First Aid Kit


The fast pace of life and contemporary living and working style are prone to emergencies. Moreover, unpredictable cliamate conditions also put lives on risks. The risks are inevitable whether employees are working in a high-hazard or low-hazard environment e.g. work stress, cardiac arrest, shock, bleeding, fallen from high/ low, fracture, poisonings, burns, temperature extremes, musculoskeletal injuries, bites and stings, medical emergencies and so on. Improper attention to early signs can result in costly injuries. One has to be preapared for worsen situation and human are great assest to handle these type of injuries to take first care of their victims teammate till an ambulance arrives. So, it is advisable to provide first and appropriate training to all your employees. Moreover, it is by law also.

First Aid as Primary Risk Management Tool

It is desirable to provide adequate required facilities for the welfare of Work force. These facilities include appropriate and adequate arrangement of Providing first aid. Minimum of these arrangement are already defined under various Labour laws of India, Such as
Contact Labour (Regulation & Abolition) central Rule 1971, Under Rule 58 & 59.
The Buildings and Other Constuction Workers (Regulation of Employment and Conditions of Services Act. 1998, Rule 231
Factories Act 1948
Mines Act 1952.
Provision of First Aid, First Aid Kits Contents,Under these Labour Laws are different as per following
Each Industry and Workplace is different, and nature Hazards, Risk Invovled is different. Hence,First Aid requirements will vary according to Injury.
Assessing Various Kinds of Hazards By identifying and understanding the level of risk involved with those hazards. By determining the Hazards, Risks and nature of possible Injureis it is possible to determine the Need of Required first aid kits, First Aid Accesories, First Aid Stations, First Aid Facilities, Medical Rooms, Ambulance and Trainied Personnel such as First Aiders equipment required at the workplace.

Assessing the Risk of Workplace Injury and Illness

Risk Management is Identiying of Risk, Hazards and Providing Sufficent, Adequate And propers means for safeguarding resources The flowchart below describes the risk management process for First Aid.

Step 1

Identify potential causes of workplace injury and illness

Identification

Step 2

Assess the risk of workplace injury and illness

Assessment

Step 3

Determine the first aid requirements

Step 4

Review first aid arrangements to ensure effectiveness



First Aid Kits and Procedures

First aid kit requirements are largely based on risk assessments and same are already defined in Labour Laws of India.
Workplaces Such as Offices, Shops require a minimum of one main first aid kit in the first aid room and Factory and Industrial Units and Bigger Shops and offices required Bigger First Aid kits kept in specific locations around the workplace. Kits should be located in prominent and accessible positions.
First Aid Kits should not be locked
Kits should be provided in vehicles, where the vehicle is a workplace (i.e. being used for the purpose of work). The location of a first aid kit should be identified by a prominent sticker on the vehicle that either marks the location of the kit, or explains where it is.
Other portable first aid kits should be available for excursions and other activities such as sport, camps and emergency evacuations.
First aid kits should be clearly identified by a suitable sign or label.

First Aid Kit

Contents of first aid kits should match the types of injuries and illnesses likely to occur in the workplace.
Where a risk assessment shows there is a need for extra first aid kits and certain first aid requirements (e.g. first aid rooms and/or first aid personnel) these should be made available.
Medication, including analgesics such as paracetamol and aspirin, are not to be included in first aid kits because of their potential to cause adverse
health effects in some people including asthmatics, pregnant women and people with medical conditions.
Workers requiring prescribed and over-the-counter medications should carry their own medication for their personal use as necessary.

Maintenance of First Aid Kit Contents

People with responsibility for administering first aid (first aiders) should:
monitor access to first aid kits ensuring any items used are replaced as soon as possible after use
undertake regular checks of first aid kits to ensure the kit contains a clean and complete set of the required items (as listed in the kit)
ensure items are in good working order, have not deteriorated and are within their expiry dates
report any hazardous situations that have resulted in a person requiring first aid, and
record first aid treatments.

First Aid Signs

First Aid Signs are play vital role in locating First Aid Facility. It is vital to display the First Aid Signs which are Standard and well defined to helps in easily finding and locating first aid equipment and facilities. These Signs should be put at Prominet place and Big enough for proper visibility.

First Aid / Medical Room

Every Organization should have a defined Space/ Room as first aid room. If a risk assessment determines that a first aid room is not needed, a rest area within the workplace may be suitable to assist an injured or ill person. The contents of a first aid room should suit the first aid needs of the workplace. The location and size of the room should allow easy access to emergency services as well as movement of injured people who need to be supported or moved by stretcher or wheelchair.

FIRST AID KIT REVIEW To review the appropriateness of first aid kits.

First Aid Kit Review Checklist

 

Location and position

Comments (if any)

Is the first aid kit located in a prominent and accessible position?

Yes / No

 

Are staff, students and others informed and aware of the location of first aid kits?

Yes / No

 

Do all employees have access to first aid kits during all work shifts? (e.g. cleaners, staff working before/after normal hours, weekends and holidays etc)

Yes / No

 

 

Clearly identifiable

Can the first aid kit be clearly identified as a first aid kit?

Yes / No

 

Is the first aid kit clearly marked with a white cross on a green background in accordance with Australian Standard AS 1319: Safety Signs for the Occupational Environment?

Yes / No

 

 

Contents

Are the contents appropriate to the injuries and illnesses at your workplace?

Yes / No

 

Does the first aid kit contain sufficient quantities of each item?

Yes / No

 

Is an employee trained in first aid responsible for maintaining the first aid kit?

Yes / No

 

Are the contents appropriately labelled?

Yes / No

 

Are the contents within their & lsquouse by & rsquo date?

Yes / No

 

Are the contents adequately stored? (e.g. first aid kit large enough to store all items in a safe manner).

Yes / No

 

 

Relevant information

Is there a list of contents provided in the kit?

Yes / No

 

Are emergency telephone numbers clearly displayed?

Yes / No

 

Are the phone numbers/extension numbers, name and location of the nearest first aid personnel clearly indicated?

Yes / No

 

 

Training

Have selected employees received training in the use and maintenance of first aid kits?

Yes / No

 

First Aid Facilities as a Legal Compliance

Under the Directive Principles of State Policy , Goverment of India, many acts are made to trained staff for first aid and safety equipments to be keep at working place. Though there is lack of clarity but time to time various acts are amended to emphasis on the importance first aid training of staff, ERTs, and Safety Team.


First Aid Requirement under various Labour Laws of India Mentioning below are major acts and clauses stating about First Aid Requirement

ACT

THE CONTRACT LABOUR (REGULATION AND
ABOLITION) CENTRAL RULES, 1971

THE BUILDING AND OTHER CONSTRUCTION WORKERS&rsquo (Regulation of employment and Conditions of service) Act 1998

THE FACTORIES ACT, 1948

Mines Act 1952

Shops and Establishments Act, 1948

Prov.

CHAPTER - V , S.No. 58 & 59, 60, 61, 62

CHAPTER XXIV, S.No. 223, 224, 225, 226, 227, 228, 229, 230, 231 & 32

CHAPTER - V, S.No. 45

CHAPTER - V, S.No.21

Chapter: Health and Safety
Section 42A: First-Aid

Details of provision for First Aid in various ACTS- Relevant Chapter, Section and Rules

THE CONTRACT LABOUR (REGULATION AND ABOLITION) CENTRAL RULES, 1971 (CHAPTER - V , S.No. 58 , 59, 60, 61, 62)

58. First-Aid Facilities.In every establishment coming within the scope of the Act there shall be provided and maintained so, as to be readily accessible during all working hours first-aid boxes at the rate of not less than one box for 150 contract labour or part thereof ordinarily employed.
59. (1) The first-aid box shall be distinctively marked with a red cross on a white ground and shall contain the following equipment, namely
A. For establishments in which the number of contract labour employed does not exceed fifty
Each first-aid box shall contain the following equipment
(i) 6 small sterilized dressings.
(ii) 3 medium size sterilized dressings,
(iii) 3 large size sterilized dressings,
(iv) 3 large sterilized burn dressings.
(v) 1 (30 ml.) bottle containing a two per cent, alcohol solution of iodine,
(vi) 1 (30 ml.) bottle containing salvolatile having the dose and mode of administration indicated on the label,
(vii) 1 snake-bite lancet.
(viii)1 (30 gms.) bottle of potassium permanganate crystals,
(ix) 1 pair scissors,
(x) 1 copy of the first-aid leaflet issued by the Director General, Factory
Advice Service and Labour Institutes, Government of India,
(xi) A bottle containing 100 tablets (each of 5 grains) of aspirin,
(xii) Ointment for burns.
(xiii) A bottle of suitable surgical anti-septic solution.
B. For establishments in which the number of contract labour exceed fifty
Each first-aid box shall contain the following equipment:
(i) 12 small sterilized dressings,
(ii) 6 medium size sterilized dressings.
(iii) 6 large size sterilized dressings,
(iv) 6 large size sterilized burn dressings,
(v) 6 (15 gms.) packets sterilized cotton wool.
(vi) 1 (60 ml.) bottle containing a two per cent alcohol solution of iodine,
(vii) 1 (60 ml.) bottle containing salvolatile having the dose and mode of administration indicated on the label,
(viii)1 roll of adhesive plaster,
(ix) A snake-bite lancet.
(x) 1 (30 gms.) bottle of potassium permanganate crystals,
(xi) 1 pair scissors,
(xii) 1 copy of the first-aid leaflet issued by the Director General, Factory Advice Service and Labour Institutes, Government of India,
(xiii)A bottle containing 100 tablets (each of 5 grains) of aspirin,
(xiv) Ointment for burns.
(xv) A bottle of a suitable surgical anti-septic solution.
(2) Adequate arrangement shall be made for immediate recoupment of the equipment when necessary.
60. Nothing except the prescribed contents shall be kept in the First-Aid Box.
61. The First-Aid Box shall be kept in charge of a responsible person who shall always be readily available during the working hours of the establishment.
62. A person incharge of the First-Aid Box shall be a person trained in First-Aid treatment, in establishment where the number of contract labour employed is 150 or more.

THE BUILDING AND OTHER CONSTRUCTION WORKERS (Regulation of employment and Conditions of service)

Act 1998 (CHAPTER XXIV , S.No. 223, 224, 225, 226, 227, 228, 229, 230, 231 & 32)

MEDICAL FACILITIES

223. Medical examination of building workers, etc.

The employer shall ensure at a construction site of a building or other construction work that
(a) (i) a building worker who is employed for a work involving such risk or hazards, inherent in such work as the Director General considers appropriate for the periodical medical examination of such worker, is medically examined at such intervals as the Director General may direct from time-to-time
(ii) every operator of a crane, winch or other lifting appliance, transport equipment or vehicle, is medically examined before employing such operator and again periodically, at such intervals as the Director General may direct from time-to-time
(iii) the medical examination referred to in sub-clause (i) and sub-clause (ii) is in accordance with Schedule VII, annexed to these rules and is conducted by such medical officers or at such hospitals as are approved by the Central Government for the purpose from time-to-time
(iv) in case of a building worker who is exposed to special occupational health hazard owing to job or work assigned to such worker, the periodical medical examination referred to in sub-clause (i) or sub-clause ii) includes such special investigation as may be deemed necessary by the construction medical officer examining such building worker for the diagnosis of occupational disease.
(b) no building worker is charged for the medical examination referred to in sub-clause (i) or sub-clause (ii) of clause (a) and the cost of such examination is borne by the employer employing such building worker
(c) certificate of medical examination referred to in sub-clause (i) or sub-clause (ii) of clause (a) is issued in Form XI annexed to these rules
(d) the record of the medical examination referred to in sub-clause (i) or sub-clause (ii) of clause (a) of every building worker employed by him is maintained in a register in Form XII annexed to these rules and such register shall be made available to the inspector having jurisdiction, on demand
(e) in case a construction medical officer examining a building worker under sub-clause (i) or sub-clause (ii) of clause (a) is of the opinion that such building worker so examined is required to be taken away from the building or other construction work at which he is employed for health protection, such medical officer shall inform the employer of such building worker accordingly and such employer shall inform such opinion to the bfoccupationaloard where such worker is registered as a beneficiary.

224. Duties of construction medical officer

(1) The medical examination referred to in sub-clause (i) or sub-clause (ii) of clause
(a) of rule 223 shall be carried out by a construction medical officer
(2) The duties and responsibilities of such construction medical officer shall be as given below, namely
(a) medical examination of building workers
(b) first-aid care including emergency medical treatment
(c) notification of occupational diseases to the concerned authorities in accordance with these rules
(d) immunisation services
(e) medical record, upkeep and maintenance
(f) health education including advisory services on family planning, personal hygiene, environmental sanitation and safety (g) referral services

225. Occupational health centres

The employer shall ensure at a construction site of a building or other construction work involving hazardous processes specified under Schedule IX annexed to these rules that
(a) an occupational health centre, mobile or static, is provided and maintained in good order at such site
(b) services and facilities as per the scale laid down in Schedule X, annexed to these rules are provided at the occupational health centre referred to in clause (a)
(c) a construction medical officer appointed at an occupational health centre possesses the qualification as laid down in Schedule XI, annexed to these rules.

226. Ambulance Room

The employer shall ensure at a construction site of a building or other construction work that
(a) in case five hundred or less workers are employed at such construction site there is an ambulance room at such construction site or an arrangement with a nearby hospital for providing an ambulance room an such ambulance room is in the charge of a qualified nurse and the service of such ambulance room is available to building worker employed at such construction site at every time when he is at work
(b) in case more than five hundred building workers are employed at such construction site there is an ambulance room with effective communication system and such ambulance room is in the charge of a qualified nurse and the service of such ambulance room is available to a building worker employed at such construction site at every time when he is at work and such ambulance room is in overall charge of a construction medical officer
(c) an ambulance room referred to in clause (a) or clause (b) is equipped with the articles specified in Schedule IV annexed to these rules (d) record of all cases of accidents and sickness treated at the ambulance room referred to in clause (a) or clause (b) is maintained and produced to the inspector having jurisdiction on demand

227. Ambulance van

The employer shall ensure at a construction site of a building or other construction work that an ambulance van is provided at such construction site or an arrangement is made with a nearby hospital for providing such ambulance van for transportation of serious cases of accident or sickness of the building workers to the hospital promptly and such ambulance van is maintained in good repair and is equipped with standard facilities specified in Schedule V annexed to these rules.

228. Stretchers

The employer shall ensure at a construction site of a building or other construction work that sufficient number of stretchers is provided at such construction site so as to be readily available in an emergency.

229. Occupational health services for the building workers

The employer shall ensure at a construction site of a building or other construction work, where more than five hundred building workers are employed that
(a) a special medical service or an occupational health service is available at such construction site at all times and such service shall
(i) provide first-aid and emergency treatment
(ii) conduct special medical examination for occupational hazards to such building workers before their employment and thereafter at such intervals as may be specified by the Director General from time-to-time
(iii) conduct training of first-aid personnel of such medical service (iv) render advice to such employer on conditions of work and improvement required to avoid hazards to the health of such building worker (v) promote health education, including family welfare among such building workers (vi) cooperate with the Inspector having jurisdiction in the detection, measurement and evaluation of chemical, physical or biological factors suspected of being harmful to such building workers (vii) undertake immunisation for all such building workers against tetanus, typhoid, cholera and other infectious diseases.
(b) the special medical service referred to in clause (a) collaborates with the labour department or any other concerned department or service of the Government of India in matters of treatment, job placement, accident prevention and welfare of such building workers.
(c) the special medical service referred to in clause (a) is headed by a construction medical officer and is provided with adequate staff, laboratory and other equipments.
(d) the premises of the special medical service referred to in clause (a) are conveniently accessible, comprise at least a waiting room, a consulting room, a treatment room, a laboratory and suitable accommodation for nurses and other staff of such service. (e) the special medical service referred to in clause
(a) maintains records pertaining to its activities referred to in sub-clause (i) to (vii) of clause (a) and sends to the Director General, once in every three months, information in writing on
(i) the state of health of such building workers and
(ii) the nature and causes of occupational injuries or disease suffered by any of such building worker, treatment provided to such worker and measures taken to prevent recurrence of such injury or disease.

230. Notice of poisoning or occupational diseases

The employer shall ensure at a construction site of a building or other construction work that
(a) when a building worker contracts any disease specified in Schedule II annexed to these rules, a notice in Form XIII annexed to these rules is sent without delay to the Inspector, having jurisdiction, and to the Board with which such building worker is registered as a beneficiary
(b) if any medical practitioner or construction medical officer attends on a building worker suffering from any disease referred to in clause (a), such medical practitioner or construction medical officer sends information regarding the name and full particulars of such building worker and the disease suffered by him to the Director General without delay.

231. First-aid boxes

The employer shall ensure at a construction site of a building or other construction work that
(a) sufficient number of first-aid boxes or cupboards are provided and maintained for providing first-aid to the building workers
(b) every first-aid box or cupboard is distinctly marked -First-Aid and is equipped with the articles specified in Schedule III annexed to these rules
(c) nothing except appliances or requisites for first-aid is kept in a first-aid box or cupboard and such box or cupboard is so kept as to protect it against contamination by dust or other foreign matter and against penetration of moisture and such box or cupboard is kept in the charge of a person trained in first-aid and is always readily available during working hours.

232. Emergency care services or emergency treatment

The employer shall ensure at a construction site of a building or other construction work that
(a) essential life-saving aids and appliances required to handle
(i) head injuries and spinal injuries
(ii) bleeding (iii) fractures and dislocations of bones and joints
(iv) crush injuries (v) shock, including electric shock
(vi) dehydration due to any cause
(vii) snake bite, insect bite, scorpion and bee stings
(viii) burns, including chemical burn
(ix) bends or divers paralysis
(x) other surgical and gynaecological, obstetric or paediatric emergencies
(xi) drowning
(xii) sunstroke and frost bite to building workers, are provided and properly maintained under the supervision of a construction medical officer
(b) the essential life-saving aids for any emergent situation referred to in sub-clauses (i) to (xii) of clause (a) are provided to an injured or a sick building worker during his transportation from such building site to a hospital and till such building worker is attended by a doctor in such hospital
(c) any other equipment or facilities required for emergency care or treatment to the building workers arising from special local conditions and construction processes at such building site, as specified by the Central Government from time-to-time, are provided.

THE FACTORIES ACT, 1948 (CHAPTER V, S.No. 45)

45. First-aid appliances.

(1) There shall in every factory be provided and maintained so as to be readily accessible during all working hours first-aid boxes or cupboards equipped with the prescribed contents, and the number of such boxes or cupboards to be provided and maintained shall not be less than one for every one hundred and fifty workers ordinarily employed 1*[at any one time] in the factory.
(2) Nothing except the prescribed contents shall be kept in a first-aid box or cupboard.
(3) Each first-aid box or cupboard shall be kept in the charge of a separate responsible person 3*[who holds a certificate in first-aid treatment recognised by the State Government] and who shall always be readily available during the working hours of the factory.
(4) In every factory where in more than five hundred workers are 5*[ordinarily employed] there shall be provided and maintained an ambulance room of the prescribed size, containing the prescribed equipment and in the charge of such medical and nursing staff as may be prescribed 6*[and those facilities shall always be made readily available during the working hours of the factory

Mines Act 1952 ( CHAPTER V, S.No.21)

21. Medical appliance

1. In every mine there shall be provided and maintained so to be readily accessible during all working hours such number of first aid boxes or cupboards equipped with such contents as may be prescribed.
2. Nothing except the prescribed contents shall be kept in a first box or room.
3. Every first box or cupboard shall be kept in the charge of a responsible person who is trained in such first aid treatment as may be prescribed and who shall always be readily available during the working hours of the mine.
4. In every mine there shall be mades to as the be readily available such arrangements as may be prescribed for the conveyance to hospitals or dispensaries of person who, while employed in the mine suffer bodily injury or become ill.
In every mine wherein more than one hundred and fifty persons are employed there shall be provided and maintained a first-aid room of such size with such equipment and in the charge of such medical and nursing staff as any be prescribed.

Section 42A: First-Aid

In every establishment wherein a manufacturing process as defined in clause (k) of section 2 of the Factories Act, 1948, (LXIII of 1948) is carried on, there shall be provided and maintained a first-aid box containing such articles may be prescribed.

First Aiders - Training

First aiders should be trained to the level determined through risk assessment.. First aiders should attend training on a regular basis to refresh their first aid knowledge and skills and to confirm their competence to provide first aid. First aid personnel undertake initial management of injuries and illnesses consistent with their level of training and competence.

First Aider Role/Responsibility

Who can be a first aider? - One or more workers who have been trained to administer first aid at a workplace can be a first aider. However, a person who does not work at your workplace can administer first aid to your staff/students/others provided they have been trained.

When selecting personnel for first aid training, consider


personal skills, characteristics, capacity and ability to remain calm in an emergency
commitment to the role, including reliability
availability to provide first aid services
where first aiders are needed (e.g. physical education, sporting competitions, science).

First Aiders should

provide initial management of injuries and illness. Ongoing care should be provided by a medical practitioner/ambulance service.
recommend and maintain contents of first aid kits and first aid rooms/areas
ensure all first aid kits are fully stocked with all items "in date"and readily accessible at all times

maintain currency of certification

first aid certificates are only valid for a determined period, usually three years.
the validity of some first aid certificates may be subject to specific requirements (e.g. refresher courses or evidence of proficiency in cardiopulmonary resuscitation every 12 months).
certification should be renewed prior to expiry.
be made aware of specific hazards, the associated injuries or illnesses, and the first aid required for such injuries and/or illnesses.

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Our Brochure

Building And Other Construction Workers Act-1996

The  Contract Labour Central Rules, 1971

Factories Act 1948

Requirement of First Aid Station Equipment as per the
Mines Act

First Aid Kits Brochure as per Central Law

Requirement of First Aid Box as per Contract Labour Act.

Requirement of First Aid Box as per the BOCW Act.

Requirement of First-Aid Box as per Shop and Establishment
Act

Requirement of First Aid Box as per Factories Act.

Manual First Aid Guide Hindi

Manual First Aid Guide English

Shop and Establishment Act, 1948

The Mines  ACT,1952