first aid procedure(revised)0-d
TRANSCRIPT
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CONSTRUCTION OF KIMANIS PETROLEUM TRAINING CENTRE (KTC)
BUILDINGS AND FACILITIES FOR SABAH OIL & GAS TERMINAL (SOGT)
PROJECT.KKDSV-JV
FIRST AID PROCEDUREDoc. No:PSP-KTC-PR-14
Rev: 0-DDate: 14/03/12
1
CONTENTS
1. PURPOSE
2. SCOPE
3. DEFINITIONS
4. LEGAL PROVISION & REFERENCE
5. COMPONENTS OF WORKPLACE FIRST-AID FACILITIES
5.1 Major Components
5.2 Factors To Consider
6. FIRST-AIDERS
6.1 Number Required
6.1.1 General Guide
6.2 Provision of Information about First-Aiders
6.3 Training
6.3.1 Recognized Course
6.3.2 Course Content for First-Aider
6.3.3 The Need For Further Training
6.3.4 Training Record
6.4 Responsibilities
6.4.1 Management Of Casualty
6.4.2 Maintenance Of Treatment Record
6.4.3 Responsibilities For Maintenance Of First-Aid Facility
7. FIRST-AID BOX
7.1 Design
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FIRST AID PROCEDUREDoc. No:PSP-KTC-PR-14
Rev: 0-DDate: 14/03/12
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7.2 Location
7.3 Content
8. FIRST AID TREATMENT
9 PROTECTIVE CLOTHING AND EQUIPMENT
10 CLEANING UP
Appendix 1 - Recommended Contents Of A First-Aid Box
Appendix 2 - Record of Casualty and Treatment given by First-Aider
Appendix 3 - Checklist for First-Aid Box
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CONSTRUCTION OF KIMANIS PETROLEUM TRAINING CENTRE (KTC)
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PROJECT.KKDSV-JV
FIRST AID PROCEDUREDoc. No:PSP-KTC-PR-14
Rev: 0-DDate: 14/03/12
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1. PURPOSETo establish a standard guideline in the application of first aid treatment for all
KKDSVs employees including subcontractors.
2. SCOPEThis guideline is applicable to SOGT-KTC Project and KKDSV shall execute this
procedure in compliance with HSE related laws, regulations and other
requirements agreed by KKDSV.
3. DEFINITIONS3.1 HSE Health, Safety and Environment
3.2 KKDSV KK Dinamik Sdn Bhd- KK Success Vision Sdn Bhd
3.3 PCSB PETRONAS Carigali Sdn Bhd
3.4 DOSH Department of Occupational Safety and Health
3.5 OSHA Occupational Safety and Health Act
3.6 SOGT Sabah Oil and Gas Terminal
3.7 KTC Kimanis Petroleum Training Centre
3.8 First-aid means the provision of first-aid facilities, services and personnel
required for the initial treatment of persons suffering from injury or illness at
a workplace;
3.9 First-aid facilities means
* a first-aid box;
* a first-aid room; and
* first-aid equipment, for example, oxygen equipment and a stretcher.
3.10 First-aid requirements means the requirement for first aid facilities,
services and personnel at a workplace;
3.11 First-aid services means any procedure or method associated with the
provision of first-aid at a workplace;
3.12 First-aider means a person who has successfully completed a first-aid
course conducted by an institution recognised by the Ministry of Health andhas been awarded with a certificate of proficiency in first-aid treatment;
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FIRST AID PROCEDUREDoc. No:PSP-KTC-PR-14
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3.13 Occupational health services means a specialised service for the purpose of
conserving, promoting and restoring the health of employee at a workplace.
4. LEGAL PROVISION & REFERENCE
4.1 The Factories and Machinery Act 1967
Section 25 of the Factories and Machinery Act 1967 (Act 139) and Regulation
38 of the Factories and Machinery (Safety, Health and Welfare) Regulations
1970 state the scope of responsibility of an occupier with regards to first-aidprovision. The scope includes:
* providing and maintaining a first-aid box or cupboard of such standard as
may be prescribed and ensuring the box is readily accessible at all times;
* assigning the responsibility to upkeep a first-aid box or cupboard to a
responsible person, and for a factory with more than 20 persons employed,
specifying that the responsible person should be proficient in first-aid
treatment; and
4.2 The Occupational Safety and Health Act 1994
Section 15(1) of the Occupational Safety and Health Act 1994 (Act 514)
provides that every employer and the self-employed person must ensure, so
far as is practicable, the safety, health and welfare at work of all his
employees. The provision of first-aid facilities and first-aiders is in compliance
with the welfare component of this general duty of employers and self-
employed persons.
4.3 Guidelines on First Aid Facilities in the Workplace, 1996, Department of
Occupational Safety and Health (DOSH)
4.4 PETRONAS Instruction to Bidder (ITB)
4.5 PETRONAS Technical Standard (PTS)
4.6 All relevant Local Authority requirement
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FIRST AID PROCEDUREDoc. No:PSP-KTC-PR-14
Rev: 0-DDate: 14/03/12
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5.0 COMPONENTS OF WORKPLACE FIRST-AID FACILITIES
5.1 Major Components
There are three major components of workplace first-aid facilities, namely:
* first-aider
* first-aid box/first aid room
* first-aid equipment/manual
5.2 Factors to Consider
When deciding on the number of first-aiders, equipment and facilities for the
workplace, the following factors should be considered, namely:
* type of industry
* number of workers
* number of workshifts
* physical layout of workplace
* location of workplace and status of infra-structure in relation to the nearest
medical clinic or hospital
6.0 FIRST-AIDERS
6.1 Number Required
No of employees Requirements
Less than 20 One (1) trained First Aid personnel
20 or more One (1) trained First Aid personnel for every
20 workers or part thereof
More than 150 First aid room to be provided at SITE
More than 400 Two (2) for every 150 workers or part
thereof Registered Nurse or Medical
Assistance to be at SITE on full time basis
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Rev: 0-DDate: 14/03/12
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Note: Trained means that the person has successfully completed (with certificate)
a First Aid Course conducted by an institution recognized by the Ministry of Health.
6.2 Provision of Information About First-Aiders
An employer should display a notice, in a prominent place in the work-site, of
the names and locations of first-aiders. First-aiders should also be provided
with a form of identification (e.g. badge, arm band) for easy recognition and
spotting.
6.3 Training
6.3.1 Recognized Course
A person is considered as being trained if he successfully completes a first-aid
course conducted by an institution recognized by the Ministry of Health and
awarded with a certificate of proficiency in first-aid treatment at the end of
the course.
6.3.2 Course Content for First-Aider
First aid training shall be conducted using the conventional methods of
training such as lecture, demonstration, practical exercise and examination
(both written and practical). The length of training must be sufficient to
ensure that trainees understand the concepts of first aid and can
demonstrate their ability to perform the various procedures contained in the
outline below.
At a minimum, first-aid training shall consist of the following:
A. Part One
Basic Life Support
i. Chain of Survivalsii. Common cause of Death
iii. Introduction to Cardiovascular Systemiv. Introduction to Respiratory Systemv. Coronary Heart Diseases and Risk Factors
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FIRST AID PROCEDUREDoc. No:PSP-KTC-PR-14
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vi. Cardiopulmonary (CPR Techniques) DR. ABCvii. Practical session :
Adult one rescuer CPR technique Adult two rescuer CPR technique Airway Obstruction Conscious (Heimlich Manoeuvre) Airway Obstruction Become unconscious Airway Obstruction Found Unconscious Victim Care of unconscious victim (Recovery Position)
viii. Assessment on Theory and PracticalB. Part Two First Aid / Basic Trauma Life Support
i. Introduction to First Aid Definition and requirementsii. Introduction to basic anatomy Musculosketal system Central nervous system
iii. Introduction to Basic Emergency Principles (DR. ABC)iv. Patient Assessment Rapid victim assessment (head to toe) Identifying life treating conditions - shock, chest injury, internal injuries,
chest injury, etc.
Managing injuries based on priority Communication to the health care provider
v. Management of Spinal Injury Identifying spinal injuries Care of the injured victim Immobilisation and transportation
vi. Management of Medical Shock Type of shock Identifying shock (sign and symptom) Treating shock (first aid)
vii. Management of Fracture (including amputation) Identifying fracture (sign and symptom) Type of fracture (closed and open)
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Immobilisation of fracture (upper limb, lower limb and extremities)viii. Management of Wound
Type of wound Treating the wound (first aid)
ix. Practical Session : Patient assessment Spinal care and transportation Immobilisation of fracture Wound management ( bandaging ,etc) Managing multiple injury (exercise/simulation drill)
x. Assessment on Theory and PracticalFirst-aid training may also contain the following (optional):
This should take into consideration the specific industrial needs ;
a) Other injuries : Burn and scald fire, hot water, chemical, etc. Heat related disorder heat stroke, hypothermia, etc. Ear, nose and throat injuries eye injury (chemical), bleeding from nose,
etc.
Sports injuries - sprain/strain Sting and bites insect bites, allergic, etc. Chemical contact inhalation, absorption, ingestion, exposure, etc
6.3.3 The Need for Further Training
The need for further training may be necessary whenever change within the
workplace is likely to alter the hazards and thus the type of potential injuries
or occupational illnesses.
First-aid certificates are usually valid for three (3) years except for hazardous
industries where the validity is for only one year. The validity of some first-aid
certificates may be subject to specific requirements, for example :
* refresher training;
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* evidence of proficiency in cardiopulmonary resuscitation.
6.3.4 Training Record
The employers should keep, for all his first-aiders, a written record of the
dates on which they obtained their first-aid certificates and the dates on
which they receive refresher training.
6.4 Responsibilities
6.4.1 Management of Casualty
The first-aider has an important role to play. In the management of an
injured worker or in a case of sudden collapse, he should:
* assess the situation without endangering his own life;
* identify the injuries or recognize the sudden collapse;
* give immediate first-aid treatment, keeping in mind that a casualty may
have more than one injury;
* for more than one casualty, recognize the priority of administration of first-
aid treatment to the more seriously injured; and
* arrange without delay for the injured worker(s) to be sent to a doctor,
hospital or home, according to the seriousness of his condition.
The first-aiders responsibility ends when the casualties are handed over to
the care of a doctor, nurse or other appropriate persons.
6.4.2 Maintenance of Treatment Record
A record of the casualty and treatment given by the first-aider should be
made. These record must be kept by the employer for a period of five years.
A record may include information on:
* the immediate treatment;
* details about the incident/accident including information about the work
process involved;
* details about the injury or work-related illness;
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FIRST AID PROCEDUREDoc. No:PSP-KTC-PR-14
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* any referral arrangements, for example, local medical service, ambulance
or hospital; and
* subsequent casualty management.
6.4.3 Responsibilities for Maintenance of First-Aid Facilities
The first-aider is responsible for maintaining the first-aid box. He should
ensure that only first-aid equipment is kept inside the box. He should check
them periodically and ensure that the contents of the box are regularly
replenished.
However, it must be remembered that the absolute responsibility for
maintaining first-aid facilities lies with the employer. Hence, the employer
must ensure that the first-aider carries out his assigned responsibility.
In workplaces with less than 20 workers, the employer can assign this
responsibility to one of his supervisors.
The Safety and Health Committee at the workplace should periodically review
the first-aid facilities to ensure that the facilities are adequate at all times.
In places where a nurse registered with the Nursing Board of Malaysia is
employed, he or she should be responsible for the supervision of the first-
aiders and the responsibility for maintenance of the first aid facility.
7. FIRST-AID BOX
7.1 Design
First-aid boxes should be made of sturdy material and be portable so that it
can be taken to the site of an incident. The boxes should also be clearly
marked with a green crescent on a white background.
7.2 Location
Each first-aid box should be placed in a clearly identifiable, well illuminated
and accessible location.
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Rev: 0-DDate: 14/03/12
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Where a workplace covers a large area, an adequate number of first-aid
boxes should be provided. The box must be kept locked and the key thereto
kept by a responsible person available during all working hours.
The employees should be informed of the location of all first-aid boxes.
7.3 Contents
First-aid boxes should contain a sufficient quantity of suitable first-aid
materials. They should not contain materials other than those required for
first-aid treatment.
It is essential that first-aid boxes be checked frequently so as to make sure
they are fully equipped and all items are usable. Materials used should be
replaced as soon as possible. Appendix 1 prescribes the contents of a first-aid
box.
8. FIRST AID TREATMENT(a) Injuries / Illness
If you should become injured or ill, report this condition immediately to your
supervisor who will then arrange for necessary treatment.
An Incident Report will be filled out and an incident investigation initiated
by the supervisor in determining the cause of accident.
Remember, an incident investigation can be helped prevent a recurrence of
similar accident and is not used to blame anyone.
When assistance is needed for emergency treatment because of a seriousinjury, the person requesting assistance must be sure to give a definite
location of the accident and, if possible the type of accident.
The injured party shall not be moved until the medics arrives, unless his life in
further danger.
(a.1) Condition that required First Aid
Bone fracture Burn
http://en.wikipedia.org/wiki/Bone_fracturehttp://en.wikipedia.org/wiki/Bone_fracture -
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CPR Choking Cramps in muscles Drowning Heart attack Heat stroke Hypothermia Insect and animal bites and stings. Poisoning Muscle strains and Sprains Wounds and bleeding
(b) Eye IrritationEmployees shall not attempt to remove foreign material from their eye.
If any foreign material gets into eye, the eye shall be washed immediately
with running water and report immediately to the supervisor for further first
aid treatment.
(c) Chemical ExposureIf chemical come in contact with eye or body, the affected parts shall be
washed immediately with running water, for at least 15 minutes, and reportto the supervisor for further first aid treatment.
9. PROTECTIVE CLOTHING AND EQUIPMENTProtective clothing and equipment should be provided where there is a possibility that the
first-aider may need protection to avoid becoming a casualty himself while administering
first-aid. Protective clothing and equipment should always be properly stored and checked
regularly to ensure that they remain in good condition.
http://en.wikipedia.org/wiki/Chokinghttp://en.wikipedia.org/wiki/Cramphttp://en.wikipedia.org/wiki/Drowninghttp://en.wikipedia.org/wiki/Myocardial_infarctionhttp://en.wikipedia.org/wiki/Hypothermiahttp://en.wikipedia.org/wiki/Bite_(medicine)http://en.wikipedia.org/wiki/Poisonhttp://en.wikipedia.org/wiki/Strain_(injury)http://en.wikipedia.org/wiki/Sprainhttp://en.wikipedia.org/wiki/Woundhttp://en.wikipedia.org/wiki/Bleedinghttp://en.wikipedia.org/wiki/Bleedinghttp://en.wikipedia.org/wiki/Woundhttp://en.wikipedia.org/wiki/Sprainhttp://en.wikipedia.org/wiki/Strain_(injury)http://en.wikipedia.org/wiki/Poisonhttp://en.wikipedia.org/wiki/Bite_(medicine)http://en.wikipedia.org/wiki/Hypothermiahttp://en.wikipedia.org/wiki/Myocardial_infarctionhttp://en.wikipedia.org/wiki/Drowninghttp://en.wikipedia.org/wiki/Cramphttp://en.wikipedia.org/wiki/Choking -
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To prevent spread of blood-borne infections, disposable gloves should be worn when
there is a danger of coming into contact with human blood, body fluids or tissues.
Transparent masks or mouthpieces should be used when carrying out artificial respiration.
As an added personal protection, it is recommended that a first-aider be appropriately
immunized.
10. CLEARING UPFirst-aiders should wash their hands or any other surfaces of their body splashed with
blood or other body fluids as soon as possible with soap and water.
Carefully mop up spilt blood. Clean contaminated surfaces with disinfectant. Clean soiled
equipment with water and detergent and then boil for 10 minutes or wash with a
disinfectant.
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Rev: 0-DDate: 14/03/12
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Appendix 1 - Recommended Contents of a First-Aid Box
Contents of factory first-aid box
or cupboard
Box A
(For factories with
up to 10 persons
employed at a
time)
Box B
(For factories with
11-50 persons
employed at a
time)
Box C
(For factories with
more than 50
persons employed
at a time)
1. Small individual medicated or
unmedicated sterilised dressings,
for fingers
6 ... 12 ... 24
2. Medium-sized individual
medicated or unmedicated
sterilized dressings, for hands and
feet
3 ... 6 ... 12
3. Large individual medicated or
unmedicated sterilized dressings,
for other injured parts
3 ... 6 ... 12
4. Assorted adhesive wound
dressings
12 ... 24 ... 36
5. Triangular bandages ... ... ... 2 ... 4 ... 8
6. (i) Roller bandages, 1 inch ... ...
(ii) Roller bandages, 2 inch
... ...
6
6
... 9 ...
... 9 ...
12
12
7. Adhesive plaster ... ... ... " A sufficient
supply"
8. Absorbent sterilized cotton
wool, in 1/2 oz. packets
or Cotton-wool strip contained in
cotton-wool dispenser
6 ... 6 ...
" A sufficient
supply"
6
9. Suitable splints and wool or
other material for padding
" A sufficient supply"
10. Approved eye ointment or eye
drops
" A sufficient supply"
11. Individual sterilized eye pads
in separate sealed packets
2 ... 4 ... 8
12. Rubber or pressure bandage
...
1 ... 1 ... 1
13. A two per cent alcoholicsolution of iodine, or a one per
1 ... 1 ... 1
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cent aqueous solution of gentian
violet in a stoppered 2 oz. bottle
14. A bottle of salt volatile with
the dose and mode of
administration indicated on the
label
1 ... 1 ... 1
15. Blunt-nosed surgical scissors
...
1 ... 1 ... 1
16. Safety pins ... ... ... ... 12 ... 24 ... 36
17. Crepe bandages: (i) 5 cm
(ii) 7.5 cm
6
6
6
6
6
6
18. Surgical tapes: 3M
(Hypoallergenic) - 5 cm
2 2 2
19. Gloves - Disposable 6 12 24
20. CPR Mask A sufficient supply
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Appendix 2 - Record of Casualty and Treatment given by First-Aider
Record of Casualty and Treatment given by First-Aider
A. Particulars of Company: Date:..
1. Name:.
2. Address: ..
..
B. Particulars of Casualty:
1. Name :..
2. ID No:..
C. Brief History of Incident:
D. Briefly describe treatment given:
[please attach the CSDS if incident involve chemical(s)]
Name of First Aider:..
Signature:
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Appendix 3 - Checklist for First-Aid Box
The purpose of this checklist is to check the appropriateness of the contents of a first-aidbox. Indicate by ticking (/) the relevant box. Where the answer to the question is no,
further action may be necessary.
1. Location Yes No Remarks
a. Is the first-aid box located in a prominent and accessible
position?
b. Are employees informed and aware of the location of
the first-aid box?
c. Do all employees have access to the first-aid box during
all work shifts?
2. Identifiability Yes No Remarksa. Can the first-aid box be clearly identified as a first-aid
box?
3. Contents Yes No Remarks
a. Are the contents appropriate for the likely injuries and
illnesses at your workplace?
b. Does the first-aid box contain sufficient quantities of
each item?
c. Is an employee trained in first-aid responsible for
maintaining the first-aid box?
d. Are the contents appropriately labeled?
e. Are the contents within their use by dates?
f. Are the contents adequately stored?
4. Relevant information Yes No Remarks
a. Is there a list of contents provided in the first-aid box?
b. Are emergency telephone numbers clearly displayed?
c. Are the name, location and extension number of the
nearest first-aider clearly indicated?
d. Is the CSDS readily available (if chemical hazardous to
health is use in the workplace)
5. Training Yes No Remarks
a. Have selected employees received training in the use
and maintenance of first-aid box?
6. Responsible Person Yes No Remarks
a. Is a person appointed to take charge of first aid
arrangements (supervisor).
Checked Reviewed Approved
Signature
Name
Position
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