First Aid Assessment Form

    Minimum First Aid

    Determine the number of workers per shift

    Count every worker at your workplace or worksite or on this shift, including dispatched workers, managers, and supervisors.

    Determine your hazard rating

    Is this a separate administrative location?
    If yes, your hazard rating is Low (check on “Low”)
    If no, refer to the Workplace hazard ratings document (click the link or scan the QR code) to find the hazard rating assigned to your classification unit (CU). What is your CU? What is the hazard rating assigned to your CU?
    Are work activities at this location typical of your CU?
    Check on the hazard rating assigned to your CU
    Check on the hazard rating assigned to the alternative CU
    QR Code Image

    Hazard rating

    Determine if your workplace is remote and/or less accessible

    Determine if your workplace is remote.

    How long does it typically take to drive from your workplace to the nearest ambulance station operated by British Columbia Emergency Health Services (BCEHS)?

    If 30 minutes or less to BCEHS station check Remote

    If more than 30 minutes check Not Remote

    Time to BCEHS station check Remote

    Determine if your workplace is less accessible.

    Are workers working in any of the following areas?

    Group 1
    your workplace is less accessible. check on Workplace is less accessible
    Group 2
    If you checked one or more of the boxes in Group 2, your workplace is less accessible check the option below, Otherwise all the following conditions are met:

    Determine your workplace class

    Based on your answers about remoteness and accessibility, check off the box below for your workplace class. Refer to the Minimum first aid requirements document (click the link or scan the QR code) for tables that list the minimum requirements for your class.

    Remote Less accessible Workplace class Schedule 3-A table Schedule 3-A tables
    No No Table 3-1 QR Code Image
    Yes No Table 3-2
    No Yes Table 3-3
    Yes Yes Table 3-4

    Document your minimum first aid requirements

    Based on the maximum number of workers at your workplace, your hazard rating, and your workplace class, consult the applicable Schedule 3-A table to determine your minimum first aid requirements and document below.

    Refer to the First aid equipment, supplies, and facilities document (click the link or scan the QR code) to see what equipment your first aid kit(s) and first aid facilities must include.

    First aid kit
    First aid facilities
    QR Code Image
    First aid attendant(s)
    Emergency transportation

    Describe type of emergency transportation (if applicable)

    Additional first aid

    Consider the following additional factors that may affect your ability to promptly provide an injured worker first aid or transportation to medical treatment:
    • Risks and hazards unique to the workplace
    • Risks and hazards not typical of your CU
    • Types of injuries that have previously occurred at the workplace or similar workplaces
    • Barriers that could limit or delay a worker’s access to first aid
    • Equipment that may be necessary to safely rescue a worker from less accessible areas
    • Known barriers that may affect BCEHS response time or time to transport to hospital

    Document first aid services provided at this workplace

    Based on the minimum first aid services required by Schedule 3-A and your consideration of the additional factors above, document the first aid services provided at this workplace.

    If services provided are different than the minimum required, document below.

    If services provided are different than the minimum required, document below.

    Supplemental first aid supplies or equipment

    First aid facilities (types of facilities)

    First aid attendant(s) (number of attendants and certification level for each) Per shift

    Total at this workplace

    Emergency transportation (type of transport and number of workers that can be transported at the same time)

    Next steps

    Your assessment must be updated annually and available at the workplace you have assessed so that workers, supervisors, and WorkSafeBC prevention officers can validate its accuracy and confirm availability of the required first aid.

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