LLC "XXX"

Yekaterinburg city "____" April 2012

ORDER No. ____

About provision of equipment

first aid kits for first aid

assistance to employees

In order to provide medical and preventive services to workers,

I ORDER:

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

2 Chief engineer Ivanov I.I. ensure the availability of sanitary posts with first aid kits in production workshops. Deadline: April 15, 2012

3 Heads of workshops Sidorov I.I., Petrov I.I. fill out applications for the purchase of Products for the purpose of completing first aid kits in accordance with Appendix No. 1. Deadline: April 10, 2012

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

5 Heads of workshops Sidorov I.I., Petrov I.I. equip first aid kits with Products in strict accordance with the composition specified in Appendix No. 1. Term – within 1 day from the moment the medicines arrive at the warehouse.

6 To the heads of workshops - when the Products are used or expired, immediately replenish the first aid kit.

7 Control over the implementation of this order is assigned to the chief engineer I.I. Ivanov.

Director S.S. Chiefs

Appendix No. 1

Providing first aid kits with medical products to provide first aid to workers

Application. Requirements for equipping first aid kits with medical products to provide first aid to workers

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

Registration N 20452

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

It has been determined how a first aid kit should be equipped 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 membrane. Adhesive plaster (bactericidal and roll). Sterile gauze wipes. A device for artificial respiration or a pocket mask for artificial ventilation. Sterile alcohol antiseptic wipes. Scissors for cutting Lister dressings. Non-sterile medical examination gloves. Isothermal rescue blanket. Medical non-sterile 3-layer mask made of non-woven material with elastic bands or ties. Steel safety pins with spiral. Recommendations with pictograms for the use of medical products from the first aid kit. Sanitary bag or case. Tear-off notepad for notes. Pen.

Employers must establish posts or aid stations where workers can receive first aid. On January 1, 2012, an order of the Ministry of Health came into force with a list of products that every company and every individual entrepreneur must have in such places.

First aid kit (order 169 n) contains:

• several types of bandages of different widths;
• three types of adhesive plasters;
• tourniquet to stop bleeding;
• dressing package;
• special napkins of two different types;
• gloves;
• medical masks and artificial respiration devices;
• special double-sided bedspread;
• bag, pins, scissors, notepad, pen.

Officials specified in detail the quality and quantity of products that should be available, their sizes and features. In addition, the set contains pictures (pictograms) explaining the rules for providing first aid to victims.

Mandatory minimum

Note that the above is the minimum set. At manufacturing enterprises it can be significantly higher. For example, according to the Sanitary Rules for machine shops (metal cutting), this list is supplemented by validol, analgin, brilliant green, and aspirin. And according to the Labor Safety Rules in seaports - iodine, hydrogen peroxide and ammonia. Thus, you need to remember when saying “industrial first aid kit (according to order 169n)” - its composition may differ. Employers are allowed to include what is needed, but replacing mandatory medications required by the Ministry of Health or relevant departments is unacceptable. You can also buy ready-made kits, produced taking into account the mandatory and most popular drugs.

Many are also interested in the question of how many first aid kits a company should have. Obviously, one set for a team of 100 people is not enough. Therefore, we must proceed from real needs. In addition, certain standards are prescribed in sectoral legislative acts. Thus, according to the Safety Rules for Mining Operations, first aid kits of medical products must be available at every site or workshop, in workshops and sanitary premises, and in transport. And the Sanitary Rules for Freight Transportation on the Railroad say that they must be placed at every workplace.

Another important point is checking the contents and expiration dates. Industry regulations may stipulate a certain frequency for checking drug stocks, but this is not always established. Therefore, if a company has a minimum set of products, the first aid kit should be replenished after each use. There is nothing to say about the expiration date - all medicines and drugs must be changed after they become outdated.

Separately, it should be said that “SNiP 2.09.04-87. Administrative and service buildings" requires the creation of medical stations if the enterprise employs from 50 to 300 people. If there are even more employees, then the employer should set up a paramedic or medical health center. In this case, it is not enough to study the order of the Ministry of Health 169n: the list of first aid kits according to SanPiN is determined in each specific case. In addition, the list of required medications will have to be agreed upon with a health care provider.

Responsibility for absence

Since an incomplete first aid kit or its absence is a violation, the employer may be punished for such violations in accordance with Art. 5.27.1 Code of Administrative Offenses of the Russian Federation. According to it, the fine for individual entrepreneurs and officials ranges from 2,000 to 5,000 rubles. Organizations can be forced to pay 50,000-80,000 rubles.

A first aid kit should be available in any crowded place. This is a necessary measure for labor protection. If a person is injured, a first aid kit can provide assistance. Article 223 of the Labor Code of the Russian Federation states that medical care for employees is guaranteed by the employer. That is, a first aid kit must be placed at the enterprise. Its composition is established by regulations.

First aid kit contents

The equipment requirements are established by order of the Ministry of Health and Social Development No. 169n dated March 5, 2011. These are the following categories:

• Products to stop bleeding. In particular, this is a tourniquet that stops bleeding, non-sterile bandages for 5, 10 and 14 cm, sterile bandages for 7, 14 and 10 cm (the last two bandages must be purchased in quantities of two pieces). You will also need a dressing bag, gauze wipes 16 by 14 cm, adhesive plasters 4 by 10 cm (2 pieces) and 1.9 by 7.2 cm (10 pieces). You need a roll of adhesive plaster 1 x 250 cm.
• Cardiopulmonary resuscitation equipment. The manager needs to purchase an instrument for artificial respiration or a mask for pulmonary ventilation in the amount of one piece.
• Other products. You need Lister's bandage scissors, antiseptic wipes 12.5 by 11 cm (5 pieces), non-sterile examination gloves (2 pairs), three-layer non-sterile masks with ties (2 pieces). You also need to purchase an isothermal blanket 160 by 210 cm or more (1 product).
• Other means. You will need safety pins made of steel with a 38 mm spiral (3 pieces), a sanitary bag, a fountain pen in accordance with GOST 28937-91, an A7 notebook for taking notes, a book with instructions for using tools and providing assistance.

The second paragraph of the Equipment Requirements indicates cases in which it is necessary to purchase additional components of the first aid kit. In particular, these are the following situations:

• The expiration date of one or another product.
• Items are used up.

IMPORTANT! The first aid kit cannot contain medications for treatment. They can be purchased only when the organization has a license to conduct medical activities.

Features of using a first aid kit

The number of first aid kits at the enterprise is regulated by Rostrud letter No. PG/8351-3-5 dated November 7, 2012. In particular, the regulation states that the number of first aid kits is determined by the employer himself. The quantity depends on the specifics of the company’s activities and staff. The employer must formalize its decision in a local act. The manager is obliged to issue orders regulating the following aspects:

• The person responsible for storage and disposal.
• The composition of the medical suitcase, if the list given in Order No. 169n does not meet the specifics of the enterprise.
• Storage.
• Control over the first aid kit.

Article 212 of the Labor Code of the Russian Federation states that the employee responsible for the first aid kit must be trained to provide assistance. The manager needs to draw up additional documents. This is a logbook for registering the use of a first aid kit and instructions.

Additional equipment for the first aid kit

For a number of areas of activity, auxiliary composition requirements have been approved. They are prescribed in sanitary regulations: SanPiN, SP. They may also be contained in industry documents. For example, an enterprise specializing in working with metal should have validol, analgin, and Zelenin drops in its first aid kit. The corresponding list is contained in Appendix 8 of the joint venture for mechanical shops No. 5160-89 dated December 7, 1989, approved by the Chief Sanitary Doctor.

Printing industries also need to purchase additional funds.

Printing industries also need to purchase additional funds. In particular, the first aid suitcase should contain tires, iodine, baking soda, hydrogen peroxide, and ammonia.

Only those drugs that can be used without a doctor's prescription are purchased.

Plate shops need neutralizing solutions. They are useful for acid and alkali burns. The person responsible for additional equipment is the head of the workshop or section.

Pulp, paper and wood chemical entities must have in their first aid kit all medications that may be required to provide assistance. The list of additional drugs is approved either by representatives of the medical unit or by the health center. The corresponding rule is given in paragraph 1.333 of the Labor Safety Rules for pulp, paper and wood chemical enterprises dated June 6, 1997.

IMPORTANT! Replenishment should be carried out if there are valid grounds for this. The corresponding decision is fixed in the collective agreement.

Features of storing first aid kits

When storing first aid kits, you need to remember that their main function is to provide first aid. Therefore, they must be easily accessible. For example, a suitcase can be stored on walls and doors. It is necessary to indicate where medical supplies are stored. The location of their storage is indicated by a white cross on a green background.

ATTENTION! If the number of employees is 50-300 people, the employer needs to organize a medical center. If the number exceeds 300 people, paramedic health centers are created. First aid kits will also be stored there.

Proper disposal of first aid kit contents

Disposal is carried out after the expiration date of medicines. Its procedure is not regulated by separate regulations. Drugs and medical supplies can be disposed of in accordance with Federal Law No. 89 of June 24, 1998 “On Industrial Waste”.

What happens if there is no first aid kit?

The absence of a first aid kit is a violation of labor protection. This is an administrative violation. Responsibility is imposed on the employer on the basis of Part 1 of Article 5.27 of the Code of Administrative Offenses of the Russian Federation. The penalty is a fine:

• 1,000-5,000 rub. – for officials and individual entrepreneurs.
• 30,000-50,000 rub. – for YUL.

If a violation is discovered during an inspection by Rospotrebnadzor, liability is imposed on the basis of Article 6.3 of the Code of Administrative Offenses of the Russian Federation:

• 500-1,000 rub. – for officials and individual entrepreneurs.
• 10,000-20,000 rub. – for YUL.

In case of a serious violation (for example, many people work at the enterprise, but there is no first aid kit), the company’s activities may be suspended for 3 months.

Basic rules for providing first aid

The responsible employee must know the rules of first aid. It will be provided using funds from the first aid kit:

• You need to wear special gloves to provide assistance. If the problem is an infectious disease, you need to wear a mask.
• If blood pressure begins, you need to apply a tourniquet. A note about the timing of application should be in the first aid kit.
• If you need to perform artificial ventilation, you should use a medical mask.
• If an employee has a wound, sterile napkins are applied to it. Then a bandage and bandage are used.
• If microtraumas are detected, a bactericidal adhesive plaster is used.
• If biological fluid (blood, saliva, etc.) gets on the skin of the person providing assistance, it is removed with an antiseptic wipe.
• An isothermal blanket is needed to prevent hypothermia.

The manager must ensure that the enterprise has detailed instructions on providing first aid.

Municipal educational institution

Timsheri Secondary School

02/20/2017 No. 93

About the first aid kit

In pursuance of the requirements of Article 223 of the Labor Code of the Russian Federation and in accordance with Order of the Ministry of Health and Social Development of the Russian Federation dated March 5, 2011 No. 169n “On approval of the requirements for equipping first aid kits with medical products for providing first aid to school employees and students”

I order:

1. Create a first aid kit at the Timsher Secondary School to provide first aid to employees and students.

2. Determine the storage location for first aid kits for employees and students - the school’s medical office.

3. School caretaker E.A. Kamysheva organize the work:

1) to complete the first aid kit for providing first aid to employees and students in accordance with Appendix No. 1 to this order;

2) on the preparation of brief instructions with pictograms (easy-to-read pictures) on the use of medical products and first aid kits to provide first aid to workers in accordance with the recommendations approved by paragraph 4 of the Appendix to the Order of the Ministry of Health and Social Development of the Russian Federation dated March 5, 2011 No. 169n “On approval of the requirements for equipping first aid kits with medical products for providing first aid to employees” in accordance with Appendix No. 2;

4. Assign E.A. Kamysheva, the school caretaker, to be responsible for completing the first aid kit for providing first aid to school employees and students.

5. Kamysheva E.A., school caretaker, check the completeness and condition of the first aid kit at least once a quarter and reflect the inspection results in the inspection log.

6. I reserve control over the execution of the order.

Director _____________________ Parshukova N.A.

Familiarized:

Approved by order

Municipal Educational Institution of Timsher Secondary School

from 02/20/2017 No. 93

(Appendix No. 1)

Composition of a first aid kit for providing first aid to workers

Name of medical products

Regulatory document

Release form (dimensions)

Quantity (pieces, packages)

Medical products for temporarily stopping external bleeding and dressing wounds

Hemostatic tourniquet

GOST R ISO 10993-99

GOST 1172-93

Non-sterile medical gauze bandage

GOST 1172-93

Non-sterile medical gauze bandage

GOST 1172-93

GOST 1172-93

Medical gauze bandage sterile

GOST 1172-93

Medical gauze bandage sterile

GOST 1172-93

Individual sterile medical dressing bag with a sealed shell

GOST 1179-93

Sterile medical gauze wipes

16 x 14 cm No. 10

Bactericidal adhesive plaster

GOST R ISO 10993-99

4 cm x 10 cm

Bactericidal adhesive plaster

GOST R ISO 10993-99

At least 1.9 cm x 7.2 cm

Rolled adhesive plaster

GOST R ISO 10993-99

1 cm x 250 cm

Medical products for cardiopulmonary resuscitation

Device for artificial respiration "Mouth - Device - Mouth" or pocket mask for artificial respiration "Mouth - mask"

GOST R ISO 10993-99

Other medical products

Lister bandage scissors

GOST 21239-93 (ISO 7741-86)

Antiseptic wipes made of paper textile-like material, sterile alcohol

GOST R ISO 10993-99

At least 12.5 x 11.0 cm

Medical non-sterile gloves, examination

GOST R ISO 10993-99

GOST R 52239-2004

Size no less than M

Non-sterile medical mask, 3-layer, made of non-woven material with elastic bands or 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 means

Steel safety pins with spiral

Case or sanitary bag

Tear-off notepad for notes

GOST 18510-87

GOST 28937-91

Note:

A first aid kit for providing first aid to employees must be equipped with medical products registered in the prescribed manner on the territory of the Russian Federation.

Approved by order

Municipal Educational Institution of Timsher Secondary School

from 02/20/2017 No. 93

(Appendix No. 2)

Pictograms

on the use of medical products, first aid kits for workers

In case of arterial bleeding from a large (main) artery, press the vessel with your fingers. At the points of pressure, apply a hemostatic tourniquet (item 1 of the First Aid Kit) above the site of injury, indicating in the note (items 22 - 23 of the First Aid Kit) the time of application of the tourniquet. Applyonwound pressure (tight) bandage (items 2 -12 of the first aid kit);

If the person receiving first aid does not have spontaneous breathing, perform artificial respiration using a device for artificial respiration "Mouth - Device - Mouth" or a pocket mask for artificial ventilation of the lungs "Mouth - Mask" (clause 13 of the composition of the first aid kit);

If there is a wound, apply a pressure (tight) bandage using sterile napkins (clause 9 of the First Aid Kit Contents) and bandages (clauses 2-7 of the First Aid Kit Contents) or using a sterile dressing bag (clause8 Contents of the first aid kit).

Atabsencebleeding from the wound and the inability to apply a pressure bandage, apply a sterile napkin to the wound (item 9 of the first aid kit) and secure it with an adhesive plaster (item 12 of the first aid kit). For microtraumas, use a bactericidal adhesive plaster (item 10-11 Contents of the first aid kit);

If biological fluids of persons receiving first aid come into contact with the skin and mucous membranes of the person providing first aid, use antiseptic wipes made of paper textile-like material and alcohol (clause 15 of the composition of the first aid kit);

Spread out an isothermal rescue blanket (clause 18 of the first aid kit) (silver side towards the body to protect against hypothermia; golden side towards the body to protect against overheating), leave the face open, bend the end of the blanket and secure it.