LLC "XXX"

Yekaterinburg city "____" April 2012

ORDER No. ____

About bundling

first aid kits for first aid

assistance to workers

In order to provide medical preventive maintenance workers,

I ORDER:

1 Approve the completion of first aid kits with medical products (hereinafter referred to as Products) for providing first aid to employees (Appendix No. 1)

2 Chief Engineer Ivanov I.I. ensure the availability of production shops sanitary posts with first-aid kits. The deadline is April 15, 2012.

3 To the heads of workshops Sidorov I.I., Petrov I.I. fill out applications for the purchase of Products in order to complete first-aid kits in accordance with Appendix No. 1. The deadline is April 10, 2012.

4 Warehouse manager Ivanova I.I. - secure the purchase medicines and medicines in accordance with the submitted applications and ensure the availability of a reserve quantity of Products in the warehouse for immediate replacement of used medicines and medicines in first-aid kits. Notify the heads of workshops about the receipt of the Products at the warehouse. The deadline is April 20, 2012.

5 To the heads of workshops Sidorov I.I., Petrov I.I. complete first-aid kits with Products in strict accordance with the composition specified in Appendix No. 1. Deadline - within 1 day from the date of receipt of medicines at the warehouse.

6 To the heads of workshops - when using or expiration of the Products, immediately refill first aid kit.

7 To impose control over the implementation of this order on the chief engineer Ivanov I.I.

Director S.S. Chiefs

Application No. 1

Completion of first-aid kits with medical products for first aid to employees

	Name of medical devices	Regulatory document	Release form (dimensions)	Quantities (pieces, packages)
	Medical devices for temporary control of external bleeding and wound dressing
	Hemostatic tourniquet	GOST R ISO 10993-99<1>
	Medical gauze bandage non-sterile	GOST 1172-93<2
		GOST 1172-93<2
	Medical gauze bandage, non-sterile	GOST 1172-93<2
		GOST 1172-93<2
	Sterile medical gauze bandage	GOST 1172-93<2
	Sterile medical gauze bandage	GOST 1172-93<2
	Dressing bag medical individual sterile with airtight sheath	GOST 1179-93<3>
	Medical gauze wipes are sterile	GOST 16427-93<4>	At least 16 x 14 cm N 10
	Bactericidal adhesive plaster	GOST R ISO 10993-99	At least 4 cm x 10 cm
	Bactericidal adhesive plaster	GOST R ISO 10993-99	At least 1.9 cm x 7.2 cm
	Adhesive plaster roll	GOST R ISO 10993-99	At least 1 cm x 250 cm
	Medical devices for cardiopulmonary resuscitation
	Device for artificial respiration "Mouth - Device - Mouth" or pocket mask for artificial ventilation "Mouth - mask"	GOST R ISO 10993-9
	Other medical products
	Lister dressing scissors	GOST 21239-93 (ISO 7741-86)<5>
	Antiseptic wipes made of paper textile-like material, sterile alcohols	GOST R ISO 10993-9	At least 12.5 x 11.0 cm
	Non-sterile medical gloves, examination	GOST R ISO 10993-99 GOST R 52238-2004<6> GOST R 52239-2004<7> GOST 3-88<8>	Size at least M
	Medical non-sterile 3-layer mask made of non-woven material with elastic bands or with ties	GOST R ISO 10993-99
	Isothermal rescue blanket	GOST R ISO 10993-99, GOST R 50444-92	At least 160 x 210 cm
	Other funds
	Safety pins steel with spiral	GOST 9389-75<9>	not less than 38 mm
	Case or sanitary bag
	Notepad for notes	GOST 18510-87	format not less than A7
		GOST 28937-91<11>

Hello! Along the way, I decided to reveal the topic of first-aid kits for first aid to workers to the maximum. In this note, I will answer the questions: is it necessary to create an order to appoint a person responsible for the acquisition, storage of first-aid kits and replenishing them with medicines, is it necessary to train him, and what medicines and preparations should be included in the first-aid kit. In addition, I will conduct a kind of educational program on this topic. A BONUS to everything will be samples and examples of orders, etc.

In order to reveal the topic of first-aid kits, you should start from the basics - this is Labor Code of the Russian Federation and its 10 section" OCCUPATIONAL SAFETY AND HEALTH" .

Article 223 of the Labor Code of the Russian Federation - Sanitary and medical and preventive services for workers

Ensuring sanitary and household and medical and preventive services for employees in accordance with the requirements of labor protection is the responsibility of the employer. For these purposes, the employer, in accordance with established standards, equips sanitary facilities, rooms for eating, rooms for medical care, rooms for rest during working hours and psychological relief; created sanitary posts with first aid kits, equipped with a set of medicines and preparations for first aid; devices (devices) are installed to provide workers of hot shops and areas with carbonated salt water, and more.

Transportation to medical organizations or to the place of residence of employees affected by accidents at work and occupational diseases, as well as for other medical reasons, is carried out by the employer's vehicles or at his expense.

Number of first aid kits in production may be determined by the local act of the employer, taking into account the number of employees and the nature of the work.

In this regard, the employer issues an order by which he appoints an employee responsible for the acquisition, storage, use of a first aid kit, approves the composition of the first-aid kit (in case the composition of the first-aid kit for employees according to Order No. 169n objectively does not meet the requirements of the enterprise), indicates the place where the first-aid kit is stored, adopts the procedure for using and controlling the content of the first-aid kit. Wherein the employer, in accordance with Article 212 of the Labor Code of the Russian Federation, is obliged to train the employee appointed responsible for the storage and use of the first aid kit in providing first aid to victims at work. In addition, the organization has first aid kit usage log and also developed and approved first aid instructions.

Given the above, we believe that there is no need to introduce an additional position on the above issue to the staff of the organization.

Deputy Head of the Department for Supervision and Control over Compliance with Labor Legislation - T.M. Zhigastova

So, the picture of first-aid kits becomes more or less clear and understandable. At least, at least someone gave some clarification on this issue, but it should be understood that this letter is a recommendation, and not a mandatory requirement, because. the letter contains “maybe ...” the employer can determine all of the above by a local act (order).

Again, there is Art. 223 of the Labor Code of the Russian Federation and the issue of first-aid kits, in any case, must be worked out so that no one has any claims and problems.

Everything is clear about the composition of first-aid kits, they must be completed in accordance with Order No. 169n dated March 5, 2011 "On approval of the requirements for completing first aid kits with medical products for first aid to employees".

The letter contains a dubious point that if the composition of the first-aid kit according to Order No. 169n objectively does not meet the requirements of the company, then the employer approves its composition. What composition?! What is permissible to use in excess of 169n ?! Unclear...

If someone does not know, then due to such misunderstandings, the following situation may occur (based on real events):

Once the foreman saw his employee who fell ill and decided to give him a cold medicine (such as Theraflu or the like) from the first-aid kit, the employee turned out to have a core and he became ill, as a result - a fatal outcome. In the end, a criminal case was brought against the head of the shop because he did not have the right to “treat”. In other words, the provision of medical care by a person who is not entitled to it.

A common situation is when first-aid kits are full of various medicines and drugs that go far beyond the list of Order No. 169n. And what is there just not: noshpy, teraflu, validol, etc. etc.

This happens because some individuals, without delving into the issue, want to treat their frequent health problems at the expense of the employer, or simply think that by purchasing such medicines and preparations, they are doing the good of the whole team ... but ... they are wrong.

Another reason is that this whole issue has not been worked out, and therefore remains on its own accord.

The recommendations from the letter of the Federal Service for Labor and Employment are quite competent, why not use them?! All that is required is create an order— who, what, where, when, how and organize related events.

To do this, we will need the following samples, examples and forms (choose to your taste and color):

From the aforementioned letter and order No. 477, one thing follows that the person providing first aid must have appropriate training and / or skill.

How can this person get such training?! Apparently only in a specialized training center, where, after completing the training, he will receive the appropriate document and the right to provide first aid to the victims, as well as train employees in first aid.

Because internal first aid training is not regulated, it should be carried out at least in compliance with GOST 12.0.004-90 “Occupational safety standards system. Organization of labor safety training. General Provisions” (the document is no longer valid - see information), i.e. create a commission of three persons trained to provide first aid in a specialized training center, conduct (conduct) training according to the recommendations specified in the Letter dated February 29, 2012 No. 14-8/10/2-1759 and the Order of the Ministry of Health and Social Development of Russia dated 05/04/2012 No. 477, draw up the whole thing with the appropriate protocol from the above GOST. If you use special simulators (Gosha, Maxim, etc.) during training, then there will be no price for such an event.

For those who are especially advanced, those who use devices with Android OS (Android), there is an application on Google Play First Aid (author - Ivan Plyusnin)

This is what I came up with, perhaps the most ideal option.

A less ideal and most common option looks exactly the same, only the commission consists of persons who have passed training in labor protection in the training center and having the appropriate certificates. It seems like there is a section on first aid for victims in the 40-hour occupational safety training program for managers and specialists - and that's enough.

Is it possible to identify such training with special training and / or first aid skills, is it unknown ?! I personally think not.

It all depends on what situation the employer can and is willing to get into.

There is another interesting point - from the existing legal acts, there are two opinions about whether the employer is obliged to provide first aid.

1. First opinion

The employer is obliged to immediately provide first aid to the injured as a result of an accident (paragraph 2 of article 228 of the Labor Code of the Russian Federation - Obligations of the employer in case of an accident):

In case of accidents specified in Article 227 of this Code, the employer (his representative) is obliged to:
- immediately organize first aid to the victim and, if necessary, deliver him to a medical organization;

For these purposes, each organization must have a first-aid kit (part 1 of article 223 of the Labor Code of the Russian Federation), the equipment of which is determined by order of the Ministry of Health and Social Development of Russia dated 05.03.2011 No. 169n.

If an employee is clearly seriously injured and needs urgent medical attention (part 1 of article 35 of the Federal Law of November 21, 2011 No. 323-FZ), it is recommended to call an ambulance.

Important! The employer is obliged to transport the victim to the hospital on his own transport or at his own expense (part 2 of article 223 of the Labor Code of the Russian Federation).

TOTAL: the employer is obliged.

LIST OF CONDITIONS IN WHICH FIRST AID IS PROVIDED<*>

<*>In accordance with Part 1 of Article 31 of the Federal Law of November 21, 2011 No. 323-FZ “On the Basics of Protecting the Health of Citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, No. 48, Art. 6724) (hereinafter referred to as the Federal Law of November 21, 2011 No. 323-FZ) first aid before the provision of medical care, it is provided to citizens in case of accidents, injuries, poisoning and other conditions and diseases that threaten their life and health, persons who are obliged to provide first aid in accordance with federal law or with a special rule and have appropriate training, including employees of the internal affairs bodies of the Russian Federation, employees, military personnel and employees of the State Fire Service, rescuers of emergency rescue units and emergency rescue services. In accordance with Part 4 of Article 31 of the Federal Law of November 21, 2011 No. 323-FZ, drivers of vehicles and other persons have the right to provide first aid if they have the appropriate training and (or) skills.

1. Absence of consciousness.

2. Stopping breathing and circulation.

3. External bleeding.

4. Foreign bodies of the upper respiratory tract.

5. Injuries to various areas of the body.

6. Burns, effects of exposure to high temperatures, thermal radiation.

7. Frostbite and other effects of exposure to low temperatures.

8. Poisoning.

TOTAL: the employer is not obliged.

Given the strength of the documents, then the Labor Code of the Russian Federation takes precedence. One way or another, the legislator has no truth in this matter.

What conclusion can be drawn from all of the above?

1. Teach first aid it is possible at least somehow (except for specialized training at the training center), but if an accident occurs at work, then only a properly trained employee who has the appropriate document has the right to provide first aid to the injured (victims). Otherwise, anyhow, as trained or without appropriate documents, it can become extreme and fall under the article of the Criminal Code. If an accident occurs at work, in which it will be possible to save the victim's life, but this does not happen due to the lack of trained persons officially and not officially, then the employer directly becomes the last one.

2. The first-aid kit must be and must be completed in accordance with the order of the Ministry of Health and Social Development of Russia dated March 05, 2011 No. 169n. If other medicines and preparations are additionally stored and used in it, then this can turn into an unpleasant story for someone who gave out the wrong pill from this first-aid kit. Everything else that was set out in the Letter of the Federal Service for Labor and Employment dated November 7, 2012 No. PG / 8351-3-5 is advisory in nature.

3. Conclusions are up to you.

For what may be needed to provide first aid training within the organization, see the label - (video, etc.)

And finally, information on definitions, for literacy.

PP (first aid)– anyone who has the appropriate training and/or skills.

PMP (first aid)- with a medical education (At the moment, the term is not used officially, it is considered obsolete, although it is often found in the literature.).

RAP (first aid)- paramedic.

PVP (First Aid)- has the right 03, i.e. ambulance staff.

PVKvalP (first qualified medical aid) doctors are specialists in medical institutions.

That's all.

To be continued...

Appendix. Requirements for completing first-aid kits with medical products for providing first aid to employees

Order of the Ministry of Health and Social Development of the Russian Federation of March 5, 2011 N 169n
"On approval of the requirements for completing first-aid kits with medical products for providing first aid to employees"

Registration N 20452

The employer is obliged to provide sanitary-household and therapeutic and preventive services to employees in accordance with the requirements of labor protection. For this, in particular, sanitary posts with first aid kits are being created.

It is determined how the first aid kit should be completed to provide first aid to employees.

It includes the following products. Sterile and non-sterile gauze bandages. Hemostatic tourniquet. Individual sterile dressing bag with a sealed shell. Adhesive plaster (bactericidal and roll). Sterile gauze pads. A device for artificial respiration or a pocket mask for artificial ventilation of the lungs. Sterile alcohol-based antiseptic wipes. Scissors for cutting dressings according to Lister. Non-sterile medical examination gloves. Isothermal rescue blanket. Medical non-sterile 3-layer non-woven mask with elastic bands or ties. Steel safety pins with a spiral. Recommendations with pictograms on the use of medical products from the first aid kit. Sanitary bag or case. Tear-off notepad for notes. Pen.

First aid kits are essential to create a safe working environment. Order 169n contains requirements for the composition, determines the expiration date, storage conditions. The first aid kit should be in the public domain so that in an emergency, employees can easily receive first aid.

The first aid kit contains means for treating bleeding and wounds, a device for artificial respiration and other items. Depending on the field of activity of the organization, the equipment can be supplemented by various means. First aid kits are used in offices, hazardous industries, commercial and industrial enterprises.

The responsible person (supervisor, health worker or occupational safety engineer) monitors the expiration date of the product. The first-aid kit needs to be changed to a new one in a timely manner, to check the availability of the necessary funds. Order 169n details all the requirements. If the conditions are not met, the activities of the organization may be suspended. The responsible person is fined.

The composition of the first-aid kit by order 169n:

1. Hemostatic tourniquet 1 pc.
2. Non-sterile medical gauze bandage 5 m x 5 cm 1 pc.
3. Non-sterile medical gauze bandage 5 m x 10 cm 1 pc.
4. Non-sterile medical gauze bandage 7 m x 14 cm 1 pc.
5. Medical sterile gauze bandage 5 m x 7 cm 1 pc.
6. Medical sterile gauze bandage 5 m x 10 cm 2 pcs.
7. Medical sterile gauze bandage 7 m x 14 cm 2 pcs.
8. Individual sterile medical dressing bag with a hermetic shell or medical first aid dressing bag with one sterile pad 1 pc.
9. Medical sterile gauze wipes, at least 16 x14 cm No. 10 1 pack.
10. Bactericidal adhesive plaster, not less than 4 cm x 10 cm 2 pcs.
11. Bactericidal adhesive plaster, not less than 1.9 cm x 7.2 cm 10 pcs.
12. Adhesive plaster roll, not less than 1 cm x 250 cm 1 pc.
13. Artificial respiration device "Mouth-Device-Mouth" 1 pc.
14. Scissors for cutting dressings according to Lister 1 pc.
15. Antiseptic napkins made of paper textile-like material, sterile alcohol, not less than 12.5 x11cm 5 pcs.
16. Non-sterile medical gloves, examination, size not less than M2 pairs
17. Medical non-sterile 3-layer mask made of non-woven material with elastic bands or with ties 2 pcs.
18. Isothermal rescue blanket, at least 160 x 210 cm 1 pc.
19. Safety pins steel with a spiral, not less than 38 mm 3 pcs.
20. Recommendations with pictograms on the use of medical products first aid kits for workers 1 pc.
21. Case or bag 1 pc.
22. Notebook for notes, format not less than A7 1 pc.
23. Fountain pen 1 pc.

Must comply with the requirements regulated by GOST. A small organization may keep one copy. Large companies need several first aid kits. It is impossible to replace or exclude funds that must be available by order 169n. Additional funds can be added if required.

All medical devices must be registered in the Russian Federation. Compact first aid kits are easy to store and use and have a shelf life of 5 years.

The employer is obliged to provide the enterprise with first aid kits to protect the health of employees. How to properly complete them and how to draw up documents - find out in the article.

Read in the article:

First aid kit for workers

In the event of an accident at the enterprise, the employer, in accordance with Art. 228 of the Labor Code of the Russian Federation, is obliged to immediately organize first aid to the victim. The necessary stock of medical materials and devices should be stored at the enterprise in a specially designated accessible place. The acquisition, control of the expiration date and the correct use of these funds is the responsibility of a person appointed by the head of the organization. Knowledge is essential for him.

The composition of the first aid kit at the enterprise 2019

The set of required funds depends on the specifics of production. For example, for work at height, a typical accident would be a fall with fractures and internal injuries. Metallurgists and cooks can get extensive thermal burns. Chemical production workers - poisoning or chemical burns. Therefore, the kit should have a common standard base, supplemented by specific means.

Completing a first aid kit at the factory by Order 169n

Order of the Ministry of Health and Social Development of the Russian Federation of March 5, 2011 No. 169n was developed in accordance with the main provisions of the Labor Code of the Russian Federation. He established a complete list of necessary tools and devices.

Find the sample document on labor protection you need in the Reference system "Labor protection". Our experts have already prepared 2506 templates!

Order No. 169n was adopted to replace the previous Order of the Ministry of Health of the USSR dated July 22, 1969 No. 547 "On approval of a new range of medical kits."

Order on first-aid kits at the enterprise - sample

First of all, in order to equip the enterprise with these first aid equipment, it is necessary to issue an appropriate local order.

As the content is used up or expires, the responsible person must replenish the content. The expiration date is the sum of the expiration dates of the components indicated on the products themselves.

First-aid kits are stored at special sanitary posts, the creation of which is the responsibility of the employer (). Posts should be located in places of quick access for workers and be marked on the walls or doors - the sign "white cross on a green background" (). Their location should be indicated on the evacuation plan.

How many first aid kits should be in the organization

The quantity and completeness are established by the management of the organization together with a medical worker and an occupational safety specialist. There is no single quantity requirement. When determining it, one must proceed from the calculation - one unit for 40 people. Accurate information.

Register of first aid kit use (sample)

To record the use of first aid equipment in the enterprise, the responsible employee must keep an appropriate log. You can download the form of such a journal, developed by experts.