy, difficult to access locations etc.Emergency shower/eyewash NilFirst aid room For more than 200 staff a first aid room is requiredProvision of first aid information in languages other than English


Other




FIRST AID ASSESSMENTWORKSHOP

Use this form in conjunction with the process Health & Safety: First aid requirements.See: https://staff.unimelb.edu.au/health-safety-wellbeing/safety-emergency/first-aid . This is a generic first aid risk assessment that includes assessment factors that are common to a workshop at the University. You should add or edit information in Sections 1 to 2 specific to your area where required.For a workshop, you can use either: this generic risk assessment, which means you will adopt the first aid requirements listed in Section 3; or a blank First aid assessment form to determine custom first aid requirements.For further information contact your local Health and Safety Business Partner



Assessed by:

HSR/Employee Rep:



Manual handling Lifting and moving materials and equipmentPlant and equipment Pedestal drill, lathe, bench saw, pedestal grinderChemicals Thinners, paint, cutting fluid, hydraulic oil, welding fumesHousekeeping Electrical leads poorly placed (trip hazard), swarf, off cuts and materials on floorElectrical Electrical equipment (power tools)Hot work Welding, grindingCompressed air Compressed air equipment/hoses

Example of a Risk Register for Workshop (Plant-based activities)



Sprains/strains Lifting materials and setting up workCuts and abrasions Sharp edges on materialsDegloving, amputation Entrapment/entanglement (eg fingers/hands caught in equipment)Burns (also chemical) Hot welds, hot metal, chemicals on skin/in eyesFractures Tripping/slipping overElectric shock Faulty electrical equipment, damaged power cablesRespiratory tract difficulties Welding fumesForeign bodies Splinters, projectiles in eyes – swarf Incidents not resulting in injuryList incidents that have occurred in the area that could have resulted in injury but did not


Leaking cylinder Possible inhalation of gases, fire and explosionPlant failure Hydraulics fail on a press



http://safety.unimelb.edu.au/docs/Division_OHS_Risk_Register_example_workshop%20v2.2.docx




Provide detailsMaximum distance to first aid kit Number of floors Access between floors Nearest hospital Nearest doctor/medical service Nearest emergency shower/eyewash Other





Briefly provide a description based on the information obtained from the assessmentPeople exposed Injuries/adverse outcomes that may occur Burns, lacerations, amputation, foreign bodies, fracturesLevel of Risk High risk work locationRisk controls Risk assessments, signage, information and training, supervision, restricted accessOther







Contents of first aid kits Basic first aid kit contentsAdditional Modules – Eye Module, Burns Module



Other




EXAMPLE OF A FIRST AID ASSESSMENTFIELD WORK

Use this form in conjunction with the process Health & Safety: First aid requirements.See: https://staff.unimelb.edu.au/health-safety-wellbeing/safety-emergency/first-aid . This is an example of first aid risk assessment for University field work. The activities involved in your own field work will vary from what is presented here.First aid risk assessments for field work can be generated using a blank First aid assessment form. You can use this exaample as a reference while completing the blank form.For further information contact your local Health and Safety Business Partner


Field Trip Name: Building No: N/A Date:

Assessed by:

HSR/Employee Rep:

NATURE OF HAZARDS AND SEVERITY OF RISK

Hazards(List known hazards/risk)

Description(Describe the hazard)

Venomous snake Snake bite – standing on snakeBody of water Activity next to lakeTemperature - hot Activity undertaken during the summer Bush track Uneven ground. Walking distance approximately 10 km from car



Sprains/strains Tripping/ falling on track, sunburn, dehydrationNear drowning Falling into waterSunburn and hyperthermia Walking and activity during the dayDehydration Walking and activity during the dayBlisters Shoes rubbing on feetSnake bite Standing on snakeCuts and abrasions Tripping on rocks/uneven surface Incidents not resulting in injuryList incidents that have occurred in the area that could have resulted in injury but did not







Provide detailsMaximum distance to first aid kit Portable first aid kit availableNumber of floors N/AAccess between floors N/ANearest hospital 10 km walk to car and approximately 1 hour drive to hospitalNearest doctor/medical service As above


Provide detailsNumber of staff 5 peoplePrimary working hours During daylight hoursOvertime worked N/AStaff working in isolation Always working in groupsOther



Briefly provide a description based on the information obtained from the assessmentPeople exposed Field trip personnelInjuries/adverse outcomes that may occur sunburn, snake bite, near drowning, hyperthermia, sprain/strain, cuts and abrasionsRisk controls Risk assessments, signage, information and training, supervisionLevel of Risk Medium risk work locationOther



Provide details of the required facilities/resourcesNumber of first aiders All first aid trainedCompetencies of first aiders 1 person – Provide First Aid in Remote Situations (HLTAID005)

Rest of group – Provide Basic Emergency Life Support (HLTAID002)Number and location of first aid kits 1 portable first aid kit with groupContents of first aid kits Basic first aid kit contents (in back pack for portability)

Snake bite kitAdditional/specialist first aid equipment NilAutomated external defibrillator (AED) NilEmergency shower/eyewash NilFirst aid room NilProvision of first aid information in languages other than English


Other No mobile phone coverage – satellite phone




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