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© QTS Limited Health & Safety in childcare centres Mayo County Childcare Presentation Presented by Shane Mac Loughlin QTS Ltd Cross St., Galway

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© QTS Limited

Health & Safety in childcare centres

Mayo County Childcare Presentation

Presented by Shane Mac Loughlin

QTS LtdCross St., Galway

© QTS Limited

Presentation Content

Safety Health & Welfare at Work Act 2005

Manual handling

Stress / Bullying

First Aid

Fire Register & Emergency Planning

Risk Assessments specific to Childcare Services

Internal Environment

Play Areas (Internal & External)

Food Safety / Hygiene / Nutrition

Child protection Guidelines (Dept of Health & Children Guidelines)

Q&A

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2005 Act - IntroductionPrimary focus is on the prevention of

workplace accidents, illnesses and dangerous occurrences and provides for significantly increased fines and penalties

New Act is framework in nature, focusing on broad general duties and the organisational and structural arrangements necessary to achieve better safety and health.

Aims to encourage a responsible attitude on the part of both employers and employees

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Safety Health & Welfare at Work Act 2005

Employer Duties

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Employer Duties: Ensure, so far as is reasonably practicable, the safety, health and

welfare at work of all employees, the duties cover:

Management and conduct of work activities Preventing improper conduct or behaviour (violence, bullying or horseplay at

work) Design, provision and maintenance of (i) safe workplaces (ii) safe means of

access to and egress from the workplace and (iii) safe plant and machinery Providing safe systems of work Providing adequate welfare facilities Provision of adequate instruction, training and supervision and any necessary

information (employer duties continued on next slide…..)

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Employer Duties:(continued):

Preparing risk assessments and safety statements that take account of the general principles of prevention when implementing necessary safety, health and welfare measures

Provision and maintenance of suitable personal protective equipment where risks cannot be eliminated, or where such equipment is prescribed.

Preparation of plans and procedures to be followed and measures to be taken in the case of an emergency or the presence of serious or imminent danger

Report accidents and dangerous occurrences

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Employer Duties: Information for Employee

Must be in a form, manner and language that is reasonably likely to be understood

Any proposed measure that is likely to substantially affect safety, health and welfare at the place of work including any measures required by safety and health legislation,

Responsible persons – designated duties Risk Assessments Safety statement and subsequent changes The information required to be given to employees Information on reportable accidents and dangerous occurrences The appointment of competent persons Training

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Employer Duties: Instruction, Training and Supervision of Employees

Because of the multi-cultural nature of the Irish workforce the Act recognises the need to communicate with all employees in a language that they understand.

Training must be provided on: on recruitment, on transfer of employee or change of task, on introduction of new work equipment, systems or work or changes in existing work equipment or systems of work and on introduction of new technology.

Equally employers are now required to provide information on relevant health and safety issues to non-employees, to temporary staff and those on fixed term contracts.

Employees of another employer working in the place of work must also be informed, andthe their employer must also be made aware of all safety information Risk Assessments PPE requirements First aid fire-fighting and rescue arrangements

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Employer Duties: General Duties of Employers to Persons Other Than Their Employees

Duties to those who are not their employees but who may be exposed to risks to their health or safety at the place of work while work is being carried on.

multi-occupancy workplaces contractors e.g. maintenance workers workplace may need to be given to the contractor Public access, and in particular children, to dangerous

workplaces e.g. construction sites, vehicle depots etc.

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Typical childcare centre Safety Management Structure

Company Directors

MANAGER

carers Kitchen Staff Cleaner

Staff electedSafety Rep

Appointed Safety Officer

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Responsibilities - Manager

Manager assumes role of daily Safety Management of childcare centre on behalf of directors

Communicate to Directors any safety concerns and resources needed to ensure safety of staff, students and members of the public.

Develop and approve budget plans with Directors and projections necessary to support approved Health and Safety goals, targets and action plans.

Work with employees to ensure that all the required tools and personal protective equipment needed to conduct their work is available.

Ensure good communications are developed and maintained.

Ensure that all employees have received appropriate safety training in a timely basis and such that training is documented.

Ensure that safety activities are co-ordinated and specific responsibilities are assigned.

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Safety Officer Vs Safety Representative Safety Officer appointed by Management to act on their behalf to help

ensure Employer responsibilities are adhered to. Safety Officer is a management function the extent of which depends of level of delegation assigned by Directors.

Safety Representative are elected by peers (general staff) and do not have any legal responsibilities for Safety within the childcare centre but rather roles as outlined in the 2005 Act.

A Safety Representative is not responsible for the childcare centres safety management

Role of Safety Represenative;

bring staff concerns to childcare centre Management Act as staff liase where there are Staff Safety issues Investigate Accidents and assist HSA when requested

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Safety Officer

The role of Safety Officer, who is normally a centre manager, is to manage (on behalf of the Directors) the day to day functions of the Safety Management Programme. Such as:Safety Management, Consultation, Training and Recording.

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Safety Representative

Make representations to the employer on any aspect of safety, health and welfare.

Investigate accidents and dangerous occurrences provided that it does not interfere with the performance of statutory obligations.

Make oral or written representations to the Health and Safety Authority on matters of safety, health and welfare.

Receive advice and information from the HSA. Inspect the work place subject to agreement with employer as to frequency

of inspections. Investigate potential hazards and complaints made by staff that he/she

represents. Be informed of impending Health and Safety Authority inspections. Consult with the HSA Inspector and accompany them on visits (but not on

investigations of accidents). Have time off as may be reasonable in order to acquire information on

matters of safety, health and welfare

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Employee Duties:

Each employee is reminded that they have specific statutory responsibilities, which are outlined in the Safety, Health and Welfare at Work Act, 2005. This places a number of duties on staff whilst they are at work.

Specific responsibilities include:

To take reasonable care of their own health and safety and that of other personnel who may be affected by his/her acts or omissions.

To co-operate with his/her employer or any other person to enable his/her employer to comply with statutory obligations.

To use any suitable appliance, protective clothing, convenience, equipment or other means provided for securing safety, health and welfare.

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To report to management without delay any defects of which he/she becomes aware of in equipment, place of work, or system of work, which might endanger safety, health and welfare.

Not to intentionally or recklessly interfere with any safety measure provided

for securing the safety, health or welfare of persons.

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Safety Health & Welfare at Work Act 2005

Enforcement Actions, Prosecutions and Penalties

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Improvement Direction

Improvement Notice

Prohibition Notice

Closure of a Place of Work

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Prosecutions and Penalties Offences including breaches of regulations can be tried in either:

1. The District Court where the max. penalty is € 3000 and or up to 6 months in prison

2. Or

2. On indictment in the Circuit Court where the max. penalty is €3,000,000 and/or imprisonment for a term not exceeding two

years

In the case of a conviction, the Court, unless it is satisfied that there are special and substantial reasons for not doing so, must

order the person convicted to pay the Authority’s costs and expenses.

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Safety Health & Welfare at Work Act 2005

Liability of Directors and Officers of Undertakings

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80.—(1) Where an offence under any of the relevant statutory provisions has been committed by an undertaking and the doing of the acts that constituted the offence has been authorised, or consented to by, or is attributable to connivance or neglect on the part of, a person, being a director, manager or other similar officer of the undertaking, or a person who purports to act in any such capacity, that person as well as the undertaking shall be guiltyof an offence and shall be liable to be proceeded against and punished as if he or she were guilty of the first-mentioned offence.

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Onus of proof

81.—In any proceedings for an offence under any of the relevant statutory provisions consisting of a failure to comply with a duty or requirement to do something so far as is practicable or so far as is reasonably practicable, or to use the best practicable means to do something, it shall be for the accused to prove (as the case may be)that

it was not practicable or not reasonably practicable to do more than was in fact done to satisfy the duty or requirement, or that there was no better practicable means than was in fact used to satisfy the duty or requirement.

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Safety Health & Welfare at Work Act 2005

Safety Statement

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Safety Statement

Every employer must have a written safety statement based on the hazards identified and the risk assessment setting out how the safety, health and welfare of employees will be secured and managed

The employer must bring the safety statement to the attention of the employees.

This should be done at least annually, or when it is amended.

The safety statement must also be brought to the attention of others who may be exposed to specific risk at the place.

The safety statement must be reviewed, (a) if there has been a significant change in matters to which it refers(b) there is another reason to believe that it is no longer valid(c) if so directed by a HSA Inspector within 30 days

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Safety statement must include or make reference to;

o Policy on Stresso Policy on Bullyingo Accident / Incident Recordingo General Application Regulations 2007

o Part 2 Chp 4 – Manual handlingo Part 7 Chp 2 – First Aid

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DEFINITION OF MANUAL HANDLING OF LOADS

Transporting or supporting of a load by one or more employees, including lifting,putting down, pushing, pulling, carrying or moving which, by reason of its characteristics or of unfavourable ergonomic conditions, involves risk,particularly of back injury, to employees.

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BACK PAIN STATISTICS 80% Population in

Western World Affected

70,000 Back Injuries in UK / IRL each Year

30% - 40% of Accidents due to Incorrect Lifting / Handling

Main Cause of Lost

ON THE INCREASE Lack of Mobility Incorrect Posture Poor Working Habits Lack of Knowledge /

Skill Attitude

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For child care services this relates to lifting and carrying children, bending down to children, leaning over changing tables etc.

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First Aid

Best practice is for all staff to be trained in first aid At minimum one fully trained staff on premises

at all times Need to ensure provison of first aid not

compromised by holidays/ annual leave / sickness etc.Training must be FETAC approved and takes 3

working days ( typical providers – Order of Malta, Irish Red Cross)

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Administering prescribed medicines

Protocol must be in placeWritten permission and/or written directions

from GP must be receivedAlways ensure medicine has;Childs first & last nameIs prescribed by GPIs in original containerIs within expiryHas specific instructions for use and storageIs in child proof container

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Administering Over the counter Medicine

Protocol must be in placeWritten permission from parent/gaurdianAlways ensure medicine has;Childs first & last nameIs in original containerIs within expiryHas specific instructions for use and storageIs in child proof containerName of health care provider who recommended the

medication

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Additional childcare centre H&S PoliciesAppendices to safety Statement

Assessment of conditions for Pregnant Women.Classification of Hazardous SubstancesWorkplace StressHarassment and BullyingOverview of Department of Education Child Protection Guidelines

Safe Operating Policies & Procedures

Food safety policy Staff recruitment Infection control Sickness during service hours Child protection Behaviour management Fire Safety Pollicy Security Hygiene Accidents

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FIRE SAFETY

What is Fire?

The rapid oxidation of a fuel evolving heat, particulates, gases and non-ionizing radiation

Sources of Ignition

SmokingElectrical equipmentHeatersContractors tools and equipmentArson

Fuels

Paper & Boxes etc.Expanded polystyrene

beadsPlasticsSolventsCarpetsFurnitureWaste materials

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Classes of Fire - BS EN 2

A - Free burning materials, paper, wood, plastics etc.

B - Flammable liquids, petrol, meths, solvents etc.

C - Flammable gases, methane, hydrogen etc. D - Metals, potassium, sodium, magnesium etc. F - Cooking fats Electricity can be involved in any class of fire

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Fire Prevention Be mindful of Fire

Safety Don’t block fire exits,

call points or extinguishers

No smoking policy Take care when cookingObserve good security Don’t wedge Fire Doors

open

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Fire Procedure - Fire Alarm Account for all in your care and direct

them to leave the building immediately Note: Babies and Smaller children may

have to be carried. Use the nearest exitWalk quickly but don’t run closing doors

behind you Do not delay your exit to collect your

belongings Attend the Fire Assembly Point and

account for all children. Do not return until told to do so

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Fire Procedure - Finding a FireSound the fire alarmFight the fire if you are

competent and you consider it safe to do soEvacuate as per

normal fire procedure Inform the Fire safety

officer or manager

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Fighting a Fire -Do not fight the fire if : -

It is bigger than a waste paper binOne extinguisher is not enoughSmoke is affecting your breathingYou cannot see the way outGas cylinders or chemicals are involvedYour efforts are not reducing the size of the

fire

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Extinguishers - European Changes

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Fire Extinguishers - Water

Red body Suitable for use on Class A

Fires, wood and paper etc. Not suitable for combustible

liquids, cooking fats etc. Not safe to use on fires

involving electricity Extinguishes by cooling

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Fire Extinguishers - Foam

Cream body (Old type) or Red Body with Cream label

Suitable for Class A and B Fires. Not suitable for use on fires

involving electricity Extinguishes by cooling and

sealing the surface of a burning liquid

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Fire Extinguishers - Powder

Blue body (Old type) or Red body with blue label.

Best on Class B fires but safe to use on any type of fire.

Works by chemically interfering with the combustion reaction

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Fire Extinguishers -Carbon Dioxide

Black body (Old type) or red body with black label (New type)

Best on Class B and C fires but safe to use on any type of fire

Safe to use on fires involving electricity

Extinguishes by reducing oxygen levels and cooling

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Fire Extinguishers - Blanket

Any colour body or label but they are usually red or white

For use on any type of fire but best on small contained class B fires and people on fire.

Extinguishes by asphyxiating

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Fire Register The Register should be kept in a safe place on the premises at all times

together with the relevant Code of Practice or Guide to Fire Precautions and should be available for inspection by any Authorised Officer of the Fire Authority.

The Register generally has sufficient pages to allow for records over a period of 5 years.

Owners or Managers should take careful note of the intervals at which various inspections, tests or inventory/location checks are to be carried out. These are summarised in the table below.

Emergency Lighting Fire Alarm

Extinguishers & Hose Reels

Fire Exit Doors/Means of Escape

Fire Drill

Daily X X

Weekly X X X

Monthly X X

3 Monthly X X X

6 Monthly X X

Yearly X X X X

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Fire Safety at Home

Fit and maintain a smoke detector

Bin the chip pan Fit MCBs in fusebox Check round at night Close doors at night Don’t smoke in bed Prepare an escape

plan

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RISK ASSESSMENT

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RISK ASSESSMENT and RECOMMENDATIONS

What is a Risk Assessment? A Risk Assessment is a process for managing health and safety in

the work place.

What is a Hazard? A hazard is anything that can potentially cause harm.

How to ensure Effectiveness of Risk Assessment. Risk Assessments will be carried out regularly with risks identified

with recommended controls needed As part of the continuous assessment process it is critical that the

Directors ensure recommendations are implemented and effectiveness verified.

Risk Assessment Rating and How to perform Risk Assessment Typically Risk Assessment and Recommendations will be

documented and updated as needed in Matrix Format as per net example.

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Avoiding Risk - Hierarchy of Control Controlling the health and safety risks in a workplace is necessary to

prevent injury and illness. First, identify and assess the risks, then decide on the best way to control (i.e. remove or reduce) them, by applying the Hierarchy of Controls.

The Hierarchy of Controls = preferred order of control measures for OHS risks.

Elimination - controlling the hazard at source. Substitution - eg. replacing one substance or

activity with a less hazardous one. Engineering - eg. installing guards on

machinery Administration - policies and procedures for

safe work practices Personal Protective Equipment - eg

respirators, ear plugs.

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What are the hazards

Who might be harmed and how?

RiskRating

What are you already doing?

What further action is necessary?

Action by who?

Action by when?

Fire Register –not up to date.

All users - In event of emergency the means of escape may be blocked.

Medium. Means of escapes are being checked but no recorded.

Means of escape schedule to be recorded and kept up to date within fire register.

Management Continuous

Room ABC –poor air quality

Staff working have air quality resulting health concerns. AC if water cooled can culture legionnaires disease.

Medium Air conditioning provided. Air conditioning system needs to be maintained and system cleaned.

If issues continue an air quality assessment of the offices must be complete and further investigation.

Management 3 months

Cracked Glass on door

Glass may shatter causing splinters to fly, particular concern re toys, children seating etc.

high On going maintenance of building

Immediately replace glass on door Management Immediately

First Aid kit not available

First aid sign on wall but no first kit present

Low No actions First aid kit to be put in place or sign to be removed from area.

Safety Officer 3 months

Hot food held at approx. 55 deg c

Food poisoning to children / staff who eat food

high Re-heating food in microwave if gets cold

Bain marie to maintain food above 63 deg c or food consumed immedtaly after cooking

Chef immediate

Evidence under sink of Rodents / Mice / rats

All staff and in particular children handling equipment

High Cleaning up daily and practicing good housekeeping

Disinfect or replace all hand held equipment not in covered containers.

Engage pest control services

Management immediately

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Specific Risk assessment headings for Childcare services Internal Environment

Doors / Windows / exits / flooring / storage

Play areas Toys & equipment Outdoor Surfaces

Food safety HACCP Bottles Allergies

Hygiene General Infections Hand washing Vomit / Soiling / Blood

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Internal facility

All sockets should be child proofedAll Glass should be BS6206 Certified (

denoted by kitemark on glass)Any gas installations should be certified to

IS 813:196 or equivalentRadon survey & Asbestos surveys done

on building (in particular if older building)Fire Alarm and detection systems

maintainedHeat maintained at 18-20 deg in general

areas, 16-18 in sleep areasLower hand rails on stairs for children – 60

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Play material which should be avoided, and which products to use in their place:

All equipment must be CE marked

Avoid - powder clay which is easily inhaled and may contain toxic substances like silica or asbestos. Do not sand this product around children. Use - talc-free, premixed clay, making sure to wet mop surfaces after use.

Avoid - instant paper mache, which may again contain toxic substances which are easily inhaled. Use - paper mache made from black and white newspaper and library or white paste.

Avoid - powdered tempera paints which may contain toxic pigments dangerous when inhaled. Use - liquid tempera paints or paints that are premixed by an adult.

Avoid - Permanent felt tipped markers which may contain toxic solvents. Use - water-based markers only.

Avoid - instant glue model glue or other solvent based adhesives like epoxy. Use -water-based white glue or library paste.

Know the number for the poison information centre in Beaumount - 01-8379964/66

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OUTSIDE PLAY AREAS

Best practice to get them audited to RoSPA

In addition follow the guidelines that follow will enable you to spot potential hazards.

Before you allow your child to play, quickly scan the area for broken objects, stray animals, equipment that looks severely worn or has protruding parts.

Check the ground cover surrounding all equipment. It is recommended that a soft surface of sand, wood chips, shredded tires or sponge mats be in place and should equal a depth of 10-12 inches. Asphalt, cement, stone or grass surfaces are too dangerous as they do not protect a falling child.

Ensure that all equipment is securely anchored to the ground.

Flexible rubber swing seats are better than traditional wood or plastic seating and will cause less harm when they strike a child.

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Make certain all equipment is free of loose or broken parts and that bolts and screws are receding or are covered with plastic caps. The S-shaped rings attached to swing chains should be closed on both ends.

Equipment containing bars should measure less than 3-1/2" in width or more than 9" in width to eliminate the possibility of a child's head becoming entrapped. Exercise rings should be less than 5" wide.

Young children should not be allowed on slides over 6 feet in height. Slides should have good handrails and gentle slopes.

Equipment should be at least 6 feet away from fences or buildings to allow free movement of the children and the equipment parts.

All equipment situated on the property should be inspected weekly to ensure the children's safety.

Most important, children must be properly supervised while they are on the playground.

Sandboxes should have covers and be free of animal faeces.

Water play must be closely supervised and the children should never be left unattended for any reason

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General Hygiene

Kept a cleaning register - allocate Staff cleaned & sanitised daily Countertops & table tops, floors, door and cbinet

handlesFood prep surfacesPhonesMops & cleaning clothsHandwashing sinks, taps and surroundToilet seats, handles, floorsChanging tables after each useAny contaminated surface immediately

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Blankets etc. cleaned monthly or before use by different childCots & Mattresses weekly or before use

by different childToys weekly

Note: everything should always be immediately cleaned where visbily soiled

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Hand Washing

Upon arrivalBefore and after eatingAfter using or attending child in toiletAfter handling rubbishAfter nappy changingAfter handling sand boxesAfter wiping nose, sneezing or coughing

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Vomit / Blood / Soiling

Always wear gloves If accidental contact immediately wash hands

with warm soapy water If risk of contacting broken skin Do Not Panic

risk of infection is remote Cleaning up Blood spillsWear glovesCover spill with paper towelsPour disenfectant on towels e.g Milton or Diluted bleachClean up and bag for rubbish.

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FOOD AREAS

Minimum facilities Adequate storage – off the groundAdequate Fridge (below 5deg) and freezer (below 18

deg) spaceAdequate food appropriate preparation surfaceCooking facilities with adequate ventilationHot holding facility (always above 63deg and checked

every ½ hr)Dish washing & separate hand washing facilitiesOnly reheat food ONCE – never heat bottles in

MicrowaveALWAYS keep records

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Food Allergies

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What are the Symptoms of an Allergic Reaction to Food?

The symptoms range from very mild to very server. They occur alone or together with other symptoms. Some allergic reactions to food can occur within minutes of eating that food. Other reactions may take an hour or longer to appear. The most common symptoms involve these body symptoms:

Digestive System: Nausea, vomiting, pain, diarrhea, and constipation. Skin: Itching, rashes, hives, and eczema. Respiratory System: Congestion, coughing, wheezing, sneezing, runny nose and asthma.

Other less common symptoms include headaches, tiredness, sleep disturbances and behavior changes. The most severe type of reactions fall into 2 categories:

Anaphylactic Reaction: This reaction involves two more of the above systems, and the cardiovascular (heat and blood

circulation) system. Swelling of the mouth, throat or tongue, and shortness of breath, are particularly dangerous symptoms.

Anaphylactic Shock: In the most server cases, anaphylactic reaction is followed by anaphylactic shock. This shock is

life-threatening. If not treated, it can lead to collapse and death. It is important to obtain information form your family doctor on how to treat a reaction, particularly, an anaphylactic reaction and anaphylactic shock.

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Additional areas of Concerns for childcare centre Personnel

Infectious Disease ChemicalsWeils disease Asbestos Radon Infectious Waste

Electric Shock Back Injury/Manual

Handling Fire / Explosion Fall from heights Stress / Bullying

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Child protection guidelines

Children First: National Guidelines for the Protection and Welfare of Children (1999)

Our Duty to Care: The principals of Good Practice for the Protection of Children and Young People (2002)