1. RESCUE-FIRST AID AT WORK

Work accidents in the establishment or in the profession.
Interest in the prevention of occupational risks.
What is an Occupational Lifeguard?

his role in the company and outside the company,

– articulation of its action with the other players in prevention in the company.

Presentation of the program:
– protect,
– to protect to prevent,
– examine,
– alert,
– from alerting to informing,
– to rescue,

The method of finding persistent risks and the method of rapidly examining a victim will be repeated during each practice session.

2. LOOK FOR PERSISTENT HAZARDS TO PROTECT

General prevention training:
– The accident mechanism: understanding the concepts of danger / dangerous phenomenon, dangerous situation, dangerous event, damage, risk …
– Know the basic principles of prevention.
Make OSH capable of “Protecting” using the concepts developed in current legislation on risk assessment (labor code, articles L 230-2 and R 230-1)

Faced with a work accident situation, the work rescuer must be able to:
Recognize, without exposing himself, the possible persistent dangers that threaten the victim of the accident and / or his environment.

Identify the dangers in the situation concerned:
– mechanical or human fall;
– electric;
– fire, explosion, thermal;
– toxic or unbreathable atmosphere
– others, …
Identify people who could be exposed to the identified dangers.

Remove or isolate the hazard or remove the victim from the hazardous area without exposing himself.

Define the actions to be carried out allowing the possible elimination of the identified hazard (s).
Identify the specific materials allowing this removal.
Ensure or have insured, by the most suitable person and for a permanent removal, the implementation of these materials.
When the elimination of the identified hazard cannot be considered realistically, take steps to make it impossible, by isolating it, to expose anyone to this hazard.
If it is impossible to remove or isolate the identified danger (s), recognize the non-dangerous situations in which he can release the victim.
Rescue elements and emergency release techniques in these situations or according to the risks specific to the company.
Emergency release by pulling the victim on the ground

Particular case :

Protection of populations in the event of an alert: the siren

3. From “PROTECT” to “PREVENT”

This sequence highlights the similarity of the skills expected, both in terms of “protection” (intervention in a situation of an accident at work) and in terms of “prevention” of accidents at work or occupational diseases (intervention in a situation. of work), on the part of the OHS.

It should allow the translation of training in “protect” action to “prevent” action.
The application of this approach is continuous throughout the training and more particularly in the exploitation of simulated accident situations.

Faced with a work situation, the work rescuer must be able to:

Identify dangers in a work situation.
Identify the dangers in the situation concerned:
– mechanical or personal fall;
– electric;
– fire, explosion, thermal;
– toxic or unbreathable atmosphere
– others, …
Identify people who could be exposed to the identified dangers.
Eliminate or isolate hazards, within the limits of its area of ​​competence, its autonomy and in accordance with the organization of the company and the specific procedures laid down in terms of prevention.
Define the preventive or protective actions to be carried out allowing the possible elimination of the identified hazard (s).
Implement the prevention or protection actions defined above.

4. EXAMINE THE VICTIM AND ALERT

Faced with a work accident situation, the work rescuer must be able to:
Examine the victim (s) before and for the implementation of the chosen action with a view to the result to be obtained.

Recognize, in a specific order, the presence of one or more of the signs indicating that the victim’s life is threatened.
Did the victim:
– bleeding profusely?
– choking?
– answer questions and complain?
– breathe?
Associate the result (s) to be achieved with the sign (s) detected.
In the event that there are several signs, define the order of priority of the results to be achieved.
To alert or alert depending on the organization of emergency services in the company.
Define the different elements of the alert message that will allow the emergency services called to organize their intervention
Identify, depending on the organization

company, who to alert and in what order.
Choose, among the people present and according to predefined criteria, the one who is most suitable to trigger the alert.
Determine, depending on the presence or absence of a witness and the victim’s condition, the most opportune moment to transmit the alert message.
Give the chosen person the instructions and relevant information to ensure effective transmission of the alert message.
Organize emergency access to the scene of the accident, as close as possible to the victim.

5. From “ALERT” to “INFORM”

This sequence is the logical continuation of the sequence “From PROTECT to PREVENT”. It also highlights the similarity of skills expected from OHS, both in terms of alerting emergency services in the event of an accident at work and in terms of transmitting information within the company concerning the observations made. ” he could have done in terms of identifying the dangers and / or the actions that he could have implemented, while respecting the organization of the company and specific procedures in terms of prevention.
It should allow the shift from training in the “MAKE ALERT” action to the “INFORM” action.
The application of this approach is continuous throughout the training and more particularly in the use of simulated accident scenarios.
Faced with a work situation, the work rescuer must be able to:
Report on the identified dangers and any actions implemented to their line manager and / or the person (s) in charge of prevention in the company.

6. RESCUE

Faced with a work accident situation, the work rescuer must be able to:
Perform the action (succession of gestures) appropriate to the condition of the victim (s).

Determine the action to be taken to obtain the result to be achieved, which has been deduced from the preliminary examination.
Carry out the chosen action by referring to the recommended technique.
Check, by observation of the victim, the achievement and persistence of the expected result and the appearance of new signs indicating that the victim’s life is threatened, until it is taken care of by specialized helpers.
a) The victim is bleeding profusely:
– Compress the origin of the bleeding.
Special cases :
– the victim has a wound that bleeds with a foreign body
– the victim has a nosebleed,
– the victim vomits or coughs up blood,
– other bleeding.
b) The victim suffocates:
– Airway clearance in adults and children,
– Airway clearance in infants,
– Partial obstruction of the airways
c) The victim responds, complains of painful sensations and / or shows abnormal signs:
– put to rest,
– recognize, assess and transmit to a doctor the signs of discomfort.
d) The victim responds, she complains of burns:
– thermal burns: water to extinguish and cool,
– chemical burns: water abundantly to rinse.
Special cases :
– electric burn,
– internal burns by inhalation or ingestion of corrosive or irritant product.
e) The victim responds, she complains of pain that prevents certain movements:
* Whatever the signs, act as if there is a fracture:
– back, neck, head: avoid moving and maintaining the head,
– limbs: avoid moving and respect any deformation.
f) The victim responds, she complains of a wound that does not bleed profusely:
– serious wound of the abdomen: flat-back waiting position, raised legs,
– serious chest wound: half-seated waiting position,
– limb sectioning: condition the limb segment,
– eye sore: flat-back waiting position, head propped up,
– simple wounds: clean the wound.
g) The victim does not respond, she breathes:
– release of the airways,
– sideways, head down (PLS).
h) The victim does not respond, she does not breathe:
– cardiopulmonary resuscitation and use of an automated external defibrillator (AED) in adults;
– cardiopulmonary resuscitation and use of an automated external defibrillator (AED) in children;
– cardio-pulmonary resuscitation in infants.
During each practical session, recall the examination methods and the justification for the gestures taught.

7. SITUATIONS INHERENT TO SPECIFIC RISKS

We call specific risk any risk which requires, on the part of the OHS, a course of action to be taken in addition to or different from that taught in his basic training.

The opinion of the occupational physician in this area is particularly important.

Specific risks: for example: asbestos removal, hyperbarism, hydrofluoric acid, hydrocyanic acid, etc.

Specific procedures to be followed: for example: fitting of the tourniquet on an asbestos removal site, oxygen therapy, antidote in

support, use of intervention techniques and specific materials.

The content of this topic and the time that may be necessary beyond the 12 hours are left to the initiative of the occupational physician.

8. ORGANIZATION OF TRAINING

The training is essentially practical, the explanations of the program are given during and during the learning of the gestures.

It is recommended, from a pedagogical point of view, to divide the program into 4 to 6 sessions lasting between 2 and 3 hours each (+ the time necessary to deal with topic 7 if necessary).

The times indicated are actual teaching face to face times.

It is advisable to spread these sessions over 2 to 3 weeks.

This breakdown is indicative, it may vary depending on the number and level of trainees, as well as the constraints specific to the company.

It is permissible to group together several sequences over the same half-day or over a day if this is necessary.

9. OHS ASSESSMENT

The evaluation criteria used for this validation are those defined by INRS, in the training guidelines for Rescuers and Rescuers at Work.

They are transcribed in a national document called “Individual OHS monitoring and evaluation sheet” and used during each training.

At the end of this evaluation, a Work Lifeguard Certificate will be issued to the candidate who has participated in the entire training and is the subject of a favorable evaluation.

In the event that the candidate cannot implement, for reasons of physical ability, all of the skills expected from an OHS, he will be issued a certificate of training follow-up.

The holder of the work lifeguard certificate, up to date in his obligation of continuous training, is deemed to hold the teaching unit “Prevention and civic rescue level 1 (PSC 1)”, in accordance with the decree of 5 December 2002 and article 4 of the decree of July 24, 2007 setting the civil protection skills benchmark relating to the teaching unit “level 1 civic prevention and relief”.

10. RECYCLING

The aim of the retraining is to maintain the OHS skills, defined in the training reference system, at a level at least equivalent or even higher than that of his initial training.

In general, it should include:
an assessment based on a simulated work accident making it possible to identify deviations from the expected behavior of the OHS.

If the training is for a group of more than 10 people, the duration of this training is increased by half an hour per additional person.

From 15 participants, the session is split and 2 trainers are necessary.

a section devoted to the review of emergency procedures,
a part devoted to updating the training:
– at the risk of the company or the establishment,
– changes to the program.

The recommended time for recycling is 4 hours for a group of 10 people. It may vary depending on the number of participants and the changes made by the CNAMTS or INRS to the content of the training.

The first retraining must take place within 12 months of the initial training.

After the first recycling, the frequency of the following ones is set at 24 months.

However, it is up to the company that wishes to implement more frequent recycling.