OCCUPATIONAL FIRST AID REQUIREMENTS

In this Division:

"attendant" means a first aid attendant who is designated by an employer to provide first aid to employees at a work place. and who holds a first aid certificate valid for that workplace;

"central first aid" means the location where first aid equipment and supplies for a workplace are kept;

"certificate" means a certificate issued to a first aid attendant after successful completion of a training course as taught and evaluated by a person authorized by the board and recognized by the chief inspecting engineer; "

"certificate endorsement" means an endorsement, issued by the board and recognized by the chief inspecting engineer, to the holder of a first aid certificate;

"ETV.. means an emergency transport vehicle as specified in sections 14.5.4.3 and 14.5.4.4;

"first aid" means the provision and use of the equipment, supplies, facilities, and services of an attendant as required by this Division;

"first aid facility" means a first aid room or dressing room;

"first aid kit" means the first aid equipment and supplies as specified in Tables 14.3 to 14.6;

"health care facility" means a hospital or other place where acute, intermediate or extended care services are provided;

"hospital" means a hospital or diagnostic and treatment centre that has an emergency department or resuscitation area and a physician on duty , or immediately available on call, 24 hours a day;

"industrial ambulance" means a vehicle as specified in sections 14.5.4.3 and 14.5.4.5

"injured employee" means an employee who reports an injury or illness during work;

"number of employees per shift" means the value, used in Tables 14.7 to 14.12 to determine first aid requirements;

"physician " means a person registered under the Medical Practitioners Act

"potential for delay" means the likelihood the transport of an injured employee to medical treatment may be delayed 15 minutes or more after the time the injured employee is ready to be transported;

"principal contractor" means a person who is not an employee of the railway but who contracts directly with the railway or the railway's agent to do work or furnish material, or both, on any work project, or to have such work done by others;

"qualified practitioner" means a person registered under the Chiropractor's Act, the Dentist's Act, the Naturopath's Act or the Podiatrist's Act;

"remote workplace" means a workplace which is located 2 hours or more surface travel time away from a hospital;

"surface travel time" means the normal time to safely transport an injured employee on a stretcher by land or water, having consideration for the weather, road conditions, traffic patterns and other factors which may affect travel and are likely to prevail during working hours;

"training agency" means a person or organization recognized by the board or the chief inspecting engineer to provide first aid instruction;

"train's crew" means the persons who operate a train between stations

Equipment and Services
14.5.1.1

(1) The first aid equipment, supplies, facilities and services specified in this Division are the minimum an employer shall supply and make readily accessible to employees during working hours.

(2) First aid equipment, supplies and facilities must be kept clean, dry and ready for use.

(3) First aid must be provided and maintained according to Tables 14.1, 14.2 , 14.3, and 14.4, unless this Division specified otherwise.

(4) An employee who is assigned to work alone, more than 20 minutes surface travel time from first aid supplied by the employer, must be provided with a personal first aid kit which contains;

1-pressure dressing;

6 -adhesive dressings, assorted sizes, individually packaged;

6- individually packaged toweletts; and

Wallet sized instruction card advising the employee to report any injury to the employer for entry in the first aid records, and instructions on how the employee is to call for assistance.

12-14 cm x 19 cm wound cleansing toweletts, individually packaged;

30- hand cleansing toweletts, individually packaged;

50 -sterile dressings, assorted sizes, individually packaged;

6- 10 cm x 10 cm sterile gauze dressings, individually packaged;

2- 10 cm x 16.5 cm sterile pressure dressings with crepe ties;

2 -20 cm x 25 cm sterile abdominal dressings, individually packaged;

4- cotton triangular bandages, minimum length of base 1.25 m;

2 -safety pins;

1 -stainless steel bandage scissors;

1 -11.5 cm stainless steel sliver forceps;

6- cotton tip applicators;

1 -2.5 cm x 4.5 m adhesive tape;

1 -7.5 cm x 4.5 m crepe roller bandage;

1 -pocket mask with a one-way valve (a pocket mask only is required if person is trained in its use);

6 -pair of latex or water proof gloves.

1 -instruction card advising employees to report any injury to the railway for entry in the first aid records, and how an employee is to call for assistance.

3 -blankets;

24- 14 cm x 19 cm antiseptic towelets, individually packaged;

60 -hand cleansing toweletts, individually packaged;

100 -sterile gauze dressings, individually packaged;

12- 10 cm x 10 cm sterile gauze dressings, individually packaged;

4 -10 cm x 16.5 cm pressure dressings with crepe ties;

2 -7.5 cm x 4.5 cm roller bandage;

1 -2.5 cm x 4.5 m adhesive tape;..

4- 20 cm x 25 cm sterile abdominal dressings, individually packaged;

6 -cotton triangular bandages, minimum length of base 1.25 m;

4 -safety pins;

1 -14 cm stainless steel bandage scissors;

1 -11.5 cm stainless steel sliver forceps ;

12 -cotton tip applicators;

1 -pocket mask with a one-way valve;

6- pair of latex gloves;

1 -first aid record book, pencil or pen.

3 -blankets;

24- 14 cm x 19 cm antiseptic toweletts, individually packaged;

150 -sterile adhesive dressings, assorted sizes, individually packaged;

12- 10 cm x 10 cm sterile gauze dressings, individually packaged;

4- 10 cm x 25 cm sterile abdominal dressings with crepe ties;

6- 20 cm x 25 cm sterile abdominal dressings, individually packaged;

12 -cotton triangular bandages, minimum base length of base 1.25 m;

2 -2.5 cm x 4.5 m adhesive tape;

2 -5 cm x 4.5 m adhesive tape;

3 -43 cm x 43 cm sterile 4-ply gauze dressings, individually packaged;

6 -7.5 cm x 4.5 cm crepe roller bandage;

1 -500 ml sterile 0.9% sodium chloride in unbreakable container;

1 -60 ml of liquid antibacterial soap in unbreakable container;

1 -universal scissors;

1 -12.5 cm stainless steel artery forceps;

1 -penlight or flashlight with batteries;

1 -7.5 cm x 4.5 m Esmarch gum rubber bandage;

6 -pair of latex gloves;

1 -portable oxygen therapy unit consisting of a cylinder (or cylinders) containing compressed oxygen, a pressure regulator, a pressure gauge, a flow metre and a partial rebreathing mask (may be kept in a separate container from the other supplies);

1 -pocket mask with a one-way valve (may be accompany the portable oxygen therapy unit); 1 -oropharyngeal airway kit (may accompany the portable oxygen therapy kit);

1 -manually operated self-inflating bag-valve mask unit with an oxygen reservoir (may accompany the portable oxygen therapy unit);

6 -patient assessment charts;

1 -first aid record book, and pencil or pen.

Level 3 first aid kit contains the same items required for a Level 2 kit and, in addition, one portable suction unit.

Other than blankets, these items must be kept in a container that can readily be taken to the scene of an injury .Where necessary to keep the items clean and dry the container must be weather-proof. Blankets must be readily available to the first aid attendant.

(5) Signs clearly indicating the location of, and how to summon first aid must:

(a) be posted conspicuously throughout the work area, and

(b) effectively communicate to the employees at the work area.

(6) Every employee must be made aware of the location of the first aid supplies for the work area and how to summon the attendant, if one is required by this Division.

Modification of the Application of a Requirement
14.5.1.2

The safety officer may modify the application of a section of this Division or substitute such alternative requirements as may be considered appropriate where, in the opinion of the safety officer, the circumstances of the work warrant such action.

First Aid Notices
14.5.1.3

(1) A notice outlining the authority of the attendant and the responsibility of the employer to report injuries must be conspicuously displayed in or near the first aid facility

(2) If no first aid facility is required at the place of employment, the notice must, where practicable, be conspicuously displayed in a suitable location in the work area.

Communication and Availability
14.5.1.4

(1) There must be an effective means of communication between the attendant and the work area to be served.

(2) There shall be an effective means for the attendant to call for additional assistance.

(3) An attendant must only be assigned duties that will not interfere with the ability to receive a request for first aid service.

(4) A Level 2 or 3 attendant must only be assigned duties that allow the attendant to promptly render first aid in a clean and sanitary condition.

First Aid Records
14.5.1.5

(1) The employer must maintain a record of all injuries and manifestations of disease reported or treated.

(2) Each entry or record must contain:

(a) the full name of the injured employee;

(b) the date and time of the injury or reported illness;

(e) a description of how the injury or illness occurred;

(f) a description of the nature of the injury or illness;

(g) a description of any subsequent treatment given for the same injury or illness; and

(h) the signature of the attendant or person giving first aid, and where possible, the signature of the employee receiving treatment.

(3) First aid records for an injury or illness shall be kept for at least 10 years.

Access to Records
14.5.1.6

(1) Access to first aid records is restricted to individuals requiring access for reasons of medical treatment, workplace inspection, accident investigation, claims processing and appeals, and for reasons relevant to the work area safety and health program, including the gathering of statistics

(2) First aid records must be available for inspection by a safety officer .

(3) Persons. with access to first aid records must keep confidential the information contained in the . records, except as required for the legitimate purpose of their access.

(4) On request, an employer must be given a copy of first aid records for any treatment or report pertaining to the employee.

General Requirements for First Aid Facilities
14.5.1.7

(1) A first aid facility must:

(a) be located as near as practicable to the work area or the area it is to serve;

`(b) be in a place and of a design that allows optimum ease of access for moving an employee requiring stretcher transport;

(c) be illuminated, heated and ventilated as required for an office as required by this Part;

(d) be clean and sanitary;

(e) have a sink plumbed with hot and cold running water;

(f) have a shower or shower facility as near as practicable, where showering may be required treatment for chemical exposure; and

(g) have a notice conspicuously displayed outside the door or in an area, indicating how to call and where to find the attendant.

(2) Smoking is not permitted in a first aid room or in a room containing a dressing station, and "NO SMOKING" signs must be conspicuously posted.

(3) A first aid facility may be used for purposes other than first aid, providing:

(a) there is no potential for delay;

(b) the facility is not a remote workplace;

(c) the minimum floor area required for first aid is maintained; and

(d) such use will neither impede the treatment of an injured employee nor pose a hazard to other employees.

Additional Requirements for Dressing Stations
14.5.1.8

In addition to the requirements of section 14.5.1.7 a dressing station must:

(a) be a room at least 1.8 meeters by 2.4 metres (6 by 8 feet), or be an equivalent area that can be curtained off to provide privacy during treatment, and

(b) have dressing station equipment as outlined in the following table:

3 -blankets;

6- expanded metal splints, minimum length 60 cm;

1 -refuse pail with lid;

1 -package of paper towels;

1 -bifocal magnifier with head strap, 12.5 cm focus;

1 -eye cup;

6 -safety pins;

1- 11.5 cm stainless steel sliver forceps;

1 -14 cm stainless steel bandage scissors;

1 -oral thermometer;

1 -nail brush;

1 -penlight or flashlight with batteries;

1 -pad of patient assessment charts;

1 -first aid record book, and a pen or pencil;

1 -150 ml liquid antibacterial soap;

4 -cold packs;

20 -tongue depressor

50 -cotton tip applicators;

2 -30 grant tubes water soluble burn treatment;

1 -100 ml liquid adhesive tape remover;

100 -sterile adhesive dressings, assorted sizes, individually packaged;

24 -sterile skin closures individually packaged;

6 -20 cm x 25 cm sterile abdominal dressings, individually packaged;

3 -30 cm x 40 cm sterile abdominal dressings, individually packaged;

4 -sterile eye pads;

3 -43 cm x 43 cm sterile four ply gauze dressings, individually packaged;

100 -7.5 cm x 7.5 cm sterile gauze sponges;

24 -7.5 cm x 7.5 cm sterile gauze dressings, individually packaged;

24- 10 cm x 10 cm sterile gauze dressings, individually packaged;

4 -7.5 cm x 4.5 m crepe roller bandage;

2 -10 cm x 16.5 cm sterile pressure dressings, with crepe ties;

1 -7.5 cm x 4.5 m adhesive crepe bandage; 2 -2.5 cm x 4.5 m adhesive tape;

2 -5 cm x 4.5 m adhesive tape;

1 -7.5 cm x 4.5 m Esmarch gum rubber bandage;

2- 5 cm x 1.8 m conforming gauze roller bandage;

2- 7.5 cm x 1.8 m conforming gauze roller bandage;

12 -cotton triangular bandage, minimum length of base 1.25 cm;

1 -NO1 -4.5 m tubular finger bandage with applicator;

1 -200 ml hydrogen peroxide solution;

1 -500 ml sterile 0.9% sodium chloride solution;

1 -kidney basin;

1 -wash basin;

1 -cold instrument sterilizer;

1 -4.5 litre non-rusting germicidal solution for instrument tray; and

1 -treatment chair .

Additional Requirements for First Aid Rooms
14.5.1.9

In addition to the requirements of section 14.5.1.7, a first aid room must

(a) be a room 9.3 square metres (100 square feet) in size;

(b) be designed to allow ready access to all treatment areas;

(c) have storage cupboards and a counter;

(d) have a non-porous floor covering;

(e) have a toilet, or have a toilet facility as near as practicable;

(f at a remote workplace, be equipped to provide reasonable overnight care for 2 injured employees and be used exclusively for first aid; and

(g) have first aid equipment as outlined in the following table.

3 -blankets;

1 -bed 2 m long x. 75 m wide and 75 cm high;

2 -pillows;

4 -sheets;

1 -refuse pail with lid

1 -package of paper towels;

1 -eye cup;

18 -safety pins;

2 -4.5 kg sand bags;

1 -11.5 cm stainless steel sliver forceps;

1 -15 cm stainless thin nosed plier-type forceps;

1 -14 cm stainless steel bandage scissors;

1 -universal scissors;

1 -oral thermometer;

1 -nail brush;

1 -penlight or flashlight with batteries;

1 -pad of patient assessment charts;

1 -first aid record book;

36- 14 cm x 19 cm antiseptic toweletts, individually packaged;

1 -150 ml liquid antibacterial soap;

1 -eye lamp, self illuminating, magnifying;

6- cold packs;

12 -expanded metal splints, minimum length 60 cm ;

50 -tongue depressors;

100 -cotton tip applicators;

2 -30 gram tubes soluble burn treatment;

1 -100 ml liquid adhesive tape remover;

150 -sterile adhesive dressings;

48 -sterile skin closures;

6- 20 cm x 25 cm sterile abdominal dressings, individually packaged;

6- sterile eye pads, individually packaged;

6- 30 cm x 40 cm sterile abdominal dressings, individually packaged;

6 -43 cm x 43 cm sterile 4-ply gauze dressings, individually packaged;

200 -7.5 cm x 7.5 cm gauze sponges;

72 -7.5 cm x 7.5 cm sterile gauze dressings, individually packaged;

72- 10 cm x 10 cm sterile gauze dressings, individually packaged;

6 -10 cm x 16.5 cm sterile gauze pressure dressings with crepe ties;

2 -2.5 cm x 4.5 m adhesive crepe bandage;

4 -2.5 cm x 4.5 m adhesive tape;

3 -5 cm x 4.5 m adhesive tape;

6 -7.5 cm x 4.5 cm crepe roller bandage;

1 -7.5 cm x 4.5 m Esmarch gum rubber bandage;

4- 5 cm x 1.8 m conforming gauze roller bandage;

4 -7.5 cm x 1.8 m conforming gauze roller bandage;

24 -cotton triangular bandage, minimum length of base 1.25 m;

2- #01 -4.5 m tubular finger bandage with applicator;

1 -200 mI 3% hydrogen peroxide solution;

2 -500 mI sterile .9% sodium chloride solution;

1 -kidney basin;

1 -wash basin;

1 -cold instrument non-rusting germicida1 solution for instrument tray;

1 -treatment chair; and

when overnight care may be required add one portable urinal and one bed pan.

Portable Oxygen Therapy Equipment
14.5.1.10

(1) When this Division requires a Level 2 or 3 attendant, portable oxygen therapy equipment must be available.

(2) The equipment required by subsection (1) must:

(a) be capable of supplying 15 litres per minute of oxygen, and

(b) contain enough oxygen to supply this rate from the time of initial application to the arrival at medical treatment, plus 15 minutes.

(3) Oxygen therapy equipment must meet the requirements of:

(a) CSA Z305.3 as amended from time to time;

(b) other standard acceptable to the board and/or safety officer .

(4) "NO SMOKING" signs or markings must be plainly visible on oxygen therapy equipment.

(5) Oxygen cylinders must be hydrostatically tested at least every 5 years and this test date marked on the cylinder .

(6) Unqualified persons must not refill oxygen cylinders.

Oxygen Powered Resuscitators
14.5.1.11

(1) An oxygen powered resuscitator may be used only in circumstances where an employee is injured and entrapped in a toxic atmosphere.

(2) An oxygen powered resuscitator must be:

(a) of a type meeting a standard acceptable to the board and/or safety officer;

(b) maintained and operated in accordance with the manufacturer's specifications; and

(c) operated only by a person instructed in the specific equipment to be used.

Drugs and Medication
14.5.1.12

(1) A first aid treatment area or kit must not contain prescription drugs or medications unless approved in writing by a physician or qualified practitioner .

(2) The storage, safe keeping and use of prescription drugs and medications must be in accordance with the written instructions given by the prescribing physician or qualified practitioner .

(3) Non-prescription drugs supplied by the employer must be under the control of the attendant or other authorized representative of the employer .

(4) Non-prescription drugs must be used in accordance with the drug manufacturer's recommendations or specific instructions from a physician or qualified practitioner .

(5) Each drug must be recorded in the first aid record, except as noted in subsection (6).

(6) Where the administration of a drug or medication to an employee is required for a condition that is not work-related, an entry into the first aid records must not be made unless requested by the employee.

Blood and Body Fluid Precautions
14.5.1.13

(1) To prevent accidental contact with blood or body fluids, the employer must make readily available to the attendant a pocket mask and latex or other waterproof gloves.

(2) The attendant must follow the blood and body fluid precautions of a standard acceptable to the board and/or safety officer.

(3) The employer must ensure that materials and equipment from an accident scene, first aid facility or transportation equipment which have been contaminated with blood or body fluids are clean or disposed of in a manner specified in a standard acceptable to the board and/or safety officer .

Remote Workplaces with Lodgings
14.5.2.1

At remote workplace, where lodging for employees is provided by the employer at or near the workplace, for the purpose of the application of Tables 14.5 to 14.10, the number of employees per shift includes all employees on shift and those in the lodging.

Passenger Rail Cars
14.5.2.2

(1) First aid supplies and equipment must consist of the following:

(a) every passenger train consisting of 5 passenger cars or less must be equipped with a stretcher and a trauma kit;

(b) a train consisting of more than 5 cars must be equipped with 2 stretchers and 2 trauma kits, one at each end of the passenger car consist, and

(c) the trauma kits must contain twice the first aid supplies specified in Table 14.3 and in addition must include four flashlights, 1 armband, 4 pocket masks with a one way -valves and 1 megaphone.

(2) Every passenger car must be equipped with first aid supplies specified in Table 14.3..

(3) The first aid supplies and equipment must be available to train and emergency crews.

Workplaces from which Employees are Dispatched
14.5.2.3

When determining first aid requirements for a central workplace from which employees are dispatched, for the purpose of the application of Tables 14.5 to 14.10, the number of employees per shift is calculated as:

(a) any employee present at the workplace for more than 50% of the shift, and

(b) one quarter of all employees at the workplace from 10 to 50% of the shift.

Multiple Employer Workplaces
14.5.2.4

In workplaces where there are employees of more than one employer:

(a) the principal contractor, or the principal's contractor's agent must ensure, first aid is provided and maintained;

(b) when there is no principal contractor, the owner or the owner's agent must ensure first aid is provided and maintained; and

(c) for the purpose of the application of Tables 14.5 through 14.10, the number of employees per shift includes all employees on shift at the workplace.

Additional First Aid for Separate Workplaces
14.5.2.5

A workplace located with 2 or more employees, located more than 20 minutes surface travel time from central first aid, is considered a separate workplace and must have first aid provided as required by subsection 14.5.1.1 (3).

Vehicles used for Transporting Employees
14.5.2.6

(1} An employee assigned to work alone in a highway .vehicle or alone in rail mounted equipment must be provided with a personal first aid kit as required by subsection 14.5.1.1 (4).

(2) A conveyance which transports 2 or more employees during the work shift, operating more than 20 minutes surface travel time central first aid, must have first aid provided according to Tables 14.9 or 14.10. and for the purposes of Tables 14.9 to 14.10, the number of employees in the conveyance is the number employees per shift.

(3) A conveyance which transports employees to or from a workplace, before or after a work shift. must have a first aid kit as follows:

(4) Subsections (1), (2) and (3) applies to vehicles and equipment owned by the employer or vehicles and equipment leased, hired or rented by the employer and use as work vehicles or equipment, to transport employees with railway tools and equipment between work sites and/or employee assembly sites.

(5) Subsection 14.5.2.6 (3) is not applicable to taxis or hired or leased vehicles used to transport train's crews between assembly sites and trains.

Additional First Aid when Ambulance Service is Restricted
14.5.2.7

A workplace requiring a Level 2 certificate in Tables 14.6, 14.8 and 14.10 must have the first aid attendant requirement upgraded to a Level 3 certificate and be provided with a level 3 kit and E TV equipment as outlined in Table 14.14 when:

(a) there is an obstruction on the access route to the workplace or other barrier likely to delay the arrival of an ambulance service for more than 20 minutes after it was dispatched; or

(b ) there are areas in the workplace which are not safely accessible to the ambulance service for which employees at the workplace are trained, equipped and capable of effecting rescue; or

(c) there is rough terrain or similar circumstances that will prevent the ambulance from accessing the workplace, in which case an E TV shall also be available.

Authority of First Aid Attendants
14.5.3.1

(1) The attendant is in complete charge of all first aid treatment of an injured or ill employee until:

(a) a place of medical treatment is reached, or

(b) the employee is passed to an ambulance service acceptable to the board and/or safety officer, or

(c) responsibility for treatment is accepted by an attendant with a higher level certificate, a physician, a registered nurse with a valid level 2 or 3 certificate, or a person licensed as an Emergency Medical Assistant Levell or higher by the B.C. Ambulance: Service under the Health Emergency Act.

(2) The decisions of an attendant relating to treatment or transportation must nol: be overruled, except

by persons listed in subsection (1) (c).

(3) When an employee reports to an attendant with an occupational illness or injury requiring first aid treatment, the attendant must not refer the employee back to work until the attendant is satisfied that the first aid treatment is complete.

(4) The attendant does not have the authority to overrule an employee's decision to seek, or the choice, of medical attention.

(5) When a committee is required in a workplace, and there is not already an attendant on the committee, the committee will include an attendant as a non-voting person if the committee agrees.

Availability of the Attendant
14.5.3.2

(1) An attendant must not undertake activities that will interfere with the ability to receive a request for first aid service.

(2) A Level 2 or 3 attendant shall only undertake activities that allow the prompl: rendering of first aid in a clean and sanitary condition.

Proof of Qualification
14.5.3.3

(1) The attendants certificate shall be shown to the employer or the employer's representative before the attendant begins employment.

(2) An attendant must have his or her certificate at the workplace and shall produce the certificate for inspection at the request of a safety officer .

(3) A photo copy or other reproduction of a certificate is not acceptable proof of certification.

Suspension of an Attendant
14.5.3.4

(1)A safety officer may suspend an employee for up to 7 calendar days from carrying out the functions of a first aid attendant, when in the opinion of the safety officer the attendant has discharged first aid duties in an unsatisfactory manner .

(2) A suspension under subsection ( 1) may be extended or revoked at the discretion of the safety officer .

(3) Written notice of the suspension will be given to the railway, the attendant and to the board.

(4) When a first aid attendant has been suspended by the safety officer, the attendant or the railway may appeal the suspension to the chief inspecting engineer .

(5) The board may suspend a certificate in accordance with section 27 of it's the Occupational First Aid Regulations.

Written Procedures
14.5.4.1

(1) Before operations begin at a workplace, the employer must develop written procedures for the transportation of injured employees, including employees requiring stretcher transport.

(2) Written procedures must address:

(a) who and how to call for transportation, and

(b) the prearrange routes in and out of the workplace and to the hospital or other place of medical treatment.

{3) Where. practical, the written procedures shall be posted conspicuously in a suitable location at the workplace

(4) The attendant and all other persons authorized to call for transport must be informed of the procedures.

Responsibility for Transportation
14.5.4.2

(1) The employer must provide and pay for the immediate conveyance and transportation of an ill or injured employee to the location of initial medical treatment of a work-related illness or injury .

(2) The employer's obligation under subsection (1) is to the nearest hospital, or to the nearest physician or qualified practitioner prepared to accept responsibility for the required treatment.

General Requirements for an E TV and Industrial Ambulance
14.5.4.3

(1) Smoking is not permitted in a conveyance when used for transporting an injured or ill employee.

(2) An emergency transportation vehicle (ETV) and an industrial ambulance must:

(a) be available for immediate use;

(b) be located where it will best serve the employees for whom it is provided;

(c) not driven by the attendant when driving may interfere with the required first aid treatment;

(d) be capable of traversing the roads or rails in the area in which it is intended to serve;

(e) be maintained in safe operating condition in accordance with the Ministry's standards;

(g) provide warmth sufficient for good care for the injured or ill employee and protection from natural elements and dust;

(h) have provision for effective voice communication between the driver and the attendant in the

treatment area of the vehicle;

(i) have a means for effective communication with the scene of an accident and with the hospital; and

j) have a plainly visible "NO SMOKING" sign posted.

Additional Requirements for an E TV
14.5.4.4

In addition to the requirements of section 14.5.5.7 an E TV must:

(a) not be used for any purpose which may delay transportation of an injured or ill employee;

(b) be capable of transporting at least one employee on a stretcher;

(c) have a means for restraining a stretcher and enough padding to prevent excessive jarring of

the injured employee; and

(d) contain E TV equipment as follows:

1 -set of hard adjustable cervical collars;

1-44 cm x 1.8 m x 2 cm spine board with hand holds, acceptable to the board or safety officer, and seven 1.8 m x 5 cm heavy Velcro straps or equivalent to secure an injured employee; "

1 -stretcher (Whenever an injured employee may require transport over rough terrain a basket stretcher or other carrying device acceptable to the safety officer or board must be used. The basket stretcher must have a spine board with handholds and retainer straps and a suitable mattress or padding.);

6 -blankets (3 of these blankets may be the blankets required with the Level 1, 2 or 3 kit at the workplace unless weather conditions at the workplace require more for the safe treatment or transport of injured employees, in which case suitable weather resistant protection may also be required.);

2 -vomitus bags.

When a Level 3 first aid attendant is required by this standard, add ;

1-set of splints, to include;

2-splints (1 cm x 10 cm x I m notched with 2.5 cm padding); and

1-splint (1 cm x 10 cm x 1.5 m notched with 2.5 cm padding)

Additional Requirements for an Industrial Ambulance
14.5.4.5

In addition to the requirements of section 14.5.4.3 an industrial ambulance must:

(a) be under the care and direction of the attendant;

(b) be used only for first aid treatment and transportation on injured or ill employees;

(c) be capable of accommodating at least 2 employees on stretchers; (d) have adequate interior lighting;

(e) have a minimum headroom of one metre (3.3 feet);

(f) contain a roll cot or basket stretcher properly secured and cushioned against excessive jarring; and

(g) contain industrial ambulance equipment as follows:

1-set of hard adjustable cervical collars;

1-44 cm x 1.8 m x 2 cm spine board with handholds, acceptable to the board or safety officer , and seven 1.8 m x 5 cm heavy Velcro straps or equivalent to secure an injured employee;

1-stretcher (When an injured employee may require transport over rough terrain a basket stretcher or other carrying device acceptable to the board or safety officer must be used. The basket stretcher must have a spine board with handholds and retainer straps and a suitable mattress or padding.);

6 -blankets (3 of these blankets may be the blankets required with the Level I, 2 or 3 kit at the workplace unless weather conditions at the workplace require more for the safe treatment or transport of injured employees, in which case suitable weather resistant protection may also be required.);

2- vomitus bags;

2 -sets of splints, to include;

2 splints (I cm x 10 cm x I m notched with 2.5 cm padding); and I splint (I cm x 10 cm x 1.5 m notched with 2.5 cm padding).

Water Transportation for Injured Employees
14.5.4.6

(1) When water transport is the primary or only method for transporting an injured or ill employee, arrangements must be made, before the start of work, for a suitable boat to be readily available during working hours .

(2) The boat shall:

(a) be equipped and operated in accordance with the requirements of this Part;

(b) meet the requirements of the Canadian Shipping Act; and

(c) be able to accommodate an employee on a stretcher and protect the employee from the elements.

Air Transport for Injured Employee
14.5.4.7

When air transport is the primary or only method for transp9rting an injured or ill employee,

(a) arrangements must be made with an air service, before the start of work, to ensure an appropriate aircraft will be reasonably available during working hour;

(b) a list of the radio frequencies to be used between the air carrier and the workplace, shall be included in the written procedures required by section 14.5.4.1;

(c) first aid equipment must be of a type suitable for the aircraft to be used; and

(d) when weather or other factors could unreasonably delay the use of aircraft, alternative transportation options must be provided, where practicable.

Note: Arrangements made with the BC Ambulance Service for the porvision of First Aid Air Transport services are acceptable, .provided that subsections (a) through (d) are complied with.

Accompanying an Injured Employee During Transport
14.5.4.8

An attendant may accompany an injured or ill employee being transported to medical treatment if the attendant considers it necessary .

Levels of Certification
14.5.5.1

Levels of certification and certification endorsements for an attendant are issued by the board (for the level of certification for train's crews see section 14.5.5.11)

Certification Process
14.5.5.2

(1) To qualify for a Level l certificate a candidate must successfully complete a Level l training course or its equivalent and be evaluated by a person authorized by the board.

(2) To qualify for an initial Level 2 or 3 certificate, a candidate must successfully complete a Level 2 or 3 training course or its equivalent, and achieve a grade of at least 70% on each written, oral and practical portions of the examination.

(3) The Level 2 and 3 written examinations must be conducted by a person authorized by the board or by an officer of the board.

(4) The Level 2 and 3 oral and practical examinations will be conducted by an officer of the board at such time and places as determined by the board.

(5) The medical certificate of fitness, required by subsection 14.5.5.4 (c), must be received and approved by the board before a Level 2 or 3 certificate is issued.

(6) To qualify for a certificate endorsement the candidate must hold a valid Level 2 or 3 certificate .and must successfully complete a board-developed training course or its equivalent.

Minimum Age Requirements
14.5.5.3

(1) To qualify for a Level 2 or 3 certificate, a person must be at least 16 years old.

(2) When a Level 2 or 3 attendant is required at a workplace the attendant must be at least 19 years old.

(3) Nothing in subsection (2) is intended to prevent a person under the age of 19 with a level 2 or 3 , certificate from providing first aid when under the supervision of the attendant at the workplace.

Eligibility for First Aid Examination
14.5.5.4

A candidate for examination leading to a certificate at Level 2 or 3 must:

(a) apply for examination and pro"vide the information requested on a form provided by the board;

(b) ensure the examination fee has been paid; and

(c) provide a medical form of fitness from a physician on a form provided by the board and every 2 years thereafter on renewal.

Duration of Certificate
14.5.5.5

(1) Certificate for Level l is for 2 years from the date of completion of a Level l training course or its equivalent.

(2) Level 2 and 3 certificates are valid for 2 years from the date of the examination.

(3) Certification endorsements are valid for 2 years or upon expiry of the Level 2 or 3 certificate, whichever comes first.

Extension to Certificates
14.5.5.6

(1) Extensions to certificates are granted only when :

(a) a course has not been available during the 3 months before the expiry of the certificate, or (b ) the attendant has been medically determined to be temporary disabled and Urul.ble to take the

renewal course or examination.

(2)

(a) requests for an extension must be made before the expiry date of the certificate held, and

(b) requests under clause (a) shall be made by the attendant, the employer, or an immediate prospective employer .

(3) Except as noted in section (4), the maximum extension allowed is 3 months beyond the expiry date of the certificate held.

(4) A person who is certified by the board as a first aid instructor for Level 2 or 3 course and is in good standing, on written request to the board, may be granted a 12 month extension to their current Level 3 certificate.

Renewal of Certificates and Endorsements
14.5.5.7

(1) To renew a certificate or certificate endorsement, a candidate must:

(a) for a Level 1 certificate, successfully retake the Level l course or its equivalent;

(b) for a Level 2 or 3 certificate, achieve a grade of at least 70% on each of their oral, written and practical portions of the examination; and

(c) for a certificate of endorsement, successfully retake the board's training course or its equivalent.

(2) A candidate for renewal of a Level 2 or 3 certificate may take the examination without taking the course or a refresher course for up to 2 years after the expiry of their certificate.

(3) If a candidate's certificate has expired for more than 2 years the candidate must retake the course or a refresher course before examination, unless the candidate is listed in clause (a) to (d) in subsection 14.5.5.9 (3).

Restriction or Denial or Certification
14.5.5.8

Level 2 or 3 certification may be denied or may be restricted based on the findings of a medical physician or on the performance of the candidate in the first aid examinations.

Restriction on Initial Level 3 Certification
14.5.5.9

(1) When a person has been issued a Level 3 certificate for the first time, the person is not eligible to renew the certificate for 12 months after the date of the initial certification.

(2) The holder of such certificate may only provide first aid in an " A " or "B" hazard classification when the holder is under the supervision of an unrestricted Level 3 attendant, and

(a) the workplace is remote, or

(b) there is a potential for delay in transporting an injured employee.

(3) Subsection (1) and (2) do not apply to a person who,

(a) is a medical practitioner in British Columbia;

(b) is a nurse registered or licensed in British Columbia;

Program Equivalency
14.5.5.10

(1) First aid programs offered by training agencies and approved by the board may be granted equivalency for Level 1 certification, qualification for certification endorsement, or a Level 2 or 3 examination provided the requirements of this standard are otherwise met.

(2) A person successfully completing an equivalent program will, upon application, be eligible for certification, certification endorsement or examination leading to certification provided the requirements of this standard are otherwise met.

(3) Only certificates and certificate endorsements, issued by the board, will be accepted as proof of certification or qualification at a workplace under this Part.

(4) Certificates with an endorsement issued by a training agency, acceptable to the safety officer, will be accepted as proof of certification or qualification under this Division.

Levels of Certification for Train's Crews
14.5.5.11

(1) A member of each freight train's crew must be certified to St. John's Ambulance Emergency First Aid Safety Oriented Certification (equivalent to the board's Occupational First Aid Level 1) a 3 year National Certificate.

(2) Each member of a passenger train's crew, and the train's service providers, must be certified to St. John's Ambulance Emergency First Aid Safety Oriented Certification (equivalent to the board's Occupational First Aid Level 1) a 3 year National Certificate.

(3) St. John's Ambulance Emergency First Aid Safety Oriented Certificates are valid for 3 years from the date of the successful completion of the training course.

(4) To qualify for a St. John's Ambulance First Aid Safety Oriented Certificate, a candidate must successfully complete the St. John Emergency First Aid course or its equivalent as taught by a person authorized by the chief inspecting engineer or board.

(5) Extensions to certificates shall be as permitted by subsections 14.5.5.6 (1).

(6) Renewal of certificates shall be as permitted by section 14.5.5.7.

(7) No member of a train's crew or a train's service provider, shall be required to have a transportation endorsement.

(8) First aid supplies and equipment must be provided in accordance with Table 14.3.

Note: Train crew's rules cards may be endorsed with proof that the employee is in compliance with this section.

Instructor Certification
14.5.6.1

(1) Instructors of Leve11 courses must be certified by the board.

(2) Instructors of Level 2 and 3 courses must be trained and certified by the board,

(3) Instructors of certificate endorsement must be certified by an agency who is also familiar with the requirements unique to the railway industry and is acceptable to the safety officer

Registration or Training Agencies
14.5.6.2

(1) Only a training agency registered with the board may conduct board-approved first aid courses.

(2) To register as a training agency, a person or organization must apply to the board and submit confirmation of registration as a training school with the Private Post Secondary Education Commission of the British Columbia Ministry of Education, if applicable, and must comply with the standards set by the board.

Class Size
14.5.6.3

(1) For Level 1 certificate training courses, and certificate endorsement training courses, the class size must exceed 12 students except with the permission of the board, and provided the instructor to student ratio does not exceed 1 to 12.

(2) For Leve12 or 3 training courses, the class size must not exceed 18 students.

Courses and Examinations
14.5.6.4

(1) A training agency must ensure first aid equipment and supplies required by the board are clean and ready for use in each class.

(2) A training agency must ensure board-developed or equivalency first aid courses are taught in accordance with training materials developed or approved by the board.

(3) Before conducting any approved course leading to Level I certification, certificate of endorsement or Level 2 or 3 examination by the board, a training agency must notify the board of its intention to conduct the course.

(4) Immediately following completion of a Level I certification training course or certificate of endorsement course the training agency must forward to the board, on behalf of each student registered in the course:

(a) a completed "Course Registration Form",.

(b) full payment of the appropriate certificate fees; and

(c) a completed "Certificate Record Booklet".

(5) In order for an examination to be scheduled for a Level 2 or 3 certificate training course, a training agency must forward to the board, on behalf of each student registered in the course:

(a) a completed "Course Registration Form", and

(b) a completed "Application for Examination Form"

(6) Before examination, the training agency must remit to the board full payment of examination fees

on behalf of each student.

(7) A training agency has the right to cancel a student's examination for default of tuition or examination payment and must provide the board with 2 working days notice of any student cancellation.

(8) A training agency must maintain an accurate record of the attendance and classroom achievement of registered candidates.

(9) For Level 2 and 3 courses, a training agency must provide, on or before the examination date, a copy of the record required by subsection (8) to the examining board officer .

(10) A training agency representative must be present at course updates as requested by the board.