PLAN

ACT CHECK

DO

Management Leadership / Commitment Policy & Strategic Objectives Organisation, resources, responsibility Standards, Documentation Risk Management

Plan & Procedures

Implementation Audit

Corrective Action
Monitor

Corrective Action & Improvement Corrective Action & Improvement

Management Review

 ANTICIPATION Expect the Expected & Expect the Unexpected IDENTIFICATION What disaster ; injuries or diseases ASSESSMENT Consequences of events CONTROL What first aid facilities/services required REVIEW

** Types of Emergencies ** Fire and Explosions Work Accidents Hazardous Material Natural Events Bomb Threats

** Objective **
To localize the emergency, if possible, eliminate it.
To minimize the effect of the accident on people and property

To show managements commitment Integration of ERP&FA policy Should translate into plan for implementation Distribute to all workers

ORGANISATION
Coordinator of Program Emergency Response Team First Aid Team Safety and Health Committee Managers /Supervisors Employees ( First Aider ) Professionals ( Doctor )

HIERARCHY COMMAND
CONTROLLER Damage Control Coordinator (Fire Fighting and Plant shut down) Rescue Coordinator First Aid Coordinator Communication Coordinator Evacuation Coordinator Traffic Control Coordinator

ARRANGEMENTS

Planning of Emergency & First Aid Facilities

Control Room First Aid Room & First Aid boxes Ambulance ; Stretchers ; Emergency Shower

Procedures for :
Immediate response to the emergency First aid team / Emergency Response Team Ambulance ( in house / back up ) Other first aid facilities Appointment of First Aiders / Backup

ARRANGEMENTS

Involvement of Other Personnel / Doctors Calling outside assistance ( Police / Bomba etc ) Response to mass casualty situations Training for First Aiders
Occupational First Aid Module Refresher course / Revision

Formulation of The ERP Services

Company policy, purposes, authority, principal control measures, emergency organisation chart showing positions and functions. Some description of the expected disasters with a risk statement. A map of plant, office or store showing equipment, medical and first aid, fire control apparatus, shelters, command centre and evacuation routes. A list of cooperating agencies and how to reach them. A plant warning system, type of signals.

Formulation of The ERP Services

A central communication centre, including home contacts of employees. A shutdown procedure, including security guard. How to handle visitors and customers.

Training
Specialized training for response teams. Employees

types of emergencies reporting procedures alarm system shutdown evacuation information on notice board

Drills Record of drills and training

First Aid FACILITIES

Legal Provision
Factories and Machinery Act (FMA) 1967

Section 25 (Parent Act), Regulation 38 (Health, Safety and Welfare):

provide and maintain a readily accessible first aid box or cupboard assign responsibility who must be proficient in first aid training if >20 employees first aid room in factory with >150 employees

Legal Provision contd

Occupational Safety and Health Act (OSHA) 1994

Section 15 (Parent Act):

every employer and self employed must ensure, so far as practicable, the safety, health and welfare at work of all employees

First Aiders
Number

< 20 workers
1 first aider

20 - 400 workers
Low Risk: 2 first aiders for up to 150 employees High Risk: 1 first aider for every 20 employees

> 400 workers

2 first aiders for every 150 workers SRN or MA on site

First Aiders
Selection criteria

Mature, responsible Calm in emergency, free to leave work in emergency Physically fit
Recognized training Refresher courses Management of casualty Maintain first aid facilities/equipment Maintain treatment records

Training

Responsibilities

First Aid Box

Design

Location

sturdy, portable, green crescent on white background clearly identified, well illuminated, accessible location employees informed of location listed in appendix of FA Guidelines sufficient quantity of suitable materials frequent checks kept locked with responsible person available during all working hours Names of first aiders /emergency services on or near to box

Content

FIRST AID EQUIPMENT

First-aid room 15 metres square minimum Well lit and Ventilated Access for wheelchair/strecher Easy access to toilet Near access point for ambulance Privacy Other facilities

First Aid box contents

(Factories & Machinery Act 1967, Fourth Schedule, Regulation 38 (2) (i)

Small individual medicated or unmedicated sterilised dressings for fingers Medium size individual medicated or unmedicated sterilised dressings, for hand & feet Large individual medicated or unmedicated sterilised dressings, for other injured parts Assorted adhesive wound dressings Triangular bandages (i) roller bandages 1 (ii) roller bandages 2 Adhesive plaster Absorbent sterilised cotton wools in 1/2 oz packets or

cotton wool strip contained in cotton-wool dispenser Suitable splints & wool or other material for padding Approved eye ointment or eye drops Individual sterilised eye pads in separate sealed packets Rubber or pressure bandage A 2% alcoholic solution of iodine or a 1% aqueous solution of gentian violet in a stoppered 2 oz bottle A bottle of sal volatile with the dose and mode of administration indicated on the label Blunt-nosed surgical scissors Safety pins

OTHER FIRST AID EQUIPMENT

Stretchers In larger organisation, it is advisable to have stretcher/stretchers available. Kept with blankets in clearly marked wall cupboard Emergency trolley/stretcher for mobility and transporting victims

OTHER FIRST AID EQUIPMENT

Special First-aid requirement: Varies depending upon the potential hazards present Different needs for different problems Asphyxia and chemical injuries needs special equipment and treatment Rescue and resuscitation apparatus

EMPLOYEES information & Training

Locations of first aid boxes / rooms Usage of First aid contents / facilities How to contact first aiders / backup Simple live-saving first aid procedures Universal Precautions

UNIVERSAL PRECAUTIONS.
A strategy to structure your approach to working with all human blood and certain body fluids in that you treat these substances as if they were infected with HBV/HIV or others. You will not be able to tell if blood or body fluids are infectious by looking at the person or the fluid. THE PRECAUTIONS ARE TO: Protect yourself with PERSONAL P ROTECTIVE EQUIPMENT: ** Use when you could be exposed to blood/body fluids. Examples: (provided by your employer) * Gloves. *Mask/Eye Shield.

THANK YOU