3.SE.3.3.FAA(1)

Updated: 2017

First Aid Assessment

All employees including the first aid attendant will be aware of the first aid procedures and trained in those procedures. Employees will be informed of first aid procedures during orientation training. First aid procedures, by way of an information sign, will be posted conspicuously in suitable locations throughout the workplace.

First Aid Assessment – Minimum Needs / Page 1 of 2
Name of company: / Assessment Date:
Completed by:
Assigned Hazard Rating:
Use the hazard rating to determine which box below applies to your workplace
Operation is more or less than 20 minutes’ surface e travel times away from hospital? Use the travel time from workplace to hospital to determine which box below applies to your workplace
Workplace is low risk of injury and more than 20 minutes surface travel time away from hospital (Highlight the items that apply to your workplace)
1 / Personal first aid kit / N/A / N/A
2-5 / Basic first aid kit / N/A / N/A
6-30 / Level 1 first aid kit / Level 1 certificate / N/A
Workplace is low risk of injury and 20 minutes or less surface travel time away from hospital (Highlight the items that apply to your workplace)
1 / N/A / N/A / N/A
2-10 / Basic first aid kit / N/A / N/A
11-50 / Level 1 first aid kit / Level 1 certificate / N/A
Workplace is moderate risk of injury and more than 20 minutes surface travel time away from hospital (Highlight the items that apply to your workplace)
1 / Personal first aid kit / Level 1 certificate / N/A
2-5 / Level 1 first aid kit / Level 1 certificate with transport endorsement / N/A
6-15 / Level 1 first aid kit and ETV equipment / Level 3 certificate / N/A
16-50 / Level 3 first aid kit, dressing station and Emergency Transport Vehicle(ETV)
equipment / ETV
First Aid Assessment – Minimum Needs / Page 2 of 2
Workplace is moderate risk of injury and 20 minutes or less surface travel time away from hospital (Highlight the items that apply to your workplace)
1 / Personal first aid kit / N/A / N/A
2-5 / Basic first aid kit / N/A / N/A
6-25 / Level 1 first aid kit / Level 1 certificate / N/A
Workplace is high risk of injury and more than 20 minutes surface travel time away from hospital (Highlight the items that apply to your workplace)
1 / Personal first aid kit / N/A / N/A
2-5 / Level 1 first aid kit / Level 1 certificate / N/A
6-10 / Level 1 first aid kit and ETV equipment / Level 1 certificate with transport endorsement / ETV
11-30 / Level 3 first aid kit, dressing station and ETV
equipment / Level 3 certificate / ETV
Workplace is high risk of injury and 20 minutes or less surface travel time away from hospital (Highlight the items that apply to your workplace)
1 / Personal first aid kit / N/A / N/A
2-5 / Level 1 first aid kit / Level 1 certificate / N/A
16-30 / Level 2 first aid kit and dressing station / Level 2 certificate / N/A

First Aid Requirements

(Fill in blanks below based on items highlighted above)
Supplies, equipment and facility / Level of first aid certificate for attendant / Transportation