Order on the appointment of a person responsible for the first-aid kit. What should be the first aid kit in the organization

A first aid kit should be in any place of mass congestion of people. This is a necessary measure for labor protection. If a person is injured, a first aid kit can be used to help. Article 223 of the Labor Code of the Russian Federation states that it is the employer who guarantees the medical care of employees. That is, a first-aid kit should be placed at the enterprise. Its composition is established by regulations.

The composition of the first aid kit

The requirements for the configuration are established by order of the Ministry of Health and Social Development No. 169n of 03/05/2011. 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 the amount of two pieces). You will also need a dressing bag, gauze pads 16 by 14 cm, adhesive plasters 4 by 10 cm (2 products) and 1.9 by 7.2 cm (10 pieces). You need a roll adhesive plaster 1 x 250 cm.
  • Funds for the implementation of cardiopulmonary resuscitation. The manager needs to purchase an instrument for artificial respiration or a mask for pulmonary ventilation in the amount of one piece.
  • Other products. Need scissors for Lister dressings, antiseptic wipes 12.5 by 11 cm (5 pieces), non-sterile gloves for examination (2 pairs), non-sterile masks of three layers 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, a notepad for keeping notes in A7 format, a book with instructions for using tools and providing assistance.

In the second paragraph of the Requirements for the complete set, cases are indicated in which it is necessary to purchase components of the first-aid kit. In particular, these are the following situations:

  • The expiration date of one or another means.
  • Products are used up.

IMPORTANT! Medicines for treatment cannot be in the first-aid kit. 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 the letter of Rostrud No. PG / 8351-3-5 of November 7, 2012. In particular, the regulation states that the number of first aid kits is determined by the employer. The number depends on the specifics of the company's activities, staff. The employer must fix his decision in local act. The head 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.
  • Pharmacy control.

Article 212 of the Labor Code of the Russian Federation states that the employee responsible for the first aid kit must be trained in providing assistance. The manager needs to draw up additional documents. This is a first-aid kit use log, instructions.

Additional equipment of the first-aid kit

For a number of activities, auxiliary requirements for the composition have been approved. They are spelled out 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 medicine cabinet. The corresponding list is contained in Appendix 8 of the Joint Venture for machine shops No. 5160-89 of December 7, 1989, approved by the Chief Sanitary Doctor.

Additional funds need to be purchased for printing industries.

Additional funds need to be purchased for printing industries. In particular, tires, iodine, baking soda, hydrogen peroxide, ammonia should be present in the first aid suitcase.

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

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

Pulp and paper and wood chemical entities should have in their first aid kit all the medicines that may be required for 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 Rules on labor protection for pulp and paper and wood-chemical enterprises dated 06/06/1997.

IMPORTANT! Completion should be carried out if there are valid reasons 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 freely accessible. For example, a suitcase can be stored on walls, doors. It is necessary to indicate where the medical supplies are stored. Their storage location 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, feldsher health posts 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 the medicines. Its procedure is not regulated by separate normative acts. It is possible to dispose of drugs and medical devices in accordance with the Federal Law No. 89 of 06/24/1998 "On production waste".

What happens if there is no first aid kit

Lack 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 rubles - for officials and IP.
  • 30,000-50,000 rubles - for YL.

In the event that 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 rubles - for officials and individual entrepreneurs.
  • 10,000-20,000 rubles - for YL.

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

Basic rules for providing first aid

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

  • It is necessary to provide assistance in special gloves. If the problem is infectious disease required to wear a mask.
  • If blood pressure has begun, a tourniquet must be applied. A note on the timing of the imposition 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 wipes are applied to it. Then a bandage and bandage is used.
  • If microtraumas are found, a bactericidal adhesive plaster is applied.
  • If a biological fluid (blood, saliva, etc.) has got on the skin of a person providing assistance, it is removed with an antiseptic wipe.
  • An isothermal blanket is needed to prevent hypothermia.

The manager needs to make sure that the company has detailed instructions about first aid.

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 must be open access 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. IN small organization one copy can be kept. Large companies Several first aid kits are needed. 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.

Municipal educational institution

Timsher average comprehensive school

20.02.2017 #93

About the first aid kit

Pursuant to the requirements of Article 223 of the Labor Code Russian Federation and in accordance with the Order of the Ministry of Health and social development of the Russian Federation dated March 05, 2011 No. 169n “On approval of the requirements for completing first aid kits with medical products for first aid for school employees and students”

order:

1. To form a first aid kit in 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 - a room medical office schools.

3. The manager of the school Kamysheva E.A. organize work:

1) on completing a 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 first-aid kit medical products for providing first aid to employees 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 05, 2011 No. 169n "On approval of the requirements for completing first aid kits with medical products for providing first aid to employees" in accordance with Appendix No. 2;

4. Appoint Kamysheva E.A., the school supply manager, responsible for completing the first aid kit for first aid to school employees and students.

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

6. I reserve control over the execution of the order

Director _____________________ Parshukova N.A.

Familiarized:

Approved by order

MOU Timsher secondary school

from 20.02.2017 #93

(Appendix No. 1)

The composition of the first aid kit for providing first aid to workers

Name of medical devices

Regulatory document

Release form (dimensions)

Quantity (pieces, packages)

Medical devices for temporary control of external bleeding and wound dressing

Hemostatic tourniquet

GOST R ISO 10993-99

GOST 1172-93

Medical gauze bandage, non-sterile

GOST 1172-93

Medical gauze bandage, non-sterile

GOST 1172-93

GOST 1172-93

Sterile medical gauze bandage

GOST 1172-93

Sterile medical gauze bandage

GOST 1172-93

Dressing bag medical individual sterile with airtight sheath

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

Adhesive plaster roll

GOST R ISO 10993-99

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 10993-99

Other medical products

Lister dressing scissors

GOST 21239-93 (ISO 7741-86)

Sterile alcohol wipes made of paper textile-like material

GOST R ISO 10993-99

At least 12.5 x 11.0 cm

Non-sterile medical gloves, examination

GOST R ISO 10993-99

GOST R 52239-2004

Size at least M

Medical mask, non-sterile, 3-layer 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

Case or sanitary bag

Notepad for notes

GOST 18510-87

GOST 28937-91

Note:

A first aid kit for providing first aid to employees is to be completed with medical devices registered in accordance with the established procedure on the territory of the Russian Federation.

Approved by order

MOU Timsher secondary school

from 20.02.2017 #93

(Appendix No. 2)

Pictograms

on the use of medical products first aid kits for employees

When providing first aid, perform all manipulations with medical gloves (clause 16 of the composition of the first-aid kit). If there is a threat of the spread of infectious diseases, use a medical mask (clause 17 of the composition of the first-aid kit);

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

If the person receiving first aid does not have spontaneous breathing, carry out artificial respiration using the 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 (p. 9 of the first-aid kit) and bandages (p. 2-7 of the first-aid kit) or using a sterile dressing bag (p.8 The composition of the first aid kit).

Atabsencebleeding from the wound and the inability to apply a pressure bandage, apply a sterile napkin to the wound (clause 9 of the first-aid kit) and fix it with adhesive tape (clause 12 of the first-aid kit).11 The composition of the first aid kit);

In case of contact with the skin and mucous membranes of the biological fluids of the persons providing first aid, to whom the first aid is provided, use alcohol antiseptic wipes made of paper textile-like material (clause 15 of the composition of the first-aid kit);

Spread a rescue isothermal cover (clause 18 of the composition of the first-aid kit) (silver side to the body to protect against hypothermia; gold side to the body to protect against overheating), leave the face open, bend the end of the cover and fasten it.

The employer is obliged, in accordance with Article 223 of the Labor Code of the Russian Federation, to provide sanitary and household and medical and preventive services to employees, including the creation of sanitary posts with first aid kits.

Despite all precautions, unfortunately, sad situations occur. First health care employees injured at work is one of the main elements of labor protection in any organization. Hazardous industries have their own rules and requirements for sanitary posts and first aid kits.

Starting from January 01, 2012, first aid kits must comply with the requirements approved by the Order of the Ministry of Health and Social Development of Russia dated March 05, 2011 No. 169n “On Approval of the Requirements for Completing First Aid Kits with Medical Products for Providing First Aid to Employees” (hereinafter - Order No. 169n).

Any organization, regardless of its legal form and areas of activity, must have a first aid kit.

Who acquires, is responsible for maintaining and stores the first aid kit?

By order of the organization, it is necessary to appoint an employee who will purchase, store the first-aid kit and be responsible for its contents. These functions can be assigned to an employee of the organization who has been trained in providing first aid to victims at work.

Person responsible for the first aid kit:

  • draws up applications for the purchase of medical devices;
  • replenishes its contents in a timely manner (as it is used) (note 1-2 to Order No. 169n);
  • maintains a log of the use of medical devices (letter of Rostrud "On the establishment of sanitary posts with first-aid kits in the organization" dated 07.11.2012 No. PG / 8351-3-5.)

Checking the completeness of the first-aid kit is carried out at the first stage of administrative and public control: the head of the unit and the commissioner for labor protection trade union organization(authorized for labor protection of the labor collective).

The issue of the frequency of checking the completeness of the first aid kit can be regulated in the local regulatory act of the organization, for example, in the order to ensure the completion of first aid kits for first aid to employees or the regulation on administrative and public control.

What should be included in a first aid kit?

The first aid kit should include:

  • medical devices for the temporary control of external bleeding and wound dressing (for example, hemostatic tourniquet, sterile and non-sterile bandages, dressing individual package with a sealed shell, adhesive plasters);
  • device for cardiopulmonary resuscitation (device for artificial respiration "Mouth-Device-Mouth" or a pocket mask for artificial ventilation of the lungs "Mouth-mask";
  • other medical products (isothermal blanket, medical gloves, etc.);
  • other means (for example, a tear-off notebook, a fountain pen, five antiseptic sterile alcohol wipes).

At the same time, the mandatory components of the first-aid kit cannot be replaced by other products.

A thoughtless attitude to any medicine is dangerous. The use of any medication can lead to tragedy. For example, nitroglycerin is the strongest remedy, the wrong dosage can kill a person. Boric acid, which is in almost every home first aid kit, is the strongest poison. Even the use of harmless iodine or brilliant green can cause serious trouble.

It is prohibited to include medicines in the composition of the first aid kit and the State Inspectorate checks the contents of first aid kits during inspections. For this violation of the law, the employer may incur administrative liability (Article 5.27 of the Code of Administrative Offenses of the Russian Federation).


Storage space for first aid kit

employer in accordance with Labor Code The Russian Federation is obliged to create sanitary posts with first aid kits and indicate them on the evacuation plan. Sanitary posts are located at such a distance that workers, if necessary, can quickly access them.

At the sanitary posts where first-aid kits are stored, it is necessary to place a first-aid kit sign - a white cross on a green background (Table I2 GOST R 12.4.026-2001).

Recall that with a payroll number of employees at the enterprise from 50 to 300 people, a medical center is required. If in an organization payroll employing more than 300 people, feldsher health centers should be provided (clause 5.27 of the Code of Rules SP 44.13330.2011 "SNiP 2.09.04-87. Administrative and amenity buildings").

How many first aid kits should be in the organization?

The number of first aid kits in the organization is established by its head together with medical worker and (or) a labor protection specialist.

There is no single requirement for the number of first-aid kits in an organization - each employer must have at least one first-aid kit. The exact information on the number of first aid kits for some organizations is given in industry regulations:

  • At each workplace of the marshalling yard(Item 4.6.4 Sanitary regulations organization freight traffic on the railway transport SP 2.5.1250-03, approved by the Chief State Sanitary Doctor of Russia on March 24, 2003; Sanitary rules for the organization of freight traffic in railway transport SP 2.5.1250-03, approved by the Decree of the Chief State Sanitary Doctor of Russia dated April 4, 2003 No. 32)
  • On every bulldozer(Item 2.5 Model Instruction on labor protection for drivers of electric forklifts, forklifts, bucket loaders and bulldozer drivers, approved by the Ministry of Railways of Russia on May 25, 2002)
  • In every laboratory(Clause 11.1.2 of the Temporary recommendations (rules) on labor protection when working in laboratories (departments, departments) of sanitary and epidemiological institutions of the system of the Ministry of Health of Russia, approved by the chief physician of the Federal Center for State Sanitary and Epidemiological Surveillance of the Ministry of Health of Russia, Deputy Chief State Sanitary Doctor of Russia, Chairman of the Laboratory Council of the State Sanitary and Epidemiological Service Russia April 11, 2002)
  • On racks where tanks are handled, as well as in the operator's room(Clause 7.5.8 of the Sanitary Rules for the organization of freight traffic in railway transport SP 2.5.1250-03, approved by the Chief State Sanitary Doctor of Russia on March 24, 2003)
  • In all areas and in domestic premises(Clause 13.5 of the Sanitary and Epidemiological Rules and Regulations "Hygienic requirements for production enterprises building materials and designs. SanPiN 2.2.3.1385-03, approved by the Chief State Sanitary Doctor of Russia on June 11, 2003)
  • At each site, in workshops, workshops, as well as on the main mining and transport units and in sanitary facilities (Clause 563 of the Safety Rules when developing coal deposits open way, approved by the resolution of the Gosgortekhnadzor of Russia dated May 30, 2003 No. 45)
  • In paint shops(Clause 7.12 of the Sanitary Rules for painting work using manual sprayers, approved by the Deputy Minister of Health of the USSR on September 22, 1972 No. 991-72).
  • In each workshop and at each separate production site(Clause 13.1.15 POT RO 14000-005-98 “Regulations. Work with heightened danger. Organization of the event, approved by the Department of Mechanical Engineering Economics of the Ministry of Economy of Russia on February 19, 1998)
  • IN vehicles when transporting pesticides(Clause 586 of the Rules for labor protection in logging, woodworking industries and during forestry work, approved by order of the Ministry of Labor of Russia dated November 2, 2015 No. 835n).

Responsibility for the lack of a first aid kit

For the lack of a first aid kit, administrative liability is provided in accordance with Part 1 of Article 5.27 of the Code of the Russian Federation on administrative offenses and provides for the following penalties:

  • for officials - from 1000 to 5000 rubles;
  • on persons carrying out entrepreneurial activity without forming a legal entity - from 1000 to 5000 rubles;
  • on the legal entities- from 30,000 to 50,000 rubles.

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Employers should set up posts or medical aid points 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 must be in every company and every individual entrepreneur in such places.

First aid kit (composition order 169 n) contains:

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

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

Mandatory minimum

Note that the above - minimum set. On the manufacturing enterprises it can be significantly larger. For example, according to the Sanitary Rules for machine shops (metal cutting), this list is supplemented with validol, analgin, brilliant green, aspirin. And according to the Rules of labor protection in seaports- iodine, hydrogen peroxide and ammonia. Thus, it must be remembered when saying “production first-aid kit (by order of 169n)” - its composition may differ. Employers are allowed to include what is necessary, but it is unacceptable to replace the mandatory medicines required by the Ministry of Health or relevant departments. 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 should be in the company. Obviously, one recruitment for a team of 100 people is not enough. Therefore, we must proceed from real needs. In addition, certain norms are prescribed in industry legislative acts. So, according to the Safety Rules for Mining Operations, sets medical devices first aid should be at each site or workshop, in workshops and sanitary facilities, in transport. And in the Sanitary Rules for Cargo Transportation on railway it is said that they should be placed at every workplace.

One more important point- checking the complete set and expiration dates. Industry regulations may provide for a certain frequency of drug inventory checks, but this is not always fixed. Therefore, if the 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 obsolete.

Separately, it should be said that “SNiP 2.09.04-87. Administrative and amenity buildings” requires the creation of medical centers in the event that the enterprise employs from 50 to 300 people. If there are even more employees, then the employer should arrange a paramedical 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 kit according to SanPiN is determined in each case. In addition, the list of required medications will have to be agreed with the health worker.

Responsibility for the absence

Since the incomplete equipment of the first-aid kit or its absence is, the employer can be punished for such violations in accordance with Art. 5.27.1 of the Code of Administrative Offenses of the Russian Federation. According to her, a fine for individual entrepreneurs and officials is from 2000 to 5000 rubles. Organizations can be forced to pay 50,000-80,000 rubles.

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