Cover Image
close this bookThe Organization of First Aid in the Workplace (ILO, 1999, 70 p.)
View the document(introduction...)
View the documentPreface
close this folder1. Why first aid and the organization of first aid?
View the document1.1. What is first aid?
View the document1.2. The need to prevent accidents
View the document1.3. If an accident occurs
View the document1.4. An organized approach to first aid
View the document2. What first aid must do
close this folder3. Responsibilities and participation
close this folder3.1. Responsibilities of the employer
View the document(introduction...)
View the document3.1.1. Equipment, supplies and facilities
View the document3.1.2. Human resources
View the document3.1.3. Other
View the document3.2. Workers’ participation
close this folder4. How first aid is organized
close this folder4.1. Variables to be considered in the assessment of first-aid requirements
View the document(introduction...)
View the document4.1.1. Type of work and associated risks
View the document4.1.2. Size and layout of the enterprise
View the document4.1.3. Other enterprise characteristics
View the document4.1.4. Availability of other health services
close this folder4.2. First aid in the context of the general organization of safety and health in the enterprise
View the document(introduction...)
View the document4.2.1. Occupational health services
View the document4.2.2. Safety and health committees and safety delegates
View the document4.2.3. The labour inspectorate
View the document4.2.4. Other institutions
close this folder4.3. First-aid personnel
View the document(introduction...)
View the document4.3.1. Functional tasks
View the document4.3.2. Type and number of first-aid personnel required
View the document4.3.3. Advice to, and supervision of, first-aid personnel
View the document4.4. The role of the occupational health physician or nurse
close this folder4.5. Equipment, supplies and facilities for first aid
View the document(introduction...)
View the document4.5.1. Rescue equipment
View the document4.5.2. First-aid boxes, first-aid kits and similar containers
View the document4.5.3. Specialized equipment and supplies
View the document4.5.4. The first-aid room
View the document4.5.5. Means for communicating the alert
View the document4.6. Planning for access to additional care
View the document4.7. Records
close this folder5. The training of first-aid personnel
View the document5.1. General considerations
close this folder5.2. Basic training
View the document(introduction...)
View the document5.2.1. General
View the document5.2.2. Delivery of first aid
View the document5.3. Advanced training
View the document5.4. Training material and institutions
View the document5.5. Certification
View the document6. Relation to other health-related services
close this folderAnnexes
close this folderAnnex I. Examples of first-aid legislation
View the document1. New Zealand
View the document2. United Kingdom
View the document3. Federal Republic of Germany
View the documentAnnex II. Be ready for emergencies1
View the documentAnnex III. Rescue equipment: An example
close this folderAnnex IV. First-aid boxes
View the document1. Belgium
View the document2. India
View the document3. New Zealand
View the document4. United Kingdom
View the documentAnnex V. Antidotes: Some useful examples
View the documentOccupational Safety and Health Series
View the documentBack cover

6. Relation to other health-related services

It has been stressed throughout this monograph that first aid is the immediate intervention following an accident or in case of an indisposition at work, and that there will be cases in which specialized medical care will be required. The possible listing of institutions which may exist and provide such care include the following:

(a) the occupational health service of the enterprise itself or other occupational health entities;

(b) other institutions which may provide services, such as:

- ambulance services;
- public emergency and rescue services;
- hospitals, clinics and health centres, both public and private;
- private physicians;
- poison centres;
- civil defence;
- fire departments; and
- police.

Each of these institutions will have a variety of functions, capabilities and facilities, but it must be understood that what applies to one type of institution, say a poison centre in one country, may not necessarily apply to a poison centre in another country. An assessment must therefore be made by the employer of the institutions in the vicinity of the enterprise, in consultation with the factory physician and, if applicable, outside medical advisers, to ensure that the capabilities and facilities of these institutions are adequate to deal with the injuries expected in the event of serious accidents. This assessment is the basis for deciding which institutions will be entered into the referral plan discussed in section 4.6.

The cooperation of these related services is very important in providing proper first aid, particularly for small enterprises. Many of them may provide advice on the organization of first aid and on planning for emergencies. Enterprises may very often rely on them for the services they need in case of emergency, and this will be particularly efficient if it is planned in advance. There are good practices which are very simple and effective; for example, even a shop or a small enterprise may invite the fire brigade to visit its premises. Such a practice will have several advantages because the employer or owner will receive advice on fire prevention, fire control, emergency planning, extinguishers, the first-aid box, and so on. In addition, the fire brigade will know the enterprise and will be ready to intervene more rapidly and more efficiently.

The issue can be seen in even broader terms of relationships between fire-fighters, the police, the emergency and intervention services and the public. Is their potential for assisting the public sufficiently known? Are contacts made easier? Are such contacts planned systematically outside emergency situations (courtesy visits, conferences, contacts with children, etc.)? It is obvious that much remains to be done and that sometimes the overall approach is missing. This is linked to the need for development of public services as a true “service to the public”. When such an approach is followed, it should be possible for small-scale enterprises, small shops, families and individuals (including old persons living alone) to make arrangements for facing emergencies.

One of the aims of organizing first aid is that everyone, employer or worker, will be able to answer the question: “What will I do now if an accident happens now?” Emergency preparedness is one of the important features of organizing first aid. It will contribute to the development of a spirit of prevention and may lead to an improvement of occupational safety and health in all occupations.