ࡱ> 14./09 Jbjbj 4zhh#r r 8P,B$4#4h#h#h#%X*L,([A]A]A]A]A]A]A$jD G\A0d%d%@00Ah#h#zBH:H:H:0Fh#h#[AH:0[AH:H::C?,?h# #|X0o? GAB0By?R|G:1~|G?|G?|-vB.TH:.D.8---AA5---B0000|G---------r X : This tool will assist you in assessing and recording your departments first aid requirements. We recommend you complete one assessment per building/part of building you occupy. Use this in conjunction with the Assessment Tool Guidance Notes. If you need more specific information, refer to the First Aid Policy and accompanying Guidance Notes which can be found on the Occupational Health web pages at: HYPERLINK "http://www.imperial.ac.uk/occupational-health/health-protection-at-work/first-aid/"First Aid Policy Documents Departmental Details Department: FORMTEXT      Head of Department: (person/s with overall Health & Safety responsibility) FORMTEXT      Assessor/DSO: (The person undertaking the First Aid assessment) FORMTEXT      First Aid Coordinator: FORMTEXT      This Assessment is for:Building: FORMTEXT      Campus: FORMTEXT       First Aid Needs Campus Security SupportIs there campus security support available? ! SeeHYPERLINK "https://www.imperial.ac.uk/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/" Note 1Yes FORMCHECKBOX No FORMCHECKBOX If Yes, please state which category applies:College Security  FORMCHECKBOX Details:  FORMTEXT       (incl. contact numbers)NHS Trust Security  FORMCHECKBOX Details:  FORMTEXT       (incl. contact numbers)If No, state emergency procedures:Call 999 (emergency services helpline)  FORMCHECKBOX Other (specify):  FORMTEXT      Number of OccupantsNumber of occupants: (during normal College hours)Staff Number:  FORMTEXT      Students Number:  FORMTEXT      Visitors Number:  FORMTEXT      ! See HYPERLINK "https://www.imperial.ac.uk/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/"Note 2 to determine minimum local requirements. Remember to consider absence cover.Total required based on number of occupants:First Aid at work Qualified:  FORMTEXT       Life savers:  FORMTEXT       Layout and Joint Cover ArrangementsIs your department the sole occupier of the building?Yes  FORMCHECKBOX No  FORMCHECKBOX If No, which other departments are in your building?  FORMTEXT      If No, how many floors do you occupy? ! See HYPERLINK "https://www.imperial.ac.uk/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/"Note 3Multi-floor but not entire building  FORMCHECKBOX  Number of Floors:  FORMTEXT      One floor only  FORMCHECKBOX Do you have any joint cover arrangements with other departments in your Building? ! See HYPERLINK "/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/"Note 4Yes  FORMCHECKBOX No  FORMCHECKBOX If yes, please provide the following details:Department (the joint arrangement is with) 1.  FORMTEXT       2.  FORMTEXT      Details (It will be sufficient to attach these details if you reference them here e.g. Appendix 1, etc) 1.  FORMTEXT       2.  FORMTEXT       Hazards! See HYPERLINK "https://www.imperial.ac.uk/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/"Note 5Type of Hazard N/ARiskLowMediumHighRestricted Access area FORMCHECKBOX ! See HYPERLINK "/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/"Note 6aChemical FORMCHECKBOX  FORMTEXT        FORMTEXT       FORMTEXT      Biological FORMCHECKBOX  FORMTEXT        FORMTEXT       FORMTEXT      Mechanical HYPERLINK "https://www.imperial.ac.uk/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/"(Note 6b) FORMCHECKBOX  FORMTEXT        FORMTEXT       FORMTEXT      Physical HYPERLINK "https://www.imperial.ac.uk/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/"(Note 6c) FORMCHECKBOX  FORMTEXT       FORMTEXT        FORMTEXT      Field Work FORMCHECKBOX See HYPERLINK "https://www.imperial.ac.uk/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/"Note 6d Equipment Required  First Aid KitNB: See HYPERLINK "https://www.imperial.ac.uk/occupational-health/health-protection-at-work/first-aid/first-aid-assessment-tool/"Note 7.Total Number of First Aid Kit: FORMTEXT      Details:LocationPerson responsible (inspecting & replenishing)1.  FORMTEXT       FORMTEXT      2.  FORMTEXT       FORMTEXT      3.  FORMTEXT       FORMTEXT      4.  FORMTEXT       FORMTEXT      5.  FORMTEXT       FORMTEXT      6.  FORMTEXT       FORMTEXT      ! Can attach separate sheet if required.Eye Wash ArrangementsMains tap water is recommended when eye irrigation is necessary. Special eye wash bottles are only needed where this is not readily available. These should provide at least a litre of sterile water or sterile normal saline (0.9%).When eye was fountains are being used regular maintenance must be carried out. This will ensure that the water fountain remains at a safe pressure. Increased pressure can be harmful to eyes.Is there running water in all areas where chemical splash is likely to take place?Yes  FORMCHECKBOX No  FORMCHECKBOX If No, what arrangements are there for emergency eye wash?  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The equipment must be the same make and model as that provided centrally. Departmental AED must be registered with Occupational Health, who oversee the required operational checks and manage the registration of all AEDs on the London Ambulance Service's central database. Guidance on the responsibilities of departments wishing to locate such equipment in their local area on this basis is outlined in Appendix 3.Is an additional AED required?Yes  FORMCHECKBOX No  FORMCHECKBOX , Mental Health First Aid ArrangementsMental Health First Aid (MHFA) applies similar principles to physical first aid, where a structured intervention helps identify, understand, and support someone experiencing a mental health issue. MHFAiders are trained to listen, reassure, and respond, even in a crisis  and potentially stop a crisis from happening. They understand the warning signs of mental ill health and have the skills and confidence to approach and support someone while maintaining their safety. They also have a role in promoting positive well-being and tackling stigma. Departments are required to consider arrangements for Mental Health First Aid. First Aid Coordinators are responsible for booking individuals on the MHFA course via EDIC Have members of the department participated in MHFA training? Yes  FORMCHECKBOX No  FORMCHECKBOX If No, discuss with Department management and recruit suitable candidates bearing in mind there are a limited number of training places per year. There are no set requirements in terms of numbers Individuals who have participated in the MHFA course externally can be included but will need to be inducted in terms of Imperial support for staff and students.  FORMTEXT      If Yes, ensure their details are kept up to date on First Aid notices, and they are included in First Aid Communications.  Summary Summary of First Aider RequirementsDeciding criteria:Number of first aiders requiredAccording to occupancy Joint arrangements may apply. FAW:  FORMTEXT       (minimum requirement is one per building)EFAW:  FORMTEXT      According to Risk LowMediumHighEFAW:  FORMTEXT      EFAW:  FORMTEXT      FAW:  FORMTEXT       EFAW:  FORMTEXT      TOTALFAW:  FORMTEXT      EFAW:  FORMTEXT      MHFAiders FORMTEXT      Summary of First Aid Equipment RequirementsNumber RequiredFirst Aid Boxes FORMTEXT      Eye Wash Fountains  FORMTEXT      Eye Was Bottles FORMTEXT      AED  FORMTEXT      Other arrangements in line with COSHH Assessment  Review Assessment will be reviewed on:Date:  FORMTEXT      / FORMTEXT      / FORMTEXT       Sign Off First Aid CoordinatorName:  FORMTEXT      Signature: Date:  FORMTEXT      / FORMTEXT      / FORMTEXT      Departmental Safety Manager (if not the Assessor)Name:  FORMTEXT      Signature: Date:  FORMTEXT      / FORMTEXT      / FORMTEXT      Head Of Department (With overall Health & Safety responsibility)Name:  FORMTEXT      Signature: Date:  FORMTEXT      / FORMTEXT      / FORMTEXT       Retain this assessment with Departmental Risk assessments it is not necessary to share with Occupational Health or the Safety Department.     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