First aid records

General workplace safety and health (the first and second Framework Directives these cover evaluation of risks, choice of equipment and substances, competence , information and training, first aid, record keeping and a number of other related issues). 

Documentation of workers health status by physicians, nurses, or other health professionals includes exams, first aid records, diagnoses, and treatments. 

Employee medical record — A record concerning the health status of an employee which is made or maintained by a healthcare professional, including medical and employment questionnaires, medical exam results, lab test results, medical opinions, first aid records, treatment descriptions, prescriptions, and employee medical complaints. 

B) First aid records (not including medical histories of one-time treatment and subsequent observation of minor scratches, cuts, burns, splinters, and the like which do not involve medical treatment, loss of consciousness, restriction of work or motion, or transfer to another job, if made on-site by a non-physician and if maintained separately from the employers medical program and its record, and... 

The safety audit is designed to take accoimt of quantitative information available through data on injuries, incident reports, insurance claims, accident reports, first aid records and any other documents that can provide an indication of performance. In looking at the administrative structure, attention is drawn to the support mechanisms that provide the foimdation for hazard management and accident prevention. 

Are occupational injuries or illnesses, except minor injuries requiring only first aid, recorded as required on the OSHA 300 log ... 

If a work-related injuiy or iUness results in medical treatment beyond first aid, record it on the OSHA 300 Log. If the injury or illness does not involve death, one or more days away from work, one or more days of restricted work, or one or more days of job transfer, enter a check mark in the box for cases where the employee received medical treatment but remained at work and was not transferred or restricted. 

First aid records First aid records of one-time treatment need not be retained for any specified period. 

Where the condition is suspected, complaints should be monitored and checks made of first aid records and absence certification. Susceptible persons should be examined by a doctor before further exposure. 

Unless another OSHA rule specifically provides a different period of time, employers must keep employee medical records for at least the duration of the employee s employment plus 30 years. (There are a few exceptions concerning health insurance claims records, first-aid records, and records of employees who have worked for less than one year.)... 

Recordable nonfatal cases without lost workdays Cases of occupational injury or illness that do not involve fatalities or lost workdays but do result in (1) transfer to another job or termination of employment or (2) medical treatment other than first aid or (3) diagnosis of occupational illness or (4) loss of consciousness or (5) restriction of work or motion. 

For the year 1986, Dow Chemical U.S.A. experienced 217 OSHA recordable incidents (those involving physical injury which require medical care beyond first aid or work restrictions including lost time) which were classified as follows. 

This database contains the complete text of over 130,000 Material Safety Data Sheets compiled by the Canadian Center for Occupational Health and Safety (CCOHS). This information was gathered from over 500 manufacturers and suppliers in the United States and Canada. Each record covers one chemical substance and provides trade and supplier name, description, chemical/physical properties, reactivity, health hazards, storage and disposal, personal protection, cleanup and disposal, and emergency first aid (CCINFOLINE, STN available on CD from CCOHS). 

The OSHAct requirements specify that any illness or injury to an employee that causes time lost from the job, treatment beyond first aid, transfer to another job, loss of consciousness, or an occupational iUness must be recorded on a daily log of injuries and illnesses, the OSHA 300 form (previously the 200 form). This log identifies the injured person, the date and time of the injury, the department or plant location where the injury occurred, and a brief description of the occurrence of the injury, highlighting salient facts such as the chemical, physical agent, or machinery involved and the nature of the injury. An injury should be recorded on the day that it occurs, but this is not always possible with MSDs and other cumulative trauma injuries. The number of days that the person is absent from the job is also recorded upon the employee s return to work. In addition to the daily log, a more detailed form is filled out for each injury that occurs. This form provides a more detailed description of the nature of the injury, the extent of damage to the employee, the factors that could... 

Procedures should be put in place to ensure that recordable information reaches the appropriate people who are responsible for maintaining 8(c) records. Lawyers may receive allegations in tort complaints, nurses may receive oral allegations during examinations and while providing first aid, sales representatives may receive allegations during sales visits, and customer... 

Work-related minor injuries must be recorded if they resulted in restriction of work or motion, loss of consciousness, transfer to another job, termination of employment, or medical treatment (other than first-aid). All recognized work-related illnesses and nonminor injuries also must be recorded. 

In order to establish reliable quantification measures, a consistent set of terms and reporting standards is required. In the area of occupational safety, considerable standardization has already been achieved through the use of measmes such as the number of first-aid cases or recordable injuries. Although different organizations will apply these terms slightly differently from one another there is sufficient consensus to allow for their use across broad swathes of industry. For process safety it is much more difficult to come up with comparable yardsticks. Hence comparisons between different facilities may lack validity and credible trend lines are difficult to develop. 

These indicators include well-established parameters such as lost time accidents, first-aid cases and recordable injuries. Figure 3.3 illustrates how the indicators are tracked over time. Lagging indicators are widely used because, assuming that there are enough events to ensure statistical significance they allow management to establish baselines, measure trends, and to compare results with other facilities and companies. 

Think about what Heinrich intended for the major injury category. His definition compels the conclusion that any injury requiring more than first aid is a major injury. Then, is it not so that, according to Heinrich s definition, every OSHA recordable injury is a major injury When Heinrich developed his definitions, very few companies were self-insured for workers compensation. Having insurance companies pay for medical-only claims was typical. Almost all such claims would be considered major injuries. 

Formal patterns of training for all duties at nuclear power stations are given in Standard Specifications and some of these are outlined below. A training register must be maintained and be available for inspection. In addition to their normal duties, those with roles in the Emergency Arrangements, such as fire fighting, first aid, etc., must be trained and instructed in these duties, with records kept for inspection. 

Every accident must be reported to an employer and minor accidents reported to a supervisor, safety officer or first aider and the details of the accident and treatment given suitably documented. A first aid log-book or accident book such as that shown in Fig. 1.34 containing first aid treatment record sheets could be used to effectively document accidents which occur in the workplace and the treatment given. Failure to do so may influence the payment of compensation at a later date if an injury leads to permanent disability. To comply with the Data Protection Regulations, from 31 December 2003 all first aid treatment log-books or accident report books must contain perforated sheets which can be removed after completion and filed away for personal security. 

State how the Data Protection Act has changed the way in which we record accident and first aid information at work. 

It is the employer s duty to protect the health and safety and welfare of its employees, so if you do have an accident at work, however small, inform your supervisor, safety officer or first aid person. Make sure that the details are recorded in the accident/first aid book. Failure to do so may affect compensation if the accident proves to be more serious than you first thought. 

Determining exactly which injuries and illnesses to record is the most difficult part of the OSHA recordkeeping requirement. What is considered the workplace What is first aid What is restricted work or a significant injury Fortunately, OSHA has detailed guidance on these and other questions. OSHA guidance can be found in the Reference section of this manual. 

First-aid log — Keep a record of all minor injuries, including any that require first aid. These injuries do not have to be recorded on the OSHA logs, and many companies feel that minor injuries are not worth the time or effort to investigate. 

Occupational Safety and Health Administration (OSHA) recordable cases, which include work-related injuries and illnesses that result in one or more of the following death, loss of consciousness, days away from work, restricted work activity or job transfer, medical treatment (beyond first aid), significant work-related injuries or illnesses that are diagnosed by a physician or other licensed heath care professional (these include any work-related case involving cancer, chronic irreversible disease, a fracture or cracked bone, or a punctured eardrum) additional criteria include any needle-stick injury or cut from a sharp object that is contaminated with another person s blood or other potentially infectious material, any case requiring an employee to be medically removed under the requirements of an OSHA health standard, and tuberculosis infection as evidenced by a positive skin test or diagnosis by a physician or other licensed health care professional after exposure to a known case of active tuberculosis. 

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