First Aid

ISO 45001:2018 Clause 8.2 · Health and Safety (First-Aid) Regulations 1981 — First aid arrangements at work

Procedure overview

A M Water Services determines the number of trained first aiders, the level of training required, and the first aid equipment provided through a First Aid Risk Assessment that considers the activities, the workforce, the work locations and the access to emergency services. As a water-infrastructure contractor working in the highway, on remote sites and occasionally in lone-working situations, AMWS holds first-aid provision above the regulatory minimum: at least one trained First Aider per active work crew. The HSQE Consultant identifies the number required; the Site Supervisor ensures qualified first aiders are present; first aid kits are stocked, identified and inspected monthly; and all accidents and injuries are reported per SOP 8.1. New starters are briefed on first-aid arrangements at induction and first-aider names are posted on every site / vehicle. Records are retained per SOP 4.7.

First Aid Provision — Process Flow

HSQE Consultant

Sean Ashton

Assess Need

Identify number of first aiders required for location, activity and workforce size

First Aid Risk Assessment

Ensure adequate qualified first aiders for office, yard and live sites

Ensure adequate first aid facilities and equipment for the workforce in offices, vehicles and on-site

Site Supervisor & Operatives

Jason May
Team Leaders · Operatives

Provide & Check

At company induction, brief all new staff on first aid arrangements; clearly identify trained first aiders

Display appointed first aiders on the HSQE notice board, in vehicles and at the site welfare unit

First aid kit / equipment easily available and clearly identified with the first aid green-cross sign

Monthly: check contents of first aid kit on First Aid Box Inspection Form — replenish any used or expired items

First Aid Box Inspection Form

All accidents / injuries reported and investigated per SOP 8.1

Retain copies of First Aid Box Inspection Forms

SOP 4.7 Control of Records

Process / Activity

Document / Cross-reference

Monthly Check / Compliance

First aider ratios — Health and Safety (First-Aid) Regulations 1981

First-aid provision is determined by the workplace risk profile and number of employees. Construction and water-infrastructure work in the highway is treated as medium-to-high risk under HSE guidance.

Workplace risk	Number of employees	Minimum first aid provision	Mental health first aiders
Low risk (e.g. office)	< 25	1 Appointed Person	Consider similar ratio
	25 – 50	1 EFAW (Emergency First Aid at Work)	Consider similar ratio
	> 50	1 EFAW per 100 employees	Consider similar ratio
Medium-to-high risk (water-infrastructure work, highway, excavation, confined space)	< 5	1 Appointed Person	Consider similar ratio
	5 – 50	At least 1 EFAW or FAW (First Aid at Work)	Consider similar ratio
	> 50	1 FAW per 50 employees	Consider similar ratio

Definitions: EFAW — Emergency First Aid at Work, 1-day course, valid 3 years. FAW — First Aid at Work, 3-day course, valid 3 years (re-qualification 2-day refresher). Appointed Person — not a first aider; takes charge of arrangements (calling emergency services, looking after kit) but does not deliver clinical first aid. Annual refresher training is recommended by HSE for all qualified first aiders. Mental health first aiders are not legally mandated but are recommended; AMWS aims for parity with physical first-aider numbers as wellbeing grows in importance under ISO 45001 §6.1.2.1. Operational rule: AMWS holds first-aid provision above the minimum — at least one trained First Aider per active work crew, regardless of crew size, given that crews work in the highway, in remote locations and occasionally with lone working.

First Aid

First Aid Provision — Process Flow

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