MOM Workplace Safety and Health (First Aid) Regulations
MOM Workplace Safety and Health (First Aid) Regulations

Objective of First Aid regulations

Proper first-aid is necessary as the life of an injured employee depends heavily on it within the first few minutes of an accident.

The requirement for first-aid treatment in the workplace is found in Section 58 of the Factories Act and the Factories (First-Aid) Regulations 1995.

Workplace Safety and Health (First-Aid) Regulations is the new framework for occupational safety and health in Singapore and is one of the subsidiary legislations under the new Act. It replaces the old regulation with effect from 1 March 2006.

Premises that require the application of Workplace Safety and Health First Aid) Regulations

  1. A factory
  2. Within an airport where there is any checking, inspecting, loading, unloading or refueling of an aircraft is carried out by persons other than by the crew of the aircraft.
  3. Any ship in a harbor where any of the following is carried out:
  1. Clearing of boilers, including combustion chambers and smoke boxes, in the ship
  2. Cleaning of any tank, bilges or holds in the ship
  3. Construction, re-construction, repair, fitting, furnishing or breaking up.
  1. Any laboratory or other sites where the testing, examination or analysis of any article is carried out.

Employer’s Responsibilities in the workplace

  1. Provision and maintenance of First-aid box and First-Aid room
  2. Appointment and training of first-aiders
  3. Provision of suitable facility for quick drenching of body or flushing of eyes where toxic or corrosive substances are used

Factors to consider in carrying out the responsibilities as an employer or occupier

  1. Type of industry, the nature and specific hazards of the work
  2. Number of employees
  3. Number of work shifts
  4. Physical layout of the workplace
  5. Know occurrences of accidents or illnesses
  6. Location of the workplace in relation to the nearest medical clinic or hospital
  7. Work during holidays
  8. First-aiders on sick leave

The Safety Committee in the workplace should periodically conduct an audit on the first-aid facilities to ensure that these facilities are adequate.

Maintenance of First-aid Box and the Contents in the first-aid box

  1. The required minimum contents of first-aid boxes are listed as follow:

S/N

Contents

Box A

(for every 25 persons employed or less

Box B

(for every 50 persons employed or less

Box C

(for every 100 persons employed or less

1

Individually wrapped sterile adhesive dressings

20

40

40

2

Crepe bandage 5 cm

1

2

4

3

Crepe bandage 10 cm

1

3

6

4

Absorbent gauze (packets of ten pieces

5

10

15

5

Hypoallergenic tape

1

1

2

6

Triangular bandages

4

4

6

7

Scissors

1

1

1

8

Safety pins

4

4

6

9

Disposable gloves (pairs)

2

2

4

10

Eye shield

2

4

6

11

Eye pad

2

4

6

12

Resuscitation mask (one-way)

1

1

2

13

Sterile water or saline in 100 ml disposable containers (only where tap water is not available)

1

3

3

14

Torch light

1

1

1

  1. First-aid boxes should be checked frequently to ensure they are fully equipped and all items are usable.
  2. Used or expired items should be replaced as soon as possible.

Number of First-Aid Boxes

  1. The number of first-aid boxes required depends on the physical layout of the premises and the number of employees.
  2. There should be at least one first-aid box on each floor of the premises.

Ratio of Employees to First-Aid Boxes

Number of Employees

Number and Type of First-aid boxes

Less than 25 employees

At least one Box A

Every 50 employees

At least one Box B

Every 100 employees

At least one Box C

Note: One box B is equivalent to two Box A. One Box C is equivalent to two Box B.

Accessibility of First-Aid Boxes

  1. The first-aid box should be labeled clearly and placed in a prominent, and easily accessible location
  2. Strong and portable first-aid box is required so that it can be taken to the site of an accident shortly.
  3. Where the factory covers a large area, an adequate number of first-aid boxes should be provided and well distributed throughout the premises.
  4. Employees should be informed of the location of all the first-aid boxes.

First-Aid Room

A first-aid room is to be provided where there are more than 500 employees.

  1. Design of First-Aid Room

The room should have enough space to hold a couch and for people to move around. There should be enough lightings and ventilations. It should be clearly labeled as a first-aid room.

  1. Facilities in First-Aid Room

The items that should be provided in a first-aid room are listed as below:

  • First-aid box
  • Sink with running potable water
  • Disposable paper towels
  • Smooth top working surfaces
  • Record keeping facilities
  • Adequate supply of sterile dressings and other materials for wound treatment           
  • Stretcher(s)
  • Splints
  • Clinical thermometer
  • Couch with pillow and blanket
  • Suitable store for first-aid equipment eg stretchers, wheel chairs
  • Soap and nail brush
  • Clean garments for use by first-aiders
  • Suitable refuse container with disposable lining
  1. Location of First-Aid Room

When choosing a site for a first-aid room, the following factors need to be considered:

  • Distance to toilets,
  • Distance to lifts and main passageways which are wide enough to allow a stretcher, wheelchair or carrying chair through,

•     Accessibility to work place

•     Accessibility to car park, so as to facilitate transfer of injured persons to an ambulance.

Corrosive Substances

  1. First-aid facilities required if toxic or corrosive substances are used

If the workplace is exposed to toxic or corrosive substances, the provision of emergency showers for quick drenching and eye wash may be required by the Commissioner of Workplace Safety and Health. These facilities for emergency use should be located within the work area and be maintained properly.

  1. Special Instructions

Special instructions on the handling of employees injured by such chemicals may need to be written down in Safety Data Sheets (SDS) for easy reference as some chemicals are uncommon. Copies of the SDS should be located near the first-aid boxes for easy access.

Appointment of First Aiders

Number to Be Appointed

Ratio of First-Aiders to the Number Of Employees

Type of Workplace

Number of Employees

Number of First-Aiders

Quarries, construction sites, shipyards, petroleum refineries, woodworking factories

26 – 100

One

More than 100

One for every 100persons employed or less

All other factories and workplaces covered under the Regulations

26- 150

One

More than 150

One for every 100 persons employed or less

 

  1. Shift Work

If there is a shift work schedule, there must be a sufficient number of first-aiders corresponding to the number of employees working on that shift to provide adequate coverage for each shift.

  1. Availability of First-Aiders

The names and where the first-aiders normally work must be displayed on a notice in a prominent location in the workplace.

The first-aider has 3 core responsibilities:

  1. Management of Casualty

In handling an injured employee, the first-aider should take the following steps.

• Assess the situation without causing further injuries.

• Identify the injuries.

• Give immediate first-aid treatment, remember that a casualty may have more than one injury and that some casualties will require more urgent attention than others.

• Arrange immediately for the injured employee(s) to be sent to a doctor, hospital or home, according to the seriousness of his condition.

• Provide information to an attending doctor on the nature of the incident and the first-aid treatment rendered. The first-aider’s responsibility ends when the casualty is handed over to the care of a doctor, nurse or other appropriate person.

  1. Maintenance of Treatment Record

The first-aider must record the treatment given and keep the record in a designated place.

  1. Maintenance of First-Aid Facilities

The first-aider is responsible for maintaining the first-aid box. He should ensure that only first-aid equipment is kept inside the box. The first-aider should periodically check the first-aid box to verify that the contents of the box are regularly replenished.

How are employees informed of the availability of first-aid?

All employees should be informed of the following:

  1. Type and location of the first-aid facilities and
  2. The procedures to be followed when first-aid is required.
  3. First-Aid requirements of certain hazards in the workplace.