Guideline HSE First Aid Program

HEALTH, SAFETY & ENVIRONMENT DEPARTMENT

Guideline on the
HSE FIRST AID PROGRAM

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 Guideline HSE First Aid Program

Document Control
Department Document Type Document Title

Guideline on the
HSE Guideline
HSE First Aid Program

Issue Approval

Prepared By Approved By

Ms. Jawaher Al-Maslamani

Health and Environment Section Head Eng. Abdul Rahman Al-Naama
Dr. Mahmoud Zouk HSE Manager
Occupational Health Specialist

Signature: Signature:

Issue Record

Issue No. Date Reason for re-issuing Guideline

0.0 1/4/2015 First issue of the guideline.

1.0

2.0

3.0

4.0

5.0

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 Guideline HSE First Aid Program

Key Words : Documentation guideline, QMS, Manual, Procedure, Work

Instructions, Standards, Code of Practices, Guideline, first
aid, emergency response

Review Frequency : Every 2 Years

When this document is approved for publishing on the intranet, a copy of its Document Control page
should be sent to the QA section who is custodian of KM quality management system.

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 Guideline HSE First Aid Program

Table of Contents

Document Control .............................................................................................................................................. 2

Key Words............................................................................................................................................................ 3

1. DEFINITIONS................................................................................................................................................. 5

2. FIRST AID LEGAL REGISTER............................................................................................................................ 6

3. FIRST AID KIT CONTENT ................................................................................................................................ 7

4. FIRST AID KITS DISTRIBUTION AND MAINTENANCE ....................................................................................... 8

5. FIRST AID AND CPR TRAINING....................................................................................................................... 9

Acceptable training providers ........................................................................................................................... 9

Teaching methods ............................................................................................................................................ 9

Preparing to respond to a health emergency .................................................................................................... 9

Assessing the scene and the victims ............................................................................................................... 10

Responding to life threatening emergencies................................................................................................... 10

Responding to non-life-threatening emergencies ........................................................................................... 11

First aid & CPR training requirement .............................................................................................................. 12

Trainee Assessment........................................................................................................................................ 12

Skill update .................................................................................................................................................... 12

6. FIRST AID REPORTING REQUIREMENTS .......................................................................................................... 12

Reporting an injury / illness to HSE ................................................................................................................. 13

Reporting an injury or acute illness to the ambulance .................................................................................... 13

7. BLOODBORNE PATHOGEN REQUIREMENTS .................................................................................................. 14

8. AED PROGRAM ............................................................................................................................................. 14

AED Physician oversight ................................................................................................................................. 15

AED Coordination EMS ................................................................................................................................... 15

AED Quality assurance program ..................................................................................................................... 15

9. FIRST AID PROGRAM UPDATE 15

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 Guideline HSE First Aid Program

1. DEFINITIONS
Term Definition

Approved Approved by an agency acceptable to the director for use under the
conditions prescribed by the agency; or approved conditionally or otherwise
by a certificate of the director.
Competent Possessing knowledge, experience and training to perform a specific duty.

First aid Immediate assistance given in case of injury or sudden illness until medical
aid is available.
First aid provider The holder of a valid qualification/training in the delivery of initial medical
emergency procedures, using a limited amount of equipment to perform a
primary assessment and intervention while awaiting arrival of emergency
medical service (EMS) personnel.
Qualified Possessing a recognized degree, a recognized certificate or a recognized
professional standing and demonstrating, by knowledge, training and
experience, the ability to deal with problems related to the subject-matter,
the work or the project.
Train To give information and explanation to a worker with respect to a particular
subject-matter and require a practical demonstration that the worker has
acquired knowledge or skill related to the subject-matter.
Work and at work i. the time during which a worker is in the course of the worker’s
employment; or
ii. the time that a self-employed person devotes to work as a
self-employed person
Work-related area All places that are ancillary to a place of employment, and includes lunch
rooms, rest rooms, first aid rooms, lecture rooms, parking lots under the
control of the employer or contractor, offices and work camp living
accommodations but does not include a permanent living accommodation.
Injury Includes any disease and any impairment of the physical or mental condition
of a person.
Close In relation to a place of employment or worksite, means a place of
employment or worksite that is not more than 30 minutes’ travel time from a
hospital or medical facility under normal travel conditions using the available
means of transportation.
Distant In relation to a place of employment or worksite, means a place of
employment or worksite that is more than 30 minutes but less than two
hours travel time from a hospital or medical facility under normal travel
conditions using the available means of transportation.
Instructor A person who has successfully completed first aid and cardiopulmonary
resuscitation instructor training.
Isolated In relation to a place of employment or worksite, means a place of
employment or worksite:
i. that is more than two hours’ travel time from a hospital or medical
facility under normal travel conditions using the available means of

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 Guideline HSE First Aid Program

surface transportation; or
ii. for which transport by aircraft is the normal mode of transport
Medical facility A medical clinic or office where a physician or registered nurse is always
readily available.
Bloodborne pathogen Any microbe that can be transferred from one person to the other and result
in an infectious disease.

2. FIRST AID LEGAL REGISTER

The Qatari labor law states the following:

QLL
Subject Description
Article
Use of First The use of the first aid box will be entrusted to a worker trained in providing
104
Aid Box first aid medical services.
Number of If the number of workers exceeds twenty five workers a first aid box shall be
First Aid 104 specified for every group of workers ranging from five to twenty five
Boxes workers.

According to the interpretation of the Qatar Labor Law articles, it is required that the organization
must have at least one trained first aid provider for each group of five to twenty five employees.
The number of first aid providers required may be higher according to the nature of the job and
tasks and the availability of nearest medical providers.

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3. FIRST AID KIT CONTENT

The first aid kit contents will be kept in any bag/container except when the first aid supplies could
be exposed to the weather. When the first aid supplies are exposed to the weather, they should be
preserved in weatherproof containers.

The General Services department shall maintain each first aid kit, shall ensure that it is readily
available for use, and shall inspect it frequently enough to ensure that expended items are
replaced. The General Services department will keep a first aid supplies expiry date log whenever
applicable. The General Services department also shall inspect each first aid kit at least once per
year and will keep documentation demonstrating the frequency and locations of inspections. The
General Services Department will communicate and share these documents with the occupational
health specialist.

The Occupational Health Specialist will conduct random inspection on the first aid kits at least once
per six months, keep documents demonstrating the date and location of conducted inspections and
communicate the findings with the General Services Department.

The following is a standardized list of the first aid kit contents designed by the American National
Standards Institute and approved by the American Occupational Safety and Health Administration:

The most updated ANSI standard for first aid ‫ﻣﻌﯾﺎر ﻣﻌﮭد اﻟﻣﻌﺎﯾرة اﻟوطﻧﻲ اﻷﻣرﯾﻛﻲ اﻟﺣدﯾث ﻟﻣﺣﺗوﯾﺎت ﺣﻘﯾﺑﺔ‬
contents is ANSI Z308.1-2009. The standard ‫ ﯾﺗطﻠب اﻟﻣﻌﯾﺎر أن‬.ANSI Z308.1-2009‫اﻹﺳﻌﺎﻓﺎت اﻷوﻟﯾﺔ ھو‬
requires that the workplace first aid kit contains the ‫ﺣﻘﯾﺑﺔ اﻹﺳﻌﺎﻓﺎت اﻷوﻟﯾﺔﻓﻲ ﻣﻛﺎن اﻟﻌﻣل ﯾﺟب ان ﺗﺣﺗوي ﻋﻠﻰ‬
following items: :‫اﻟﻌﻧﺎﺻر اﻟﺗﺎﻟﯾﺔ‬
Item Minimum ‫اﻟﻌﺪد‬ ‫اﻟﻤﺤﺘﻮى‬
Quantity
1 First aid guide 1 1 ‫دﻟﯾل اﻹﺳﻌﺎﻓﺎت اﻷوﻟﯾﺔ‬ 1
2 Absorbent compress 4"x 8" 1 1 8" x 4" ‫ﻏﯾﺎر ﺿﺎﻏط ﻣﺎص ﺑﺣد أدﻧﻰ‬ 2
minimum
3 1"x 3" adhesive bandage 16 16 3" x 1" ‫ﺿﻣﺎدة ﻻﺻﻘﺔ‬ 3
4 Adhesive tape 2.5 yard toll 1 1 .‫ ﯾﺎرده‬2.5 ‫ﺷرﯾط ﻻﺻق ﺑطول‬ 4
5 Antiseptic treatment applications 10 10 0.9 ‫ﻋﺑوات ﻣطﮭر ﻣوﺿﻌﻲ ﻛل واﺣد ﯾزن‬ 5
0.9 gram each ‫ﺟرام‬
6 Burn treatment applications 0.9 6 6 ‫ﻋﺑوات ﻋﻼج ﻟﻠﺣروق ﻣوﺿﻌﯾﺔ ﻛل واﺣد ﯾزن‬ 6
gram each ‫ﺟرام‬ 0.9
7 3"x3" sterile gauze pads 3 3 3"x3" ‫ﻗطﻊ ﺷﺎش ﻣﻌﻘم ﺑطول‬ 7
8 Pair of medical exam gloves 2 2 ‫زوج ﻣن ﻗﻔﺎزات اﻟﻔﺣص اﻟطﺑﻲ‬ 8
9 Triangular bandage 40"x 40"x 56" 1 1 ‫ ﻛﺣد أدﻧﻰ‬56 "X40" X 40" ‫ﺿﻣﺎدة اﻟﺛﻼﺛﻲ‬ 9
minimum
10 Antibiotic ointment applications 10 10 ‫ ﺟرام ﻟﻛل‬0.5 ‫ ﻣرھم ﻣﺿﺎد ﺣﯾوي ﻣوﺿﻌﻲ‬10
0.5 gram each. ‫ﻣﻧﮭﻣﺎ‬
The standard also requires that the latex gloves are ‫ﯾﺗطﻠب اﻟﻣﻌﯾﺎر أﯾﺿﺎ أن ﻗﻔﺎزات اﻟﻼﺗﻛس ﻻ ﺗﺳﺗﺧدم ﻓﻲ ﻣﻌدات‬
.‫ﻟﻺﺳﻌﺎﻓﺎت اﻷوﻟﯾﺔ‬
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 Guideline HSE First Aid Program

not used in first aid kits.

ANSI recommends other items: :‫ﯾوﺻﻲ ﻣﻌﮭد اﻟﻣﻌﺎﯾرة اﻟوطﻧﻲ اﻷﻣرﯾﻛﻲ ﺑﺎﻟﺑﻧود اﻻﺗﯾﺔ أﯾﺿﺎ‬
11 Analgesic (oral, non-drowsy 1 strip ‫ ﺷﺮﯾﻂ‬1 ‫ ﺗرﻛﯾﺑﺔ ﻻ ﺗﺳﺑب‬،‫ ﻣﺳﻛن )ﻋن طرﯾق اﻟﻔم‬11
formula) (‫اﻟﻧﻌﺎس‬
12 Bandage compress 2"x2" 2 2 2"x2" ‫ ﺿﻣﺎدة ﺿﺎﻏطﺔ‬12
13 Breathing barrier, single use 1 1 ‫ اﺳﺗﺧدام ﻣرة واﺣدة‬،‫ ﺣﺎﺟز اﻟﺗﻧﻔس‬13
14 Burn dressing, 12 square inches 1 1 ‫ ﻏﯾﺎر ﺣروق ﻣﺳﺎﺣﺔ ﺣواﻟﻰ ﻣﺗر ﻣرﺑﻊ‬14
15 Cold packs, 4"x 5" minimum 1 1 5" x 4" ‫ اﻟﺣد اﻷدﻧﻰ‬،‫ ﺣزﻣﺔ ﻛﻣﺎدات ﺑﺎردة‬15
16 Eye covering, 1/4" thick minimum 1 1 1/4" ‫ ﺑﺳﻣك ﺣد أدﻧﻰ‬،‫ ﻏطﺎء اﻟﻌﯾن‬16
17 Eye/face wash sterile 1 1 ‫ ﻏﺳول ﻣﻌﻘم ﻟﻠﻌﯾن واﻟوﺟﮫ‬17
18 Roller bandage, 2"x 4 yards 1 1 ‫ ﻛﺤﺪ أدﻧﻰ‬2"x 4 yards ،‫ ﺿﻣﺎدة دوارة‬18
minimum
19 Hand sanitizer 1 1 ‫ ﻣطﮭر ﻟﻠﯾد‬19
The workplace can add to this list as necessary. ‫ ھﻧﺎك‬.‫ﯾﻣﻛن أن ﯾﺿﯾف ﻣﻛﺎن اﻟﻌﻣل إﻟﻰ ھذه اﻟﻘﺎﺋﻣﺔ ﺣﺳب اﻟﺿرورة‬
There are regulations for the material of the kit and .‫ﻟواﺋﺢ ﻟﻣﺎدة ﺻﻧﻊ اﻟﺣﻘﯾﺑﺔ وﻛﯾﻔﯾﺔ وﺿﻊ ﻋﻼﻣﺎت ﻋﻠﯾﮭﺎ‬
the labeling of the kit.
Extra Items required by KM HSE Department: ‫ﻣﺣﺗوﯾﺎت إﺿﺎﻓﯾﺔ ﻣطﻠوﺑﺔ ﻣن ﻗﺑل إدارة اﻟﺻﺣﺔ واﻟﺳﻼﻣﺔ واﻟﺑﯾﺋﺔ ﻓﻲ‬
:‫ﻛﮭرﻣﺎء‬
20 Yellow plastic bag specific for 1 1 ‫ ﻛﯿﺲ ﻣﻦ اﻟﺒﻼﺳﺘﯿﻚ اﻷﺻﻔﺮ ﻟﻠﺘﺨﻠﺺ ﻣﻦ‬20
biohazard waste disposal 12” x 14" 12” x 14" ‫اﻟﻨﻔﺎﯾﺎت اﻟﻄﺒﯿﺔ‬
21 Angled Scissors 4.5" 1 1 4.5" ‫ ﻣﻘﺺ ذو زاوﯾﺔ‬21
22 Disposable Tweezers 1 1 (‫واﺣﺪة‬ ‫ ﻣﻠﻘﻂ )إﺳﺘﻌﻤﺎل ﻟﻤﺮة‬22

4. FIRST AID KITS DISTRIBUTION AND MAINTENANCE

First aid boxes are distributed at all KAHRAMAA locations at a rate of one box per a group of 5-25
employees. First aid boxes will be distributed on all KAHRAMAA vehicles. The first aid boxes will be
hanged on the wall at clearly seen and easily accessible places. The first aid box will have a clear
writing indicating the nature of the box FIRST AID BOX”. There is a list of the contents of each first
aid box in addition to the first aid guidelines booklet.

The General Services department is responsible to maintain all first aid boxes at all KAHRAMAA
locations against the requirements set forth by the HSE department.

Employees who are proved to abuse the first aid kits by either using it for other purposes than the
first aid provision or taking the contents for personal use will be disciplined according to the Human
Resources disciplinary procedures.

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5. FIRST AID AND CPR TRAINING

The following are the elements of a first aid training program:

Acceptable training providers

According to local regulations, the first aid certifications should be provided by nationally approved
first aid providers. The main two bodies providing first aid and CPR training in the State of Qatar are
Hamad Medical Corporation(Hamad International Training Center) and the Qatari Red Crescent
Society; they both provide legally approved first aid and CPR certifications.

Teaching methods
Training programs should incorporate the following principles:
 Basing the curriculum on a consensus of scientific evidence where available;
 Having trainees develop “hands-on” skills through the use of mannequins and partner
practice;
 Having appropriate first aid supplies and equipment available;
 Exposing trainees to acute injury and illness settings as well as to the appropriate response
through the use of visual aids;
 Including a course information resource for reference both during and after training;
 Allowing enough time for emphasis on commonly occurring situations;
 Emphasizing skills training and confidence-building over classroom lectures;
 Emphasizing quick response to first-aid situations.

Preparing to respond to a health emergency

The training program should include instruction or discussion in the following:
 Prevention as a strategy in reducing fatalities, illnesses and injuries;
 Interacting with the local EMS system;
 Maintaining a current list of emergency telephone numbers (police, fire, ambulance, poison
control) accessible by all employees;
 Understanding the legal aspects of providing first-aid care, including Good Samaritan
legislation, consent, abandonment, negligence, assault and battery, State laws and
regulations;
 Understanding the effects of stress, fear of infection, panic; how they interfere with
performance; and what to do to overcome these barriers to action;
 Learning the importance of universal precautions and body substance isolation to provide
protection from bloodborne pathogens and other potentially infectious materials. Learning
about personal protective equipment -- gloves, eye protection, masks, and respiratory
barrier devices. Appropriate management and disposal of blood-contaminated sharps and
surfaces; and awareness of OSHA’s Bloodborne Pathogens standard.

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Assessing the scene and the victims

The training program should include instruction in the following:
 Assessing the scene for safety, number of injured, and nature of the event;
 Assessing the toxic potential of the environment and the need for respiratory protection;
 Establishing the presence of a confined space and the need for respiratory protection and
specialized training to perform a rescue;
 Prioritizing care when there are several injured;
 Assessing each victim for responsiveness, airway patency (blockage), breathing, circulation,
and medical alert tags;
 Taking a victim’s history at the scene, including determining the mechanism of injury;
 Performing a logical head-to-toe check for injuries;
 Stressing the need to continuously monitor the victim;
 Emphasizing early activation of EMS;
 Indications for and methods of safely moving and rescuing victims;
 Repositioning ill/injured victims to prevent further injury.

Responding to life threatening emergencies

The training program should be designed or adapted for the specific worksite and may include first-
aid instruction in the following:
 Establishing responsiveness;
 Establishing and maintaining an open and clear airway;
 Performing rescue breathing;
 Treating airway obstruction in a conscious victim;
 Performing CPR;
 Using an AED;
 Recognizing the signs and symptoms of shock and providing first aid for shock due to illness
or injury;
 Assessing and treating a victim who has an unexplained change in level of consciousness or
sudden illness;
 Controlling bleeding with direct pressure;
 Poisoning
o Ingested poisons: alkali, acid, and systemic poisons.
o Inhaled poisons: carbon monoxide; hydrogen sulfide; smoke; and other chemical
fumes, vapors, and gases. Assessing the toxic potential of the environment and the
need for respirators;
o Knowledge of the chemicals at the worksite and of first aid and treatment for
inhalation or ingestion;
o Effects of alcohol and illicit drugs so that the first-aid provider can recognize the
physiologic and behavioral effects of these substances.
 Recognizing asphyxiation and the danger of entering a confined space without appropriate
respiratory protection. Additional training is required if first-aid personnel will assist in the
rescue from the confined space.

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 Responding to Medical Emergencies

o Chest pain;
o Stroke;
o Breathing problems;
o Anaphylactic reaction;
o Hypoglycemia in diabetics taking insulin;
o Seizures;
o Pregnancy complications;
o Abdominal injury;
o Reduced level of consciousness;
o Impaled object.

Responding to non-life-threatening emergencies

The training program should be designed for the specific worksite and include first aid instruction
for the management of the following:
 Wounds
o Assessment and first aid for wounds including abrasions, cuts, lacerations, punctures,
avulsions, amputations and crush injuries;
o Principles of wound care, including infection precautions;
o Principles of body substance isolation, universal precautions and use of personal
protective equipment.
 Burns
o Assessing the severity of a burn;
o Recognizing whether a burn is thermal, electrical, or chemical and the appropriate first
aid;
o Reviewing corrosive chemicals at a specific worksite, along with appropriate first aid.
 Temperature Extremes
o Exposure to cold, including frostbite and hypothermia;
o Exposure to heat, including heat cramps, heat exhaustion and heat stroke.
 Musculoskeletal Injuries
o Fractures;
o Sprains, strains, contusions and cramps;
o Head, neck, back and spinal injuries;
o Appropriate handling of amputated body parts.
 Eye injuries
o First aid for eye injuries;
o First aid for chemical burns.
 Mouth and Teeth Injuries
o Oral injuries; lip and tongue injuries; broken and missing teeth;
o The importance of preventing aspiration of blood and/or teeth.
 Bites and Stings
o Human and animal bites;
o Bites and stings from insects; instruction in first-aid treatment of anaphylactic shock.

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First aid & CPR training requirement

CPR training is a requirement for the following category of jobs:

1. Permit-required confined space

2. Logging operations
3. Electric power transmission and distribution
4. Qualifications of dive teams

However, CPR training is recommended but not required for all those receiving first aid treatment.

For field work involving two or more employees at a work location, at least two trained persons
shall be available. However, for line-clearance tree trimming operations performed by line-
clearance tree trimmers who are not qualified employees, only one trained person need be
available if all new employees are trained in first aid within 3 months of their hiring dates.

For fixed work locations such as substations, the number of trained persons available shall be
sufficient to ensure that each employee exposed to electric shock can be reached within 4 minutes
by a trained person. However, where the existing number of employees is insufficient to meet this
requirement (at a remote substation, for example), each employee at the work location shall be a
trained employee.

Trainee Assessment
Assessment of successful completion of the first-aid training program should include instructor
observation of acquired skills and written performance assessments.

Skill update
 Informal skills review and practice sessions may be conducted every six months in order to
ensure retention of information and the ability to respond to victims who need first aid.
 Instructor-led retraining for life-threatening emergencies should occur at least annually.
 Instructor-led retraining for non-life-threatening emergencies should occur every two years.
However, the employee must refresh himself or herself on, and demonstrate proficiency in,
appropriate first aid skills each year. Proficiency may be demonstrated through the
completion of a written test, a verbal exchange between a supervisor and the employee, or
any other method that demonstrates that the employee remembers and can use the
fundamentals of the training that has been given. The demonstration of proficiency may
take place during a tool box talk or safety meeting covering the fundamentals of the
relevant skills.

6. FIRST AID REPORTING REQUIREMENTS

An injury or an acute illness should be reported to the HSE department and the ambulance if the
need arises. The determination of to whom to report first lies upon the discretion of the first aid
responder according to his/her assessment of the situation.

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Reporting an injury / illness to HSE

All incidents must be reported to the HSE department following the procedure HSE-M1-P2
(Procedure for investigation and follow up of incidents). The first aid provider, an observer of the
incident scene or the supervisor must fill and submit the incident report form (HSE-P12-F1) to the
HSE department within 24 hours from the incident. The first aid responder who is responsible for
the used first aid box and the HSE department will communicate the shortage in the first aid box to
the General Service department for replacement and update of the box.

Clear identification of whether the case is medical treatment or first aid only should be made to
avoid over-reporting of one over the other. The following list of events should be reported as first
aid unless otherwise stated in the HSE manual:

1 Using a nonprescription medication at nonprescription strength (for medications available in

both prescription and non-prescription form, a recommendation by a physician or other licensed
health care professional to use a non-prescription medication at prescription strength is
considered medical treatment for recordkeeping purposes);
2 Administering tetanus immunizations (other immunizations, such as Hepatitis B vaccine or
rabies vaccine, are considered medical treatment);
3 Cleaning, flushing or soaking wounds on the surface of the skin;
4 Using wound coverings such as bandages, Band-Aids, gauze pads, etc.; or using butterfly
bandages or Steri-Strips (other wound closing devices such as sutures, staples, etc. are
considered medical treatment);
5 Using hot or cold therapy;
6 Using any non-rigid means of support, such as elastic bandages, wraps, non-rigid back belts, etc.
(devices with rigid stays or other systems designed to immobilize parts of the body are
considered medical treatment for recordkeeping purposes);
7 Using temporary immobilization devices while transporting an accident victim (e.g. splints,
slings, neck collars, back boards, etc.).
8 Drilling of a fingernail or toenail to relieve pressure, or draining fluid from a blister;
9 Using eye patches;
10 Removing foreign bodies from the eye using only irrigation or a cotton swab;
11 Removing splinters or foreign material from areas other than the eye by irrigation, tweezers,
cotton swabs or other simple means;
12 Using finger guards;
13 Using massages (physical therapy or chiropractic treatment are considered medical treatment
for recordkeeping purposes);
14 Drinking fluids for relief of heat stress.

Reporting an injury or acute illness to the ambulance

The ambulance phone number is 999 to be dialed from any phone. Provide all the details of the
incident. Do not hang the phone until you are sure the medical provider on the other side of the
phone does not have any more questions.

‫إدارة اﻟﺻﺣﺔ و اﻟﺳﻼﻣﺔ و اﻟﺑﯾﺋﺔ‬

HEALTH SAFETY & ENVIRONMENT DEPARTMENT
Issue : 0 01-04-2015 Page 13 of 15
 Guideline HSE First Aid Program

7. BLOODBORNE PATHOGEN REQUIREMENTS

Any employee who is expected to provide first aid assistance as part of his job duties is covered by
the requirements of the occupational exposure to Bloodborne pathogen. This includes employees
who are assigned as first responders or assigned to the use of the first aid boxes after completing
formal first aid training through KAHRAMAA.

The following are the requirements of the occupational exposure to bloodborne pathogens:

1. All employees who received first aid training and are assigned as first responders must
receive Hepatitis B vaccine and demonstrate developing the immunity for Hepatitis B by
doing Hepatitis B Antibody test. The occupational health & Environment Section is
responsible for arranging for employees to receive the vaccinations.
2. All employees who received first aid training and are assigned as first responders must
receive training on communicating the hazards arising during the process of providing first
aid and how to prevent the risk of these hazards. The human resources department will
coordinate this training in cooperation with the occupational health function.
3. All first aid boxes will contain the necessary personal protective equipment such as and not
limited to disposable rubber gloves and CPR barrier masks with one way valve. The Safety
department will ensure the necessary PPEs are included in the first aid boxes.
4. All first aid boxes will contain hand sanitizers and alcohol for disinfection. The General
Services department is responsible to ensure the first aid box contain ready to use sanitizers
and alcohol.
5. Each AED will be accompanied by bloodborne pathogen responder and cleanup kit.
6. All disposed of materials must be kept in a closed container that prevents leakage of any of
its contents. A red plastic bag specific for waste disposal should be included with a first aid
box. It is the responsibility of the first responder to enclose the waste in that container.
7. In case there is exposure to blood or body fluids during the provision of first aid, the
employee must go directly to the nearest hospital or medical center or call the occupational
health specialist for assistance.
8. Records of bloodborne pathogen exposure training, inventory of necessary supplies in the
first aid boxes, vaccinations, use of materials and exposure must be kept and maintained by
the HSE department.

8. AED PROGRAM
As rapid use saves lives, AEDs are available for lay citizens across a broad spectrum of private and
public locations including airports, casinos, community centers, educational institutions, and sports
and shopping centers, and in tens of thousands of occupational settings where they are provided
for
use by health care and nonmedical first aid responders.

AEDs were found to increase the survival rate when used in cases of cardiac arrest by around 29%
compared to the use of CPR alone without the availability of AEDs.

‫إدارة اﻟﺻﺣﺔ و اﻟﺳﻼﻣﺔ و اﻟﺑﯾﺋﺔ‬

HEALTH SAFETY & ENVIRONMENT DEPARTMENT
Issue : 0 01-04-2015 Page 14 of 15
 Guideline HSE First Aid Program

AED Physician oversight

A physician is assigned the responsibility for managing the AED program. The responsibilities
include and are not limited to the following:

1. Establishing or integrating the AED program with an ongoing quality assurance system.
2. Ensuring compliance with industry-related and other regulatory requirements.
3. Ensuring proper interface with local EMS.
4. Ensuring proper education, training, or support for AED users prior to and following use.
5. Performing a case-by case review each time the AED is used in the occupational setting.

AED Coordination EMS

The AED program should be integrated into the overall emergency response plan and the first aid
response protocols. It should also be integrated into the emergency medical response provided by
external or national emergency medical response providers.

AED Quality assurance program

The following records are required for a quality assurance program for AEDs:

1. medical review by a qualified physician after every AED use

2. record keeping of all AED-related training, locations, servicing; and records of all medical
reviews following AED use
3. a method to evaluate the efficacy of the program against its objectives (educational and
administrative)
4. a method to improve or sustain critical elements should be provided.

9. FIRST AID PROGRAM UPDATE

The first aid program should be reviewed periodically to determine if it continues to address the
needs of the specific workplace. Training, supplies, equipment and first-aid policies should be
added or modified to account for changes in workplace safety and health hazards, worksite
locations and worker schedules since the last program review. The first-aid training program should
be kept up-to-date with current first-aid techniques and knowledge. Outdated training and
reference materials should be replaced or removed.

‫إدارة اﻟﺻﺣﺔ و اﻟﺳﻼﻣﺔ و اﻟﺑﯾﺋﺔ‬

HEALTH SAFETY & ENVIRONMENT DEPARTMENT
Issue : 0 01-04-2015 Page 15 of 15