First aid assessment builder — B.C. written first aid assessment

1

The workplace

One assessment per workplace, and per shift if your numbers change a lot between shifts. Sites more than 10 minutes apart, or split by a public road, are usually separate workplaces. Fields outlined in gold are required.

Employer *Shift name or time

Location assessed *

Date of this assessment *Documented by *Contact number (optional)

2

How many workers

The most workers present on a typical shift, including managers, supervisors, office staff and dispatch, whether or not they’re exposed to the hazards. Don’t count members of the public.

Full-time workers on site at the same time× 1

Part-time workers on site at the same time× 1

Part-timers who share a job and never overlap× ½

Dispatched workers within 10 min for at least half the shift× 1

Dispatched workers more than 10 min away for over half the shift× ¼

Transient workers (most likely here at once, e.g. drivers at loading bays)× 1

Work-from-home staff who come in (most at once)× 1

Workers present0

3

Hazard rating

WSBC rates every industry (classification unit, or CU) low, moderate or high. Your CU is on the rate letter WSBC sends each year.

Is this a separate administrative office, away from where the industry’s hazardous work happens? *

4

Remote? Less-accessible?

Is the workplace on a road a BC Ambulance can’t use?

Typical drive time from the nearest BC Ambulance station to the workplace (minutes) *

Travel time, not distance, during your normal working hours, from a station that’s open then. WSBC’s map of ambulance stations ↗

Tip: set your location in step 1 and we’ll show the nearest ambulance stations with a one-click drive-time check.

Could workers be in any of these areas? Group 1

Backcountry only reachable by ATV, snowmobile or similarOnly reachable by steep or slippery slopes or embankments without walkwaysPrivate, industrial or resource roads that can't be made accessible to BC AmbulanceRough or complex terrainSignificant risk of avalanche, landslide, flood or other natural hazardA ferry (workers in non-public areas)

…or any of these hazardous areas ambulance crews won’t rescue from? Group 2

Confined spaces or risk of entrapmentUnderground work areasExcavationsOnly reachable by ladders, scaffolds or temporary platformsHigh-angle work or unguarded fall hazardsDrowning hazard (work on or over water)Areas needing specialized PPE, or with hazardous atmospheresOther hazardous areas BC Ambulance crews won't enter

5

Your minimum requirements

Finish steps 2 to 4 and your minimums appear here.

6

What else does your workplace need?Only if it applies

The table is the floor. If your workplace needs more for injured workers to get first aid and transport promptly, it’s required too. Fill in only what applies to you; leave the rest blank.

Risks and hazards unique to this workplace, or not typical of your industryInjuries that have happened here or at similar workplacesBarriers that could slow a worker getting first aidEquipment needed to safely rescue workers from less-accessible areasKnown barriers to ambulance response or transport to hospital

7

Services provided, consultation and sign-off

The Schedule 3-A minimums above are provided at this workplaceAnything provided beyond the minimums (kits, supplies, facilities, attendants per shift, transport)

With your workers, consult your workers (e.g. at a crew meeting or toolbox talk) when you prepare and review this assessment.

Who was consulted *Date(s) of consultation *

The joint committee took part

Employer representative signing *Worker rep or committee member signing

Signatures go on the PDF. WSBC’s worksheet has no signature line; signing is our addition, and a good record that you consulted.

How will you sign it?