First Aid Policy. Responsibility for first aid at Kings Worthy Primary School is held by the School Business Manager who is the responsible manager.

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1 First Aid Policy Date of Policy Issue: October 2015 Review Date: October 2017 Name of Responsible Manager/Headteacher: Signature of Responsible Manager/Headteacher Lynn Paul Signature of Chair of Governors Date: Issue number 2.0 Changes: Clarification of First aider categories & change of staff names where appropriate Change to number of First aid kits in school Removal of provision of annual report to governors of number of First Aid incidents by Year Group Introduction Policy Statement Removal of reference to HSE forms (now notified on-line) Children s services forms, Schools guidance, Actions brief guidance & Accident reporting flowcharts appended Kings Worthy Primary School will undertake to ensure compliance with the relevant legislation with regard to the provision of first aid for all employees and to ensure best practice by extending the arrangements as far as is reasonable practicable to children and others who may also be affected by our activities. Responsibility for first aid at Kings Worthy Primary School is held by the School Business Manager who is the responsible manager. All first aid provision is arranged and managed in accordance with the Children s Services Safety Guidance Procedure SGP (First Aid). All staff have a statutory obligation to follow and co-operate with the requirements of this policy. Aims and Objectives

2 Our first aid policy requirements will be achieved by: Carrying out a First Aid Needs Assessment to determine the first aid provision requirements for our premises 1. It is our policy to ensure that the First Aid Needs Assessment will be reviewed periodically or following any significant changes that may affect first aid provision 2. The Children s Services First Aid Needs Assessment Form (CSAF-002 will be used to produce the First Aid Needs Assessment for our site Ensuring that there are a sufficient number of trained first aiders on duty and available for the numbers and risks on the premises in accordance with the First Aid Needs Assessment Ensuring that there are suitable and sufficient facilities and equipment available to administer first aid in accordance with the First Aid Needs Assessment Ensuring that the above provisions are clear and shared with all who may require them First Aid Training The responsible manager will ensure that appropriate numbers of qualified first aiders, appointed persons and paediatric trained staff (if appropriate) are nominated as identified by completion of the First Aid Needs Assessment and that they are adequately trained to meet their statutory duties. Appointed Persons At Kings Worthy Primary school there are no appointed persons. School First Aid Trained Staff At Kings Worthy Primary school there are 10 school first aid trained staff who are as follows: Heather Moncrieffe - LSA Katie Clark Home School Link worker Jo Griffiths LSA Alison Ball LSA Lucy Burgess LSA Carol Butler- LSA Eleanor Stewart LSA Fiona Haydon- EYFS LSA Eve Silvester EYFS LSA Karen Bannister- LSA They will be responsible for administering first aid, in accordance with their training, to pupils that become injured or fall ill whilst at school or on school trips. Emergency First Aiders (Those completing the HSE approved 1-day emergency first aid course) At Kings Worthy Primary school there are 2 emergency first aiders who are as follows: Kathryn Brash Chris Carr They will be responsible for administering first aid, in accordance with their training, to those that become injured or fall ill whilst at work or on the premises. They may also have other duties and responsibilities which are identified and delegated as appropriate (eg. first aid kit inspections). Qualified First Aiders (Those completing the HSE approved 3-day first aid course) At Kings Worthy Primary school there are 3 qualified first aiders who are as follows: Marilyn Pulling Administrative Officer

3 Lynn Paul Business & Admin manager Emma Gaunt- Class teacher They will be responsible for administering first aid, in accordance with their training, to those that become injured or fall ill whilst at work or on the premises. There may also be other duties and responsibilities which are identified and delegated to the first aider (eg. first aid kit inspections). Paediatric First Aid Trained Staff At Kings Worthy Primary School there are 4 paediatric first aid trained staff who are as follows: Cassandra Fullstone EYFS leader Carole Stevens LSA Laura Clarkson Class Teacher Katie O Sullivan Class Teacher These staff are in place to meet the Early Years Foundation Stage (EYFS) statutory obligations. First Aid Provision Our First Aid Needs Assessment has identified the following first aid kit requirements: Kings Worthy Primary School will have a Premises First Aid Box and a Travel First Aid Kit which will be stored in the First Aid Room. There will also be four portable first aid kits for playground/outdoor use. It is the responsibility of the qualified first aider to check the contents of all first aid kits every four months (termly) and record findings on the Children s Services First Aid Kit Checklist (CSAF-003). Completed checklists are to be stored in the Health and Safety File. The contents of first aid kits are listed under the required quantity column on the checklist itself. The school medical room is designated as the first aid room for treatment, sickness and the administering of first aid. The first aid room will have the following facilities: Washbasin with running water First aid kit Seating (which could be used for the patient to lie down) Near a telephone Procedures to Follow in Event of an Accident Staff will refer to the Kings Worthy Primary School accident flow chart which is situated in the First Aid Room and in various key areas around the school. Emergency Arrangements Upon being summoned in the event of an accident, the first aider is to take charge of the first aid administration/emergency treatment commensurate with their training. Following their assessment of the injured person, they are to administer appropriate first aid and make a balanced judgement as to whether there is a requirement to call an ambulance. The first aider is to always call an ambulance on the following occasions: In the event of a serious injury

4 In the event of any significant head injury In the event of a period of unconsciousness, convulsion/epileptic episode In the event of administering an Epipen (Allergic reaction/anaphylaxis) In the event of administering medication for Asthma and the condition has not improved Whenever there is the possibility of a fracture or where this is suspected, where appropriate. Whenever the first aider is unsure of the severity of the injuries Whenever the first aider is unsure of the correct treatment In the event of an accident involving a child, where appropriate, it is our policy to always notify parents of their child s accident if it: Is considered to be a serious (or more than minor) injury Requires attendance at hospital Is a head injury i.e. bump to head sticker (visual prompt) or note home Our procedure for notifying parents will be to use all telephone numbers available to contact them and leave a message should the parents not be contactable. In the event that parents cannot be contacted and a message has been left, our policy will be to continue to attempt to make contact with the parents every hour. In the interim, we will ensure that the qualified first aider or another member of staff remains with the child until the parents can be contacted and arrive (as required). In the event that the child requires hospital treatment and the parents cannot be contacted prior to attendance, the qualified first aider/another member of staff will accompany the child to hospital and remain with them until the parents can be contacted and arrive at the hospital. Records All accidents are to be recorded on an accident reporting form / accident book with the following information: Date and time of accident Name of injured person Precise location of accident Details of injury, how it occurred and any First Aid administered. Details of parental contact Teacher in charge of child when accident took place Signature of person reporting the incident All accidents requiring hospital treatment should be recorded on form CSRF-003 (School Accident Internal Form). (Appendix 1) Please refer to Actions following an accident a brief guide in Appendix 2. The Governing Body will receive an annual report from the Headteacher on the programme of staff training and the nature of any complaints received. Attached to this policy: School guide to Accident/Incident Reporting Actions following an Accident - a brief guide Children s Services Reporting Form CSRF-003 CSRF-001

5 Accident reporting flowcharts CSRF-002 Appendix 1 SCHOOL GUIDE TO ACCIDENT/INCIDENT REPORTING There is a subtle difference between recording and reporting of accidents. All accidents need to be recorded at school and the level of detail will reflect the seriousness. Some accidents must be reported to the HSE under the Reporting of Injuries, Diseases & Dangerous Occurrences Regulations 1995 (RIDDOR). Update records if injuries are later found to be more serious. Details for reporting & recording are as follows: Pupils Routine injury, eg. graze from playground fall More serious incident, eg. significant first aid provided, parent contacted Reportable to HSE (Please see flowcharts included below) Employees All accidents Reportable to HSE (Please see flowcharts included below) Visitors All accidents Reportable to HSE (Please see flowcharts included below) Occupational Diseases Reportable only when a written diagnosis is received from a doctor Dangerous Occurrences These rarely happen in schools. Examples of Complete one of the three following actions Simple entry in exercise book or similar local record book. Complete the CSRF-003 School Accident Internal Report Form and retain the form at school. Complete the online RIDDOR report form. The HSE will send you a record. Forward a copy of this record to the: Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester S022 5PW. Complete as appropriate Enter in Accident Book and forward a copy of the report form to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PW. Complete the online RIDDOR report form (fatalities or specified injuries call HSE ICC on ). The HSE will send you a record. Forward a copy of this record to the: Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester S022 5PW. Complete as appropriate Enter in Accident Book and forward a copy of the report form to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PW. Complete the online RIDDOR report form. The HSE will send you a record. Forward a copy of this record to the: Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester S022 5PW. Applies to employees only Complete the appropriate F2508 online form. Forward a copy of the HSE F2508 form record to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PW Occurrences defined under RIDDOR Complete the appropriate F2508 online form. Forward a copy of the HSE F2508 form record to Children s Services Health & Safety Team,

6 reportable are listed Clarendon House, Monarch Way, Winchester, S022 5PW below Collapse/failure of lift or hoist; failure of pressure system with potential to cause death; electrical short circuit causing fire or explosion and closure for 24 hours; release of biological agent likely to cause severe human infection or illness; collapse of scaffold over 5 metres high; collapse of building, floor or wall; fire or explosion resulting in school closure for 24 hours; escape of flammable substances which could cause a major fire or explosion; escape of substances likely to cause death or damage health; release of asbestos dust.

7 1 Introduction Appendix 2 ACTIONS FOLLOWING AN ACCIDENT A BRIEF GUIDE Following any accident or incident at the work premises or during authorised work, there are certain actions required under law and/or under Hampshire County Council (HCC) corporate and departmental policies. This brief guide provides an easy-to-understand overview of the common actions required following an accident, incident or near miss. 2 Actions to be taken The following actions are to be taken and these are explained in more detail further on in this guide: a. Immediate, remedial & medical actions b. Secondary actions c. Completion/sending of accident report form d. Completion/sending of F2508 HSE Accident Report Form (if reportable) e. Carry out & document an accident/incident investigation f. Risk assessment or review of current risk assessment (as appropriate) g. Implementation of identified control measures (and periodic reviews thereafter) 3. Actions explained a. Immediate, remedial & medical actions These are the basic actions required in the event of any accident or incident and may include: Calling for assistance Administering first aid Calling an ambulance Making the area temporarily safe or preventing others from being exposed to the same hazard b. Secondary actions According to the nature of the accident/incident and/or its consequences, there are certain actions that should be carried out to provide records of the accident/incident and the following should be completed as appropriate to the seriousness or type of accident/incident. These secondary actions include: Taking photographs of the accident site Taking photographs of the injuries Taking statements from witnesses Making a brief record of events (as soon as possible after the accident/incident) Longer term isolation of the area to prevent access pending implementation of permanent barriers c. Completion/sending of accident report form An accident report should be completed at the earliest opportunity following the accident. For all accidents including those to employees and visitors (with the exception of accidents involving pupils), the accident report book should be used. This should be a pre-printed report form pad with tear-out report forms. The completed (original) report form should be retained in a secure storage, and a photocopy posted to the Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, SO22 5PW in accordance with corporate and departmental requirements. It should be noted that the accident report form is available on the Children s Services Health & Safety Website at Accident Book Report Form (HCC). This electronic version can only be downloaded to be completed and posted it is not for online submission. For accidents to pupils in school, very minor accidents should be recorded in a local exercise book. More serious accidents such as those requiring significant first aid administration, contact with parents, or where a claim against the HCC is possible, should be recorded on CSRF-003 School Accident Internal Report Form

8 and retained at school. Each year, a formal request for numbers of all completed CSRF-003 forms will be issued and data received from schools will be used to collate county and national statistics. Be advised that all accident/incident reporting and investigation guidance and requirements are clearly and simply set out in Children's Services Safety Guidance Procedure SGP d. Completion/sending of F2508 HSE Accident Report Form Under the Reporting Injuries Diseases Dangerous Occurrence Regulations 1995 (RIDDOR), there is a legal requirement to report some accidents/incidents directly to the Health & Safety Executive (HSE). This would include accidents that are serious or result in broken bones (not digits) or more than seven days unable to work (incidents where they were unable to work for over three days should be recorded locally). To identify whether an employee s, visitor s or child s accident/incident should be reported to the HSE, use one of the Action Flowcharts in the guidance contained within the CSRF-003 Form itself. If in doubt, contact the Children s Services Health & Safety Team to discuss the reporting requirements The F2508 Accident Report Form is available at F2508 HSE Accident Report Form (RIDDOR). Complete the online RIDDOR report form (for fatalities or specified injuries to a worker call HSE ICC on ). The HSE will send you a record. Forward a copy of this to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PW. e. Carry out & document an accident/incident investigation Accidents, incidents and near misses should be investigated unless the nature and consequences of the event are insignificant. The purpose of the investigation is to establish the immediate and root causes of the accident/incident with a view to examining failures and implementing control measures to prevent further reoccurrences. Once the investigation has been undertaken, notes taken should be used to complete the Online Accident/Incident Investigation Report Form (HCC). This is a preformatted, corporate online investigation report form which is simple and quick to use. Once completed and submitted, a printable version of the form will be automatically returned to you (electronically) and a copy will automatically be forwarded to the Children s Services Health & Safety Team, who will attach it to the related accident report form and/or F2508 Report Form. f. Risk assessment or review of current risk assessment Where injury has resulted or a significant risk has been identified through the investigation process, responsible managers should ensure that a review of the risk assessment (relating to the hazard causing the accident) is carried out by a their trained risk assessor. Where the risk may have been previously unforeseeable, a new risk assessment should be completed and control measures identified that would reduce the risk of future similar accidents. A summary of findings or new control measures (identified as part of the risk assessment or review process) would be expected to be included in the investigation report to demonstrate actions indicating that the potential dangers have been identified and something has been done to control the risks. g. Implementation of identified control measures Once new control measures have been identified, make sure that they are implemented as soon as possible to prevent reoccurrence of such an accident/incident. Monitor the new controls to establish their effectiveness and periodically review the risk assessment to ensure that control measures remain effective. 4. Need further advice? Still unsure of your actions in the event of an accident, incident or near miss? Then contact the Children s Services Health & Safety Team as follows: CHILDREN S SERVICES HEALTH & SAFETY TEAM CONTACT DETAILS Children s Services Health & Safety Team Clarendon House, Monarch Way, Winchester, SO22 5PW Health & Safety Enquiries

9

10 Appendix 3 CHILDREN S SERVICES REPORTING FORM CSRF-003 School Accident Internal Report Form This internal accident report form is for use by school staff only and is to be completed using the guidance notes inserted at the end of this form. Upon completion, the form is to be retained at the school/education establishment concerned for safety auditing and legal purposes. This form should be used to record more serious accidents to pupil(s) (eg. where significant first aid is administered, where parents are contacted or where a claim/complaint against HCC is possible). Sensible thresholds for the level and type of reporting should be locally agreed. Certain accidents must be reported to the Health & Safety Executive (HSE) and where this is the case, the F2508 Form is a sufficient record & this form does not need to be completed in addition. School/Establishment Local Ref/Serial Number Injured Pupil s Name Injured Pupil s Address Age of Injured Pupil Date of Accident Time of Accident Location of Accident Nature of Injury Was Activity Permitted YES NO Description of Accident Insert description of accident & include photos or a plan if appropriate

11 Post Accident Action Tick any boxes that reflect the actions taken following the accident First aid provided Ambulance called Parents contacted Repairs arranged Equipment taken out of use Area isolated Accident Book Report Form completed for staff if also injured (if appropriate) F2508 Form completed or telephoned through to the HSE (if appropriate) Risk assessment reviewed (if appropriate) Accident Consequence Pupil absent from school? YES NO Details of Witnesses Insert names & addresses of key witnesses & statements if available Additional Information Insert optional information that may be relative to this accident Report Completed By Designation Signature Date

12 ADDITIONAL GUIDANCE NOTES FOR COMPLETION INJURIES, DISEASES & DANGEROUS OCCURRENCES RECORDING & REPORTING PROCEDURES There is a subtle difference between recording and reporting of accidents. All accidents need to be recorded at school and the level of detail will reflect the seriousness. Some accidents must be reported to the HSE under the Reporting of Injuries, Diseases & Dangerous Occurrences Regulations 1995 (RIDDOR). When reporting by telephone to the HSE it will be useful to have a copy of F2508 Form in front of you. Update records if injuries are later found to be more serious. Details for reporting & recording are as follows: Pupils Routine injury, eg. graze from playground fall More serious incident, eg. significant first aid provided, parent contacted Reportable to HSE. Please refer to HSE guidance ns/edis1.pdf Employees All accidents Reportable to HSE. Please refer to HSE guidance ns/edis1.pdf Complete one of the three following actions Simple entry in exercise book or similar local record book. Complete this CSRF-003 form and retain at school. Complete the online RIDDOR report form (for specified injuries call HSE ICC on ). The HSE will send you a record. Forward a copy of this to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PL. Complete as appropriate Enter in Accident Book and forward a copy of the report form to the Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PL. Complete the online RIDDOR report form (for specified injuries call HSE ICC on ). The HSE will send you a record. Forward a copy of this to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PL. Visitors All accidents Reportable to HSE. Please refer to HSE guidance ns/edis1.pdf Occupational Diseases Reportable only when a written diagnosis is received from a doctor Dangerous Occurrences Reportable to HSE. Please refer to HSE guidance ns/edis1.pdf Complete as appropriate Enter in Accident Book and forward a copy of the report form to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PL. Complete the online RIDDOR report form (for specified injuries call HSE ICC on ). The HSE will send you a record. Forward a copy of this to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PL. Applies to employees only Complete the appropriate online RIDDOR report form. The HSE will send you a record. Forward a copy of this to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PL. Occurrences defined under RIDDOR Complete the appropriate online RIDDOR report form. The HSE will send you a record. Forward a copy of this to Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester, S022 5PL.

13 CHILDREN S SERVICES REPORTING FORM CSRF-002 Hazard Report Form To be used to report building or equipment related hazards in accordance with SGP 12/07 guidance. Name of unit/workplace Local form serial no. Summary of hazard Insert brief description of hazard and its impact on safety Actions taken Identify temporary actions taken to remove/reduce risk Has a formal risk assessment been carried out? YES NO Is it attached to this form? (Attach if completed) YES NO Existing risk level Identify your considered level of risk caused by hazard HIGH MEDIUM LOW NEGLIGIBLE Name of unit manager Unit manager signature Date of report/signature Completion instructions Ensure the following is carried out before sending your form: Form to be fully completed, printed and signed prior to forwarding it is not an on-line form A local form serial number should be inserted in the appropriate box for your own reference Where there is a significant risk, a risk assessment is to be completed and attached Routing instructions Post your completed form to your facilities manager or Property Services officer at their local address and post a copy to: Children s Services Health & Safety Team Clarendon House, Monarch Way, Romsey Road, Winchester, Hampshire, SO22 5PW Upon receipt, the form will be logged & processed, as appropriate to the identified hazards & risk

14 CHILDREN S SERVICES REPORTING FORM CSRF-001 Violent Incident Report Form (VIR) To be used for reporting aggressive incidents/behaviour towards employees of Children s Services (not child on child) and to be completed in accordance with SGP and instructions on this form School / Workplace District Local Serial No. (optional) Optional use of a local serial number is for each premises/school s own internal recording purposes if/where required Type of incident Tick boxes which most accurately reflect incident Aggressive physical contact with injury Aggressive physical contact without injury Non-physical aggressive behaviour towards a person (eg. verbal abuse) Violence towards staff Violence towards property Damage to personal property Damage to council property Sexual harassment Racial harassment Cyberbullying Other Does this report relate to a weapon/implement brought on site (eg. knife)? Date of incident Details of incident Insert description of incident Time of incident Actions taken Tick the boxes which identify the actions taken

15 Police summoned or involved Children s Services Health & Safety Team contacted Positive handling techniques used Ground/floor responses involved First aid provided Debrief/support offered to young person and staff F2508 Form completed Risk assessment undertaken or reviewed Individual support plan devised or revised Follow-up/restorative meeting Hospital visit or stay HSE contacted Exclusion from school Name/title of involved employee Occupation/work of employee Name of aggressor Name of headteacher/unit manager Headteacher/unit manager signature Date of report/signature Completion instructions Ensure following is carried out before sending form: Form to be fully completed, printed and signed prior to forwarding it is not an on-line form A local form serial number may be inserted in the appropriate box for your own reference only Routing instructions Please send your completed form by post to: 1 2 Children s Services Health & Safety Team (Courier Route: CA12) Clarendon House, Monarch Way, Winchester, Hampshire, SO22 5PW Your branch management team as determined/required by each branch (not schools) FOR OFFICE USE ONLY Database Reference Number VIR No: ADDITIONAL GUIDANCE NOTES FOR COMPLETION

16 When to complete Form to be completed under following circumstances: Whenever aggressive behaviour or violence is targeted towards an employee If an employee wants a non-physical incident recording (eg. verbal abuse) If headteacher/manager considers there a need to report an aggressive incident For recording aggressive behaviour towards voluntary helpers, staff or visitors When not to complete Form not to be completed under following circumstances: Aggressive behaviour or violent incidents towards a child by another child Aggressive behaviour towards a child by an adult (alternative reporting exists) When completed When completed, the form should be: Copied and kept securely with other VIR record copies not on a personal file Used with other records to analyse/trend incidents and responses Used as evidence when completing a challenging behaviour risk assessment or identifying appropriate control measures (eg. physical intervention training) Forwarded to the recipients referenced in this form s Routing Instructions Other information Please consider the following when completing the form: In addition to the immediate support provided at the workplace, the employee should be reminded of the Council s free and confidential Employee Support Line (ESL) Headteachers and responsible managers will need to monitor the well-being of the employee as incidents can have delayed effects This VIR Form is effectively a separate accident/incident report form for the reporting of aggressive behaviour and violence towards employees. There is no benefit in reporting an incident twice so if this VIR Form is being used, the incident does not also have to be recorded/reported in the staff accident book Physical violence incidents resulting in a serious injury or causing the employee to be off work for more than 7 days are legally reportable to the Health & Safety Executive (HSE) using the F2508 Report Form (also forward copy to CSHST) Involvement of the police will normally be for the employee to decide but headteachers or managers have an over-riding right to summon the police Data Protection Act 1998 Personal data will only be used to record the incident and for no other purpose. Data will not be passed to any other organisation unless there is a legislative requirement to do so

17 REPORTING ACCIDENTS TO CHILDREN OR VISITORS IN SCHOOLS TO THE HSE Was the accident fatal? YES NO Telephone the HSE ICC on without delay. HSE will send you a record. Forward a copy of this record to the: Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester S022 5PW Was the child or visitor taken from school directly to hospital and YES NO Not reportable to HSE Did the accident: Occur during an on-site or off-site lesson or FE class led by an HCC employee? OR Happen because of perceived unsafe or defective premises or equipment? OR Happen because of anti-social behaviour due to lack of supervision? N O Did the accident occur: During lunch or break time? OR Outside normal lesson times? OR During an extra-curricular activity? OR During a social event? OR Result from anti-social behaviour? OR Arise from medical condition?(eg faint) YES Complete the online RIDDOR report form (for major injuries call HSE ICC on ). The HSE will send you a record. Forward a copy of this record to the: Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester S022 5PW YES Not reportable to HSE NO IF IN DOUBT REPORT IT OR SEEK ADVICE FROM THE CHILDREN S SERVICES HEALTH & SAFETY TEAM

18 Data Protection Act 1998 Personal data will only be used to record the incident and for no other purpose. Data will not be passed to any other organisation unless there is a legislative requirement to do so FLOWCHART GUIDE FOR REPORTING OF EMPLOYEE ACCIDENTS TO HSE Was the accident fatal? YES NO Telephone the HSE ICC on without delay. HSE will send you a record. Forward a copy of this record to the: Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester S022 5PW Was the employee unable to undertake their normal work for more than 7 days? YES NO Not reportable to HSE Complete the online RIDDOR report form (for major injuries call HSE ICC on ). The HSE will send you a record. Forward a copy of this record to the: Children s Services Health & Safety Team, Clarendon House, Monarch Way, Winchester S022 5PW Did the employee suffer one of the following specified injuries? Fracture other than fingers, toes, thumbs Amputation Loss of sight (temporary or permanent) Chemical or hot metal burn to eye or other penetrating injury to the eye Electric shock or electric burn leading to unconsciousness or requiring resuscitation or admittance to hospital for more than 24 hours Any injury leading to hypothermia, heat-induced illness, unconsciousness or requiring resuscitation or admittance to hospital for more than 24 hours Unconsciousness caused by asphyxia or exposure to harmful substance or biological agent Acute illness requiring medical treatment or loss of consciousness arising from absorption of any substance Acute illness requiring medical treatment arising from exposure to a biological agent or its toxins or an infected material or other infected sources NO YES IF IN DOUBT REPORT IT OR SEEK ADVICE FROM THE CHILDREN S SERVICES HEALTH & SAFETY TEAM Not reportable to HSE

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