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INTEGRATED MANAGEMENT WORK INSTRUCTION

FOR
FIRST AID
Document No.: PGS-WI-HSE-15

Abstract
This work instruction will provide the basic steps and procedure to response medical emergency
situations. It specifies the minimum requirements for the provision of first aid services in case of
medical emergencies.

DOCUMENT REVIEW, APPROVAL AND REVISION

Reviewed by:

Prepared by:
TQMS-Management Representative

Revision:

Date: April 15, 2015

Uncontrolled document: when printed

QHSE Engineer

IMS-WORK INSTRUCTION/ POLICY


Title:

FIRST AID INSTRUCTIONS

Doc No.: PGS-WI-HSE-15

Rev No.: 0

Date: April 15, 2015

Page: 2 of 8

1. PURPOSE
1.1

Is to provide information on the roles and responsibilities of the various members of the PGS in
providing first aid or access to first aid equipment. It specifies the minimum requirements for the
provision of first aid services in case of medical emergencies.

2. SCOPE
2.1.

This policy applies on all responsible personnel of PGS subsidiaries and operational activities.

3. DEFINITION AND ACRONYMS


3.1.

First Aid: First Aid is the initial care provided to a casualty and is usually given by someone on the
spot. A person administering first aid is often not a qualified health care professional and is not
expected to perform the duties of one. People administering first aid are needed to provide immediate
assistance until a qualified health care professional arrives and takes control of the situation or the
casualty recovers.

3.2.

Casualty: means a person who has suffered an injury or sudden illness

3.3.

Emergency Management group: means a structured group of people employed within the PGS
subsidiaries and divisions that takes command in the case of an emergency affecting a PGS building,
warehouse, product factories, pending the arrival of the fire brigade or other emergency services.
REMEMEBER! Any attempt at providing first aid is better than no first aid at all.
A person providing assistance should:

Assess the situation quickly, check for danger;


Identify the nature of injury or illness as for as possible;
Arrange for emergency services to attend;
Manage the casualty appropriately and promptly;
Stay with the casualty until able to hand over to a health care professional; and
Give further help if necessary or as directed.

4. RESPONSIBILITIES AND AUTHORITIES


4.1.

It is the responsibility of QHSE to direct and administer the operational steps of this procedure.

4.2.

First aiders are to keep a log of all treatment provided and first aid equipment dispensed. Any First
aider who provides any first aid to a casualty must advise them that an Accident, Incident and Injury
report must be completed and given to their relevant supervisor.

4.3.

First aiders should endeavor to record as much information as possible for each injury. This
information is vital when handing-over the casualty to a health care professional.

5. DESCRIPTION OF FIRST AIDER ROLE


5.1.

A First Aider Role is:


Preserve life
Protect the unconcious casualty
Prevent the condition worsening
Promote recovery

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FIRST AID INSTRUCTIONS

Title:

Doc No.: PGS-WI-HSE-15

Rev No.: 0

Date: April 15, 2015

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Call for medical assistance


5.2.

Recognize life threatening activities:


When you approach the victim, go through the following steps to detect life threatening
emergencies:
Airway
Breathing
Circulation

5.3.

Check the scene for safety. If it is not safe for you to help, call an ambulance immediately.

5.4.

If it is safe, check the victims consciousness. If victim is unconscious,


Open the airway gently tilt the head back and lift the chin.
Check for breathing place your ear near the victims mouth.
Listen for breathing and look down the chest.
If the victims airway is open but he is not breathing, check his pulse.
Finally look for severe bleeding.

5.5.

5.6.

Cardiopulmonary resuscitation (CPR) is a procedure to support and maintain breathing and circulation
for a person who has stopped breathing (respiratory arrest) and/or whose heart has stopped (cardiac
arrest).
It should always be performed by the person on the scene who is certified and most experienced in
CPR.

6. BASIC FIRST AID INSTRUCTIONS


6.1.

MINOR WOUNDS
6.1.1.

Abrasions, Lacerations, Punctures and Incisions injury


Minor wounds include abrasions, lacerations, punctures and incisions. The most
significant issues to consider with any open wound are control of bleeding and infection.
Signs and Symptoms
Break, cut or opening in the
skin
Bleeding may be minor,
moderate or severe
Bruising and pain
Infection
Progressing shock

First Aid
If bleeding, apply direct pressure with
a clean cloth or absorbent pad.
Wash area with antibacterial soap and
clean until there appears to be no
foreign matter in the wound.
Cover area with an adhesive bandage
or gauze wrap.

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FIRST AID INSTRUCTIONS

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Doc No.: PGS-WI-HSE-15


6.1.2.

Rev No.: 0

Date: April 15, 2015

Bruising and Crush Injury


Bruising: Caused by broken blood vessels
leaking blood under the skin. Bruising can
be minimal or large and severe.

Crush Injury: Occurs when a body part is


subjected to a high degree of force or
pressure. Example: smashed fingers in
door.

Signs and symptoms

Signs and symptoms

Pain and swelling


Discoloration: new bruising will be
dark purple / older bruising will fade
to greenish yellow
First aid

Pain and swelling


Discoloration and sometimes
deformity

First aid

Apply ice to injury to reduce pain,


bleeding and swelling.
To prevent frost bite to the injured
area, place a thin towel or cloth
between the skin and ice. Limit ice
application to 20 minutes on, 20 off.

6.2.

Page: 4 of 8

Apply ice just as you would with


a bruising injury.
If pain is severe and does not
lessen with ice or there is
decreased sensation, weakness,
or paleness of the skin in the
affected area, seeks emergency
care.

SHOCKS
Shock develops when not enough blood flows to the vital organs of the body. Victims with shock may
stop responding. Common causes of shock are:

Severe bleeding
Heart attack or other heart problem
Severe allergic reaction
Nervous system injuries
Severe burns
Dehydration
Signs and symptoms
Dizziness, faint or weak feeling
Rapid, shallow breathing
Anxiety, restlessness, agitation,
or confusion
Cool and clammy to the touch
Pale or grayish skin
Thirst

First aid
Help person lie on their back
Keep victim lying flat with feet
slightly elevated if possible.
Cover person to keep him/her warm,
but prevent overheating.
Ensure an open airway for victim and
adequate breathing.
Monitor victim and administer CPR if necessary.

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Title:

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Date: April 15, 2015

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Nausea or vomiting

6.3.

SEVERE BLEEDING
Apply direct pressure
Rip or cut away clothing so
wound can be seen.
Place an absorbent pad directly
over the wound.
Apply firm, direct pressure over
the wound.
The victim can assist if they are
able.
If bleeding continues:
As the first dressings become
soaked with blood, apply more
pads, dressings and maintain
firm, direct pressure.
Do not remove the first
dressings; just continue to add
more if soaking through
continues.

6.4.

Apply pressure bandage


Wrap a conforming bandage securely
over the pad to maintain pressure and
hold the gauze in place.
Bandage should be loose enough so a
finger can slip under the bandage.

Managing shocks:
Ensure an open airway for the victim
and adequate breathing.
Keep the bleeding under control.
Prevent chilling or overheating.
Keep victim lying flat with feet slightly
elevated if possible.

BURNS: MINOR OR MAJOR


Minor burns:

Major burns:

Signs and symptoms

Signs and symptoms

Pain, Redness
Swelling, Blisters
First aid

Dry/leathery, white or blackened,


charred skin
First aid

Expose the burn.


Cool burns with cold water and
continue until pain lessens.
After cooling, cover with a dry,
sterile bandage or clean
dressing.
Protect from friction /pressure
DO NOT pop blisters or apply
any ointment or other

Assess/Alert/Attend to any life


threatening problems.
Call emergency number and Activate
EMS.
If caused by a liquid chemical, flush
with large amounts of water right
away if you are fully trained in First
Aid.

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FIRST AID INSTRUCTIONS

Title:

Doc No.: PGS-WI-HSE-15

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Date: April 15, 2015

Page: 6 of 8

substance.

6.5.

BITES AND STINGS


Signs and symptoms

6.6.

First aid

Redness
Swelling
Pain
Itching
Nausea
Problems breathing

EYE INJURIES
Signs and symptoms

6.7.

Remove jewelry and constrictive


clothing
Wash the area with soap and clean
water
Cover the area with an adhesive
bandage or gauze wrap
Apply ice if needed to reduce pain
and swelling

First aid

Pain, redness, stinging


Burning, itching
Bleeding/bruising in or around eyes
Sensitivity to light
Decreased or double vision
Loss of vision
Something actually visibly stuck in eye

Rinse eye with saline solution or tap


water if saline is not available.
Do not try to remove object.
Do not allow the victim to rub or
apply pressure to the injured eye.
Cover the eye lightly with a gauze
pad or clean cloth
Seek medical attention.

NOSE BLEEDING

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Title:

FIRST AID INSTRUCTIONS

Doc No.: PGS-WI-HSE-15


Signs and symptoms
to monitor

Rev No.: 0

Date: April 15, 2015

Page: 7 of 8

First aid interventions


Sit upright and lean forward. By remaining upright, you reduce blood
pressure in the veins of your nose. This discourages further bleeding.
Sitting forward will help you avoid swallowing blood, which can
irritate your stomach. Have the victim spit out blood that collects in
the back of the throat or mouth.
Pinch the nose firmly. Use your thumb and index finger to pinch your
nostrils shut. Breathe through your mouth. Continue to pinch for 5 to
10 minutes. Pinching sends pressure to the bleeding point on the
nasal septum and often stops the flow of blood.
To prevent re-bleeding, don't pick or blow your nose and don't bend
down for several hours after the bleeding episode. During this time
remember to keep your head higher than the level of your heart.

Bleeding in the
back of the
throat, causing
the victim to
vomit blood
Bleeding from one
or both nostrils

7. REFERENCE
7.1.

Quality Management System Manual

7.2.

ISO 9001:2008

7.3.

ISO 14001: 2004

7.4.

BS OHSAS 18001:2007

8. ASSOCIATED DOCUMENTS
SNo.

Document no

Document Title

7.1

PGS-FM-HSE-14

First aid accident investigation report

7.2

PGS-FM-HSE-13

Accident investigation report

9. RECORD RETENTION TABLE


Identification

Storage

PGS-FM-HSE-14

HSE office

PGS-FM-HSE-13

HSE office

Retention

Disposition

10. REVISION HISTORY


REVISION HISTORY
REV
NO
0

REV DATE
April 15, 2015

DETAIL
Page
Para
Nil

Nil

DESCRIPTION OF CHANGE
Initial Issue for implementation

11. APPENDICES

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Protection

IMS-WORK INSTRUCTION/ POLICY


Title:

FIRST AID INSTRUCTIONS

Doc No.: PGS-WI-HSE-15

Rev No.: 0

Date: April 15, 2015

None

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