GWO EFAR v2.1

Enhanced First Aid Refresher Training Standard

V2.1

Publication date: April 1, 2020

GWO ENHANCED FIRST AID REFRESHER TRAINING STANDARD V02.1

2020-10-01_TSR_EFAR_V02.1

1 LIST OF ABBREVIATIONS............................................................................................4

2 TERMS AND DEFINITIONS ..........................................................................................5

3 CHANGE LOG – REVISION 2.1 .................................................................................6

4 SCOPE.......................................................................................................................8

5 GENERAL REQUIREMENT TO GWO ENHANCED FIRST AID REFRESHER...................9

5.1 TARGET GROUP ........................................................................................................9 5.2 AIMS AND OBJECTIVES ..........................................................................................10 5.3 DURATION AND ORGANISATION OF ENHANCED FIRST AID MODULE.................10 5.4 VALIDITY PERIOD ....................................................................................................11 5.5 COURSE CODES .....................................................................................................11 5.6 COURSE PARTICIPANT PREREQUISITES FOR THE ENHANCED FIRST AID MODULE 11 5.7 EFA REFRESHER TRAINING ......................................................................................12 5.8 PHYSICAL DEMANDS ..............................................................................................12

6 GENERAL RESOURCES REQUIRED TO DELIVER ENHANCED FIRST AID MODULE ..13

6.1 TRAINING STAFF ......................................................................................................13 6.2 PRACTICAL TRAINING FACILITIES ...........................................................................13 6.3 TRAINING EQUIPMENT ............................................................................................14

7 UNDERSTAND GWO LEARNING OBJECTIVES ........................................................15

7.1 TAXONOMY ............................................................................................................15

8 MODULE: ENHANCED FIRST AID REFRESHER (EFAR) .............................................19

8.1 AIMS AND OBJECTIVES OF THE EFAR MODULE.....................................................19 8.2 DURATION OF THE EFAR MODULE .........................................................................20 8.3 EFAR TRAINER/COURSE PARTICIPANT (DELEGATE) RATIO....................................21 8.4 EQUIPMENT FOR THE EFAR MODULE .....................................................................21 8.5 EFAR MODULE TIME TABLE .....................................................................................21 8.6 DETAILED DESCRIPTION OF THE EFAR MODULE ....................................................23

8.7 COURSE PARTICIPANT (DELEGATE) PERFORMANCE ASSESSMENT ......................48 Equipment list ...............................................................................................51

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EFA guideline: recommendations ..............................................................53 Change log – Version History......................................................................59

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1 L IST OF ABBREVIATIONS

AED

Automatic External Defibrillator

AHA

American Heart Association

ANSI

American National Standards Institute

AS/NZS

Australia and New Zealand Standard

EFAR

Basic and Enhanced First Aid Training Refresher

BST

Basic Safety Training

BSTR

Basic Safety Training Refresher

CO2

Carbon Dioxide

CPR

Cardiopulmonary Resuscitation

CSA

Canadian Standards Association

EFA

Enhanced First Aid

EFAR

Enhanced First Aid Refresher

EN

European Standards

ERC

European Resuscitation Council

GWO

Global Wind Organisation

WTG

Wind Turbine Generator

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2 T ERMS AND D EFINITIONS

AED

Automatic External Defibrillator

AHA

American Heart Association

ANSI

American National Standards Institute

AS/NZS

Australia and New Zealand Standard

BEFAR

Basic Safety and Enhanced First Aid Training Refresher

BST

Basic Safety Training

BSTR

Basic Safety Training Refresher

CO2

Carbon Dioxide

CPR

Cardiopulmonary Resuscitation

CSA

Canadian Standards Association

EFA

Enhanced First Aid

EFAR

Enhanced First Aid Refresher

EN

European Standards

ERC

European Resuscitation Council

GWO

Global Wind Organisation

ILCOR

International Liaison Committee on Resuscitation

WTG

Wind Turbine Generator

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GWO ENHANCED FIRST AID REFRESHER TRAINING STANDARD V02.1

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3 C HANGE LOG – R EVISION 2.1

Amendment Date

Oct. 2020

Approved by & date

Version

2.1

Description of changes

- GWO Standard updated to match the Corporate Visual identity of GWO (CVI) - Each module now contains a cover page and the module name listed in the header as reference. - New ISO Code added to standard - All previous versions of the Change log have now been moved to Annex 3. The current change log remains at the start of the standard. - Duplicate information removed from Section 4. Scope

The following sections have been removed due to this information now included in the new Requirements for Training Providers and Requirements for Certification Bodies (released May 2020)

Section 5

- 5.3 Conformity with other training – section removed - 5.4 Legal Requirements – Section Removed

Section 6

- 6.2 Facilities and Equipment – section removed - 6.3 Theory training facilities – section removed

Section 8

- 8.1 Administrative arrangements – section removed - 8.2 Course Participant (Delegate) performance assessment – section removed - 8.3 Requirement to upload training record in WINDA – section removed (course Codes have now been moved to section 5.5) - 8.4 Training Providers own Records and Certificates issue – section removed

Annex 1

- Delegate Performance Assessment Form – Section removed

Annex 2

- Medical Assessment Form – Section removed

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All section reference numbers have now been updated

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GWO ENHANCED FIRST AID REFRESHER TRAINING STANDARD V02.1

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4 S COPE

This Standard has been developed in response to the demand for recognizable Enhanced First Aid (EFA) training in the industry and has been prepared in co-operation between the members of GWO based on risk assessments and factual incident and accident statistics pertaining to the installation, service and maintenance of wind turbine generators and wind power plants. This Standard describes the requirements for Enhanced First Aid Refresher training that are recommended by the members of GWO. The members of the Global Wind Organisation (GWO) recognize trained persons as competent within EFA in the wind industry. GWO accepts the trained person as possessing the required knowledge, skills and attitude to provide ongoing care to an ill or injured casualty over a short period of time while waiting for professional emergency rescue teams to arrive.

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5 G ENERAL R EQUIREMENT TO GWO ENHANCED FIRST AID REFRESHER

The Enhanced First Aid offers two options to attend the training - see below figure 1. New technicians can enter via the main EFA training which consists of Basic First Aid (FA) and EFA elements and two certificates FA and EFA will be issued. If you already have a GWO Basic First Aid (or refresher) FA (or FAR) certificate, you have the option of taking the Refresher First Aid (FAR) combined with EFA training elements and you will also receive two certificates EFAR and EFA after successful completion of the training. Course Participants (Delegates) can join the main EFA training without prior basic FA training

The Enhanced training EFA or EFAR includes all elements of the FA(R) training module

At the end of the training the Course Participants (Delegates) receive both a FA(R) and EFA(R) certificate

5.1 Target group

Figure 5-1 – Chart of EFA Process

Personnel who will be working in the wind industry or related fields and will have their duties in a wind turbine environment, usually in physical contact with a wind turbine or an offshore wind structure. Personnel that are selected by their employer to perform Enhanced First Aid onshore or offshore, where training according to the GWO Enhanced First Aid training may enable them to react to incidents and thus mitigate the results of casualties deriving from the identified risks. The Annex 4 - EFA Guideline: Recommendations has been developed to assist employers in determining who and how many should take the training.

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5.2 Aims and objectives

The EFAR Training shall enable Course Participants (Delegates) to support and care for others working in the industry by possessing the knowledge, skills and attitude of Enhanced First Aid. Upon completion of the GWOEFA Course Participants (Delegates) will be able to administer safe, effective and immediate lifesaving and enhanced first aid measures to save life and give assistance in remote areas using advanced emergency equipment and medical teleconsultation.

5.3 Duration and organisation of enhanced first aid module

The total contact time for completing the enhanced first aid refresher training standard is estimated to be 16 hours . This is based on the time estimates given in the module timetables and summarised in table 5-6 below.

The training provider must not exceed the times per day given in table 5-7 below.

The training provider must ensure that sufficient time is allowed for Course Participants (Delegates) with prior experience to share their experiences related to the modules of the basic training standard in a way that is constructive for the entire class.

Modules

Duration

Enhanced First Aid

16 hours

Table 5-3 - Duration of the GWO Enhanced first aid Module

Maximum duration per day

Contact time

8 hours

Total training day

10 hours

Table 5-3.1 - Maximum durations for training days

Note:

Contact time includes delivery of course lesson contents, practical exercises and activities directly related to these .

The total training day includes contact time, meals and breaks and travel between training sites (where applicable).

Within the module timetables, approximate duration of each of the lessons are given. The training provider may choose to deliver elements of the training according to other timetables, as long as the total duration is not reduced, and practical elements are not reduced in length. Theoretical elements may be delivered during the practical exercises when feasible.

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5.4 Validity period

The EFAR is valid for the period of 24 months as stated in the table below. Certificates and training records shall be renewed before the end of a given validity period. A certificate or training record can be renewed up to two months prior to expiry and maintain the original certification date by uploading the previous certificate’s valid until date in WINDA. If a certificate or training record is renewed outside of two months of expiry, it must carry the new date of certification. A Course Participant (Delegate) is only allowed to attend a refresher course in the specific EFAR Training prior to the date of expiry on the current certificate or training records. If a certificate or training record is expired, the Course Participant (Delegate) must attend the full Enhanced First Aid training to obtain new training records in Basic and Enhanced First Aid. The validity period is automatically calculated in WINDA by entering the course completion date.

Module

Certificate Validity (Months)

EFAR

24 Months

Table 5-4 - Validity Period of GWO EFAR Certificate

5.5 Course Codes

Module

Course Code

Enhanced First Aid Refresher

EFAR

Table 5-5 - GWO EFAR Module course code

5.6 Course Participant prerequisites for the enhanced first aid module

All personnel participating in enhanced first aid module shall be medically fit and capable of fully participating. Training providers shall have a procedure that requires Course Participant (Delegate)s to sign a statement stating that they are medically fit to participate in the training and that they do not suffer from any medical illness or are under influence of any narcotic substance or alcohol. The Medical Self-Assessment Form in the Requirements for Training Providers shall be used if no other equivalent procedure is in place. Course Participants' (Delegates') signatures testifying to their medical fitness shall be collected prior to the start of the enhanced first aid module course. Furthermore, Course Participants (Delegates) shall have created a personal Course Participant (Delegate) profile in WINDA and provide their own WINDA ID prior to completing the enhanced first aid module training.

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5.7 EFA Refresher Training

The GWO EFA training (Refresher) is to be refreshed continuously and regularly within 24 months in a total duration of 2 days (EFAR) supported by relevant drills and exercises ref. Annex 4: EFA Guideline: Recommendations.

5.8 Physical demands

Enhanced first aid module Modules may potentially be physically demanding.

If there is any doubt regarding the medical fitness of any Course Participant (Delegate), the Training Provider shall stop training the Course Participant (Delegate) and seek a physician’s advice. Note: Practical exercises shall be designed and delivered solely to meet this Standard and shall not place any physical or mental demands on the Course Participants (Delegates) other than those required to meet this Standard.

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6 G ENERAL R ESOURCES REQUIRED TO DELIVER ENHANCED FIRST AID MODULE

The Training Provider shall ensure that Staff, facilities and equipment are in place to support the training of Course Participants (Delegates).

6.1 Training Staff

The Instructor shall possess appropriate qualifications and experience to ensure that all training and supportive activities are carried out in accordance with current legislation and current REQUIREMENTS FOR TRAINING PROVIDERS OFFERING GWO TRAINING.

Instructors must be:

1) Trained in instructional/lecture techniques and/or have documented instructional/ teaching experience

2) Continually trained medically and educationally in adequate time intervals

3) Included in an on-going training program, which includes visits to onshore and/or offshore wind turbine generators (WTG) (tower, nacelle, hub) prior to instructing Enhanced First Aid training, to enable them to maintain and update skills related to the courses they instruct. Instructors shall physically visit the tower, nacelle and hub of WTGs 4) Able to demonstrate competencies in pre-hospital emergency care with evidence of routine practice e.g. a valid certificate for practicing a pre-hospital functions as medical technician, ambulance crew, first responders or similar. 5) Nationally certificated non healthcare professional pre-hospital provider caring for patients as a primary role e.g. Police Officers in Specialist Roles, Fire Service Immediate Emergency Care, equivalent SAR trained personnel.

6) Trained in the use of airway adjuncts and advanced first aid equipment

7) Knowledgeable within medical teleconsultation.

All Staff shall possess the appropriate competencies to conduct/assist the elements of training they have been assigned to.

6.2 Practical training facilities

All facilities shall be maintained and where appropriate, inspected and tested in accordance with current national legislation and manufacturers’ recommendations. Risk assessments shall be conducted and documented for all training facilities. The Training Provider shall hold the required permits to operate the facilities. The learning process during "scenario-based training" is facilitated by identical or comparable elements comparing the training environment and the Course Participants’

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GWO ENHANCED FIRST AID REFRESHER TRAINING STANDARD V02.1

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(Delegates') working environment. Identical or comparable elements enhances the application of what is learned. The practical training facilities and a training environment are expected to incorporate as many identical or comparable elements to a real wind turbine working environment as possible. The objective is that the practical training facility should enable each Course Participant (Delegate) to individually and/or as part of a team, see, hear and practice the taught subject matter in such a way, that it resembles the working practices in a real wind turbine environment. The facilities shall enable training to be executed by doing relevant work tasks end-to-end under realistic simulated working procedures, and/or realistic simulated emergency situations (fire, first aid, evacuation or casualty rescue) end-to-end scenarios in a real or simulated wind turbine environment.

6.3 Training Equipment

The required equipment for training is shown in Annex 1 and shall be available and shall fulfil national legal requirements. The equipment shall be maintained, inspected and tested in accordance with current national legislation and manufacturers’ recommendations. Risk assessments shall be conducted and documented for all training equipment. The Training Provider shall hold the required permits to operate relevant equipment.

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7 U NDERSTAND GWO L EARNING O BJECTIVES

The described learning objectives (expected learning outcome) are the foundation of the course contents and what the Course Participant (Delegate) performance assessment must be based upon. Traditionally learning objectives are prepared within three different domains of learning – knowledge, skills and attitude. A learning objective describes the expected learning outcome on completion of a module or a course, within one or more learning domains. If a learning objective is related to more than one domain of learning, e.g. to knowledge and skills, one learning objective per learning domain is often prepared – to enable a better understanding of the learning objective. The GWO Training Provider may apply teaching methods (didactics) that are appropriate to the course participants prior training, education and cultural backgrounds, but should always aim to provide course participants ample possibility to perform hands-on demonstrations and learning reflection.

7.1 Taxonomy

To formulate a measurable learning objective, taxonomy is used to describe the level of expected learning outcome within a learning domain. As an example belonging to the learning domain of knowledge, to have a Course Participant (Delegate) name or recognize something, as opposed to having him explain it in his own words, or even apply or demonstrate what he has learned – describes different performance levels, i.e. different taxonomy levels.

Different taxonomies are associated with different learning domains, for instance:

Knowledge : such as Bloom’s “cognitive taxonomy”

 Intellectual knowledge, mental skills and procedures

Skills: such as Simpson’s “psychomotor taxonomy”

 Physical skills, cognitive controlled and observable

Attitude: such as Krathwohl’s “affective taxonomy”

Attitude and feelings to the learning

Selecting a suitable taxonomy level, an action verb expresses the expected behaviour of the Course Participant (Delegate), thus describing the taxonomy level of a learning objective. Action verbs are usually highlighted in bold in this standard. The table below presents the three learning domains with taxonomy level 1-3, provided with associated action verbs applicable in the learning objective wording, defining the taxonomy level. In the GWO training standard, the learning objectives are in general described as level 2 or 3.

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Knowledge

Skills

Attitude

3 Application / Applying To use in a new situation. Solving problems by applying acquired knowledge, facts, techniques and rules in a different way.

Guided response Follows instructions to build a model. Using a tool after observing an expert demonstrate how to use it. Be able to demonstrate an activity to other learners. Can complete the steps involved in the procedure

Value Demonstrates belief in the company described process. Shows the ability to solve problems. Informs management on matters that one feels strongly about. Decide worth and relevance of ideas and tasks. Action verbs Argue, Challenge, Confront, Complete, Debate, Criticize, Justify, Join, Propose. Respond Completing work assignments with highly respect to the agreement. Participating in team problem solving activities. Questions new ideas and concepts in order to fully understand them. Participate actively and respectful in discussions. Showing enthusiasm. Action verbs Assist, Contribute, Discuss, Present, Question, Report, Respond, Tell, Write. Receive Listening to discussions of controversial issues with an open mind. Respecting the rights of others. Listen to others and remember their opinions.

Applying a procedure to a familiar or unfamiliar task. Using a manual to calculate and operate. Action verbs Apply, Change, Choose, Compute, Modify, Operate, Practice, Prepare, Schedule, Solve, Write.

as directed. Action verbs

Accomplish, Achieve, Calibrate, Complete, Control, Demonstrate, Perform, Refine, Show.

2 Comprehension / Understanding

Set Awareness or knowledge of the ability needed to use the skill. Carry out tasks from verbal or written instructions. Showing eagerness to assemble components to complete a task. Knows and acts upon a sequence of steps in a process. Action verbs Access, Build, Complete, Conduct, Execute, Implement, Operate, Perform, Recreate. Perception Watch instructor and repeat action, process or activity. Recognizing sounds or pictures that indicate certain functionalities. Estimate the event of a certain function and be prepared for it.

Construct a meaning from instructional messages, including oral, written and graphic communication. Demonstrating basic understanding of facts and ideas. Explain in your own words the steps of performing a complex task.

Action verbs Classify, Distinguish,

Estimate, Explain, Express, Give, Illustrate, Indicate, Locate, Predict, Summarize, Translate. 1 Knowledge / Remembering Memory of facts, terminology, rules, sequences, procedures, etc. Locating knowledge in long-term memory and retrieving relevant knowledge from long-term memory.

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Action verbs Arrange, Define, Describe, Find, Identify, List, Name, Outline, Recognize, Relate, Recall, Retrieve.

Action verbs Attempt, Copy, Duplicate, Follow, Organize, Repeat, Sketch, Replicate, Reproduce.

Be positive and creative to what is being taught. Action verbs Ask, Be open to, Concentrate, Discuss, Focus, Follow, Listen, Reply, Take part.

Table 7-1 - Taxonomy used by GWO

Note:

Higher taxonomy levels exist.

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Enhanced First Aid Refresher Module

GWO ENHANCED FIRST AID REFRESHER TRAINING STANDARD V02.1 MODULE

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8 M ODULE : ENHANCED FIRST AID REFRESHER (EFAR)

8.1 Aims and objectives of the EFAR Module

The aim of this EFAR Module is to review and build on previously gained knowledge and skills from BST First Aid or to refresh current EFA skills through theoretical and practical training so that Course Participants (Delegates) can administer safe and effective Enhanced First Aid in the wind industry.

The EFAR Module shall ensure that the following objectives are covered:

1) Local legislation/risks/hazards and demands to ensure knowledge of the roles, responsibilities and rules that apply to Enhanced First Aid in Remote Areas (L2- Knowledge and Attitude) 2) The importance of carrying out basic and enhanced First Aid in a safe and sound manner, in accordance with the legislative requirements of their geographic location and according to ILCOR e.g. European Resuscitation Council (ERC) and American Heart Association (AHA) guidelines (L2 –Knowledge) 3) Identifying and explaining normal function, normal signs and symptoms of serious and minor injuries and illness related to the human body (L1-Skills and Knowledge) 4) Demonstrating understanding and correct order of management in an emergency situation in a Wind Turbine Generator (WTG) environment (L2 Knowledge and Attitude) 5) Delivering immediate enhanced first aid to stabilise the casualty, to include but not limited to (L3-Skills and Knowledge):

a. Stopping life-threatening bleeding

b. Establishing and maintaining an airway

c. Knowing the indications for and the use of Automated External Defibrillator (AED)

d. Using basic and advanced First Aid equipment in a First Aid scenario

e. Resuscitation

f. Using standardised methodologies, specifically the Primary and Secondary Survey - based on the "C"-A-B-C-D-E principle 6) Assessing the casualty, for injury or acute illness, to determine if medical advice and external-to-incident support is required; to include but not limited to (L3 Skills and Knowledge):

a. Life-threatening bleeding, circulatory disorder

b. Impaired consciousness

c. Compromised airway, breathing, too slow or too fast

d. Immediate life-threatening illnesses and other health problems especially with severe pain

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7) Requesting telemedical consultation and medical/rescue assistance providing a concise and relevant report of the casualty’s condition and obtaining medical advice to further stabilise the casualty by using : (L3 Skills and Knowledge):

a. Telemedical consultation through National resources (e.g. Coastguard)

b. Telemedical consultation through private contractor (where established)

8) Requesting immediate medical/rescue assistance providing a concise and relevant report of the casualty’s condition (L3 Knowledge and Skills) 9) Preparing the casualty for transfer to nominated evacuation/rescue point, including (L3 Skills and Knowledge): a. Immobilisation where required or other non-medical mitigation e.g. cooling gels b. Understanding the complexity and restrictions of medical pain relief and the role of clinical governance in the control of medication c. Accompanying the casualty, if required, to suitable medical facility and formally hand over the casualty d. Escorting the casualty to the nominated evacuation/rescue point providing continued enhanced first aid

10) Acting as a leader in first aid situations (L3 Skills and Attitude)

11) Administering safe, effective and immediate lifesaving and enhanced first aid measures to save life and give assistance in remote areas using advanced emergency equipment and medical teleconsultation, while having particular regard for personal-protection (L3 Skills and Knowledge)

8.2 Duration of the EFAR Module

The total contact time for completing this enhanced first aid refresher module is estimated to be 16 hours. This is based on the time estimate given in the module timetable.

The training provider must not exceed the times per day given in table 9-2 below.

The training provider must ensure that sufficient time is allowed for Course Participants (Delegates) with prior experience to share their experiences related to first aid in a way that is constructive for the entire class.

Maximum duration per day

Contact time

8 hours

Total training day

10 hours

Table 8-2 - Maximum durations for training day

Note:

Contact time includes delivery of course lesson contents, practical exercises and activities directly related to these .

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The total training day includes contact time, meals and breaks and travel between training sites (where applicable).

8.3 EFAR Trainer/Course Participant (Delegate) Ratio

The ratio shown for theory sessions indicates the maximum number of Course Participants (Delegates) that can attend the course. The ratio shown for practical sessions indicates the maximum number of Course Participants (Delegates) to be supervised by one instructor during each activity.

Module

Session

Instructor to Course Participant (Delegate) Ratio

Theory

1:12

EFAR Module

Practical

1:6

Table 8-3 - GWO EFAR Module Instructor to Course Participant (Delegate) ratio

8.4 Equipment for the EFAR module

The equipment required for training as listed in Annex 1 must be available and must fulfil national legal requirements in the country where the training is taking place.

8.5 EFAR Module Time Table

The order in which the elements of this enhanced first aid module training Module are delivered may vary. Within the module timetables, approximate duration of each of the lessons are given. The training provider may choose to deliver elements of the training according to other timetables, as long as the total duration is not reduced, and practical elements are not reduced in length. Theoretical elements may be delivered during the practical exercises when feasible.

Lesson

Element

Approx Duration

1

Introduction

1.1 Safety instructions and emergency procedures

1.2 Facilities

1.3 Introduction

1.4 Scope and main objectives

1.5 On-going assessments (Delegate Assessment Form)

1.6 Motivation

TOTAL

15 min.

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2

Risks/Hazards/Legislation

2.1 Risks and hazards

2.2 First Aid guidelines and emergency plans

2.3 National legislation

2.4 Global legislation

TOTAL

15 min.

3

Anatomy

3.1 The human body’s life conditions, structure, function and signs

3.2 Understanding of personal hygiene

TOTAL

40 min.

4

Management of an incident - National Emergency Response - Medical Teleconsultation

4.1 Safety awareness in an emergency situation

4.2

Management of an incident

4.3 Emergency Rescue Teams, Emergency Calls and Medical Teleconsultation

TOTAL

50 min.

5

Lifesaving and Enhanced First Aid using Primary and Secondary Survey

5.1 "C" – A – B – C – D – E – Principle

5.2 Primary Survey

5.3 “C”: Catastrophic bleeding

5.4 A: Airway

5.5 B: Breathing

5.6 C: Circulation

5.7 D: Disability

5.8 E: Environment/Exposure

5.9 Secondary Survey

5.10 Psychological First Aid

TOTAL

280 min.

6

Pain management and further possible medication

6.1 Application algorithm

6.2

Further Possible Medication

TOTAL

40 min.

Choose one of the following 5 themes for Instruction: Theme 1: Psychological effects of First Aid

7

Themes

1.1

Theme 2:

1.2

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Sudden sickness and environmental factors

Theme 3: Types of trauma

1.3

Theme 4: Incident management and situational awareness

1.4

Theme 5: Complex incidents with several (2-5) casualties

1.5

TOTAL

100 min.

8

Scenario-based training

8.1 Practice First Aid techniques

TOTAL

245 min.

9

Evaluation

9.1 Summary

9.2 Evaluation

9.3 Training records

TOTAL

15 min.

GRAND TOTAL

800 min.

Table 8-5 - GWO EFAR Module timetable

8.6 Detailed description of the EFAR Module

The learning outcomes specified for the EFAR Module are:

Note:

The administrative part of the registration should be carried out before the course commences.

INTRODUCTION

15 min.

The aim of this lesson is to give the Course Participants (Delegates) the needed awareness of the Refresher Course content and the facilities involved in order to ensure that all Course Participants (Delegates) are aware of what to expect and what is expected of them during the course. To successfully complete this lesson of the enhanced first aid module, Course Participants (Delegates) shall be aware of:

1.1

Safety instructions and emergency procedures

1.2

Facilities

1.3

Introduction

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1.4

Scope and main learning objectives

1.5 On-going assessment (Course Participant (Delegate) Assessment Form)

1.6

Motivation

SAFETY INSTRUCTIONS AND EMERGENCY PROCEDURES

The Instructor shall explain :

Safety instructions according to internal procedures

Emergency procedures and emergency exits for the areas the Course Participants (Delegates) will be located during the course

FACILITIES

The Instructor shall explain:

General description of the facilities at the training location (Administration, dining area, restrooms, toilets, etc.)

INTRODUCTION

The Instructor shall give:

A short introduction, including their backgrounds as instructors

Course Participants (Delegates) shall give:

A short introduction, including job function and expected primary geographic work location

The Instructor shall explain:

The programme of the EFAR Module, including breaks and meal times

SCOPE AND MAIN OBJECTIVES

The Instructor shall explain:

Scope and main objectives of this EFAR Module

On-going assessments (Course Participant (Delegate) Assessment Form)

The Instructor shall explain:

The reasons for the on-going assessment

GWO Course Participant (Delegate) Assessment and their use

MOTIVATION

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The Instructor shall explain:

The importance of personal involvement in the course

The definition and need for correct Enhanced First Aid

Chain of survival

The importance of refreshing and building on previously acquired understanding, knowledge and skills in First Aid

RISKS/HAZARDS/LEGISLATION

15 min

The aim of this lesson is to refresh and increase Course Participants’ (Delegates)’ previously acquired knowledge of the relevant risks/hazards/legislation and demands of First Aid in order to improve their awareness of the roles, responsibilities and rules that apply to First Aid. To successfully complete this lesson of the EFAR Module, Course Participants (Delegates) shall be able to: 1) Explain risks and hazards relating to (Enhanced) First Aid in a WTG environment as well as relating to remote areas with dangerous locations/tasks (L2 – Knowledge and Attitude) 2) Explain various First Aid guidelines – (e.g. ILCOR, ERC and AHA) in the context of (Enhanced) First Aid in a WTG environment (L2 - Knowledge)

3) Summarize national legislation relevant to (Enhanced) First Aid (L2 - Knowledge)

4) Recognize global legislation relevant to (Enhanced) First Aid (L1 - Knowledge)

RISK AND HAZARDS

The Instructor shall lead the discussion on :

a. Risks and hazards involved in an incident relevant for job functions within the wind industry:

b. Difficulties in Management of accidents /emergencies / survival in remote areas

c. Dependency on site organisation, types of activity, work location and personnel

d. Onshore

e. Offshore

f. Remote areas in general

FIRST AID GUIDELINES

The Instructor shall explain:

Recent changes/updates to guidelines from e.g. ILCOR, ERC and AHA

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NATIONAL LEGISLATION

The Instructor shall explain:

Recent changes/updates to national legislation

Recent changes/updates to national legal requirements

Recent changes/updates to national legal responsibilities

Recent changes/updates to the role of First Aid in the wind industry

GLOBAL LEGISLATION

The Instructor shall explain:

Refreshing site organisation and types of units on a site and using of the Course Participants' (Delegates') personal practical experiences

Recent changes/updates to global legislation

Recent changes/updates to global legal responsibilities

ANATOMY

30 min

The aim of this lesson is to refresh and increase Course Participants' (Delegates') previously acquired knowledge and skills regarding the human body. Course Participants (Delegates) will be able to identify and explain normal bodily function, signs, symptoms and functions of major and minor injuries and illness related to the human body. To successfully complete this EFAR Module, Course Participants (Delegates) shall be able to demonstrate: 1) Understanding of the human body’s life conditions, structures, functions and signs (Level 2 - Knowledge) 2) Knowledge and skills for detecting abnormal signs, symptoms and functions of serious and minor injuries (Level 2 - Knowledge) 3) Knowledge and skills for detecting abnormal signs, symptoms and functions of serious and minor illness related to the human body (Level 2 - Skills & Knowledge) 4) Understanding of anatomy and First Aid in emergency situations (Level 2 – Knowledge and attitude)

THE HUMAN BODY’S LIFE CONDITIONS, STRUCTURES, FUNCTIONS AND SIGNS

Course Participants (Delegates) shall explain and demonstrate:

Normal life conditions for the human body

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a. Human cells and life conditions

b. Cells and Oxygen (O2)

c. Role of carbon dioxide (CO2) on cells

d. Vital organs and their requirements

Vital systems of the human body

a. Nervous system

b. Respiratory system

c. Circulatory system

d. Other systems and organs

Nervous system

a. Anatomy of the nervous system

b. Structure, functions and normal signs

c. Threats to the nervous system

Respiratory system

a. Anatomy of the respiratory system

b. Structure, functions and normal signs

c. Threats to the respiratory system

Circulatory system

a. Anatomy of the circulatory system

b. Structure, functions and normal signs

c. Threats to the circulatory system

Other systems and vital organs of the human body

a. Anatomy of vital organs

b. Structure and functions

c. Threats to vital organs

The Instructor shall explain and demonstrate :

If Course Participants (Delegates) do not cover all points during their review, the Instructor shall ensure that following topics are covered:

a. Life conditions, structure, function and signs of the human body

b. Serious and minor injuries - signs, symptoms and function

c. Serious and minor illness - signs symptoms and function

d. Use of anatomy and First Aid in emergency situations

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MANAGEMENT OF AN INCIDENT - NATIONAL EMERGENCY

RESPONSE - MEDICAL TELECONSULTATION

50 min

The aim of this lesson is to give the Course Participants (Delegates) the knowledge, skills and attitude to demonstrate understanding and correct order of management of emergencies (accident/illness) in remote areas.

To successfully complete this lesson, Course Participants (Delegates) shall be able to:

1) Understand personal hazards to rescue personnel and victim associated with emergency situations and apply knowledge and skills for safety awareness (L2 Knowledge)

2) Perform skills to take FA-measures with regard for personal protection (L2 Skills)

3) Show knowledge about core aspects of psychological care in first aid situations (L2 Knowledge) 4) Demonstrate understanding and skills to approach and manage different emergency situations (L3 Knowledge and Skills) 5) Demonstrate understanding of the principles of the ACT Method (Assess, Communicate, Triage) and recognize the importance of raising the alarm before starting first aid (L3 Knowledge) 6) Demonstrate skills on how to ensure the rescue of injured persons and their removal from the immediate hazard area to the nearest safe location (L3 Knowledge and Skill)

7) Conduct proper emergency calls in a remote situation (L2 skills)

8) Distinguish and use of the adequate measures given by the chain of survival (L2 Knowledge and Skills) 9) Transfer understanding of functions and support from Emergency Rescue Teams in WTG environments (L2 Knowledge)

10) Use clear communication in a team setting (L3 Skills)

11) Administer Enhanced First Aid via medical teleconsultation (L3 Knowledge and Skills)

SAFETY AWARENESS AND PERSONAL PROTECTION EQUIPMENT IN AN EMERGENCY

SITUATION

The instructor shall lead a discussion on :

Appropriate safety behaviour and awareness as an Enhanced First Aider in a WTG

The risks and hazards of working in the wind industry with special focus on

remote

locations and the chain of survival

How to spot and stop hazardous rescue situations

Safety for all persons involved in an accident

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Universal precautions (e.g. Personal Protective Equipment) against infections; protection and use of barriers in emergency situations

The core aspects of psychological care in first aid situations

MANAGEMENT OF AN INCIDENT

The instructor shall explain and demonstrate :

Managing an incident:

a. How to follow an efficient and correct First Aid structure

b. Analysis and management of an incident

c. Different emergency situations in the wind industry

d. Call for help - challenges onshore

e. Call for help - challenges offshore

f. Moving or not moving a casualty in different emergency situations (risks of e. g. fire, water versus deteriorating injuries)

g. How to move and place a casualty (depending on injuries, ref: lesson 5)

h. How to move and place a casualty in the recovery position

Course Participants (Delegates) shall explain and demonstrate:

Managing an incident:

a. How to follow an efficient and correct First Aid structure

b. Analysis and management of an incident

c. Different emergency situations in the wind industry

d. Call for help - challenges onshore

e. Call for help - challenges offshore

f. Moving a casualty with two First Aiders

g. Moving a casualty alone

EMERGENCY RESCUE TEAMS, EMERGENCY CALLS AND MEDICAL

TELECONSULTATION

The instructor shall explain :

Emergency Rescue Teams:

a. Functions of Emergency Rescue Teams

b. Co-operation with Emergency Rescue Teams

c. Challenges for Emergency Rescue Team on site

Skills for supporting professional emergency services

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The means of “bridging the time” while waiting for professional help to arrive

The use of the principles of ACT Method (Assess, Communicate, Triage)

The principles of emergency calls in accordance with emergency response plans

The means and use of medical teleconsultation focusing on the current and future applicability and technical infrastructure

The administering of First Aid measures via medical teleconsultation

Course Participants (Delegates) shall practice and demonstrate:

A proper emergency call in a remote situation

The use of medical teleconsultation and communication media

Performance of First Aid measures in representative work setting comparable to specific remote locations including the use of medical teleconsultation

LIFESAVING AND ENHANCED FIRST AID USING PRIMARY AND

SECONDARY SURVEY

280 min.

The aim of this lesson is to give the Course Participants (Delegates) knowledge, skills and steps to follow a methodical sequence to identify and treat life threatening time critical injuries and illnesses. Course Participants (Delegates) shall be able to demonstrate correct use of Lifesaving and Enhanced First Aid using the "C"-A-B-C-D-E principle during primary and secondary survey supported by teleconsultation. Further aim of this lesson is to give the Course Participants (Delegates) confidence and skills to be able to deliver immediate enhanced first aid to stabilize the casualty and to perform basic life support with the help of additional FA equipment, such as supplemental respiratory aids and the use of an Automatic External Defibrillator (AED). Course Participants (Delegates) shall receive the knowledge and skills to be able to assess, assist and provide the necessary First Aid to special incidents frequently occurring after injuries/accidents or during illnesses.

To successfully complete this lesson, Course Participants (Delegates) shall be able to:

1) Understand the principles of Primary and Secondary survey (L2 Knowledge)

2) Assess a casualty using the Primary and Secondary Survey (L3 Skills and knowledge)

3) Immediate First Aid actions using Primary and Secondary Survey and the "C"-A-B-C-D- E- principle (L3 Skills and Knowledge) 4) Treatment of Catastrophic external haemorrhage "C" critical bleeding (L3 Skills and Knowledge) 5) Deliver correct First Aid for obstruction of airways - establish and maintain an airway (L2 Skills and Knowledge)

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