GWO BSTR v10.1

Basic Safety Training Refresher V10.1

2020-10-01_TSR_BSTR_V10.1

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

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

3 CHANGE LOG – REVISION 10.1................................................................................................. 6

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

5 GENERAL REQUIREMENTS FOR GWO BST REFRESHER ............................................................. 9

5.1 Overview.................................................................................................................................. 9 5.2 Target group............................................................................................................................ 9 5.3 Aims and objectives.............................................................................................................10 5.4 Duration of BSTR Modules ....................................................................................................10 5.5 Validity period....................................................................................................................... 11 5.6 Course codes: ....................................................................................................................... 11 5.7 Delegate prerequisites for the BSTR ...................................................................................12 5.8 Physical demands ................................................................................................................12 5.9 Training equipment ..............................................................................................................12

6 UNDERSTANDING GWO LEARNING OBJECTIVES ..................................................................13

6.1 Taxonomy .............................................................................................................................. 13

7 MODULE 1 – FIRST AID REFRESHER........................................................................................... 17

7.1 Aims and objectives of the BSTR First Aid Module............................................................ 17 7.2 Duration of the BSTR First Aid Module ................................................................................17 7.3 First Aid Instructor to Delegate Ratio .................................................................................18 7.4 Equipment ............................................................................................................................. 18 7.5 First Aid Module timetable ..................................................................................................18 7.6 Detailed description of the First Aid module ....................................................................20 7.7 Delegate performance assessment ..................................................................................41

8 MODULE 2 – MANUAL HANDLING REFRESHER.......................................................................43

9 MODULE 3 – FIRE AWARENESS REFRESHER .............................................................................45

10 MODULE 4 – WORKING AT HEIGHTS REFRESHER....................................................................47

10.1 Aims and objectives of the BSTR Working at Heights Module........................................47 10.2 Duration of the BSTR Working at Heights Module ............................................................ 47 10.3 Working at Heights Instructor to Delegate Ratio.............................................................. 48 10.4 Equipment for Working at Heights Module.......................................................................48 10.5 BSTR Working at Heights Module time table.....................................................................50 10.6 Detailed description of the BSTR Working at Heights Module........................................52 10.7 Delegate performance assessment ..................................................................................64

11 MODULE 5 – WORKING AT HEIGHTS WITH MANUAL HANDLING REFRESHER..................66

11.1 Aims and objectives of the BSTR Working at Heights with Manual Handling Module 66 11.2 Duration of the BSTR Working at Heights with Manual Handling Module.....................67

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11.3 Working at Heights with Manual Handling Trainer/Delegate Ratio............................... 67 11.4 Equipment for BSTR Working at Heights with Manual Handling Module....................... 68 11.5 BSTR Working at Heights with Manual Handling Module timetable............................... 69 11.6 Detailed description of the BSTR Working at Heights with Manual Handling Module 71 11.7 Delegate Performance Assessment ..................................................................................84

12 MODULE 6 - SEA SURVIVAL REFRESHER...............................................................................87

ANNEX 1 - EQUIPMENT LISTS ............................................................................................................89

ANNEX 2 - GUIDELINE FOR WARM-UP EXERCISES .........................................................................96

ANNEX 3 - MANUAL HANDLING RISK ASSESSMENT ......................................................................98

ANNEX 4 - VERSION HISTORY ........................................................................................................103

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1 L IST OF ABBREVIATIONS

AED

Automatic External Defibrillator

ANSI

American National Standards Institute

AS/NZS

Australia and New Zealand Standard

BST

Basic Safety Training

BSTR

Basic Safety Training Refresher

BWH

Basic Working at Height

CO 2

Carbon Dioxide

CPR

Cardiopulmonary Resuscitation

CSA

Canadian Standards Association

EN

European Standards

EPIRB

Emergency Position Indicating Radio Beacon

ERC

European Resuscitation Council

GWO

Global Wind Organisation

GMDSS

Global Maritime Distress and Safety System

H.E.L.P.

Heat Escape Lessening Posture

ILCOR

International Liaison Committee on Resuscitation

LSA

Life Saving Appliances

PLB

Personal Locating Beacon

MES

Marine Evacuation Systems

MOB

Man Over Board

PPE

Personal Protective Equipment

PTSD

Post-Traumatic Stress Disorder

SAR

Search and Rescue

SART

Search and Rescue Transponder

SRL

Self-Retractable Lifeline

T.I.L.E.

Task Individual Load Environment

MAC

Manual handling Assessment Chart

WTG

Wind Turbine Generator

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2 T ERMS AND DEFINITIONS

Term

Definition

Shall

Verbal form used to indicate requirements strictly to be followed in order to conform to this training standard and from which no deviation is permitted For clarity where the word must is used in this standard it shall have the same meaning as shall Verbal form used to indicate that among several possibilities one is recommended as particularly suitable, without mentioning or excluding others, or that a certain course of action is preferred but not necessarily required Preventing the user of a personal fall protection system from colliding with the ground, structure or any other obstacle during a free fall. Preventing the user of a personal fall protection system from going into a free fall Assembly of components intended to protect the user against falls from height, including a body holding device and an attachment system, which can be connected to a reliable anchorage point Personal fall protection system which prevents the user from reaching zones where the risk of a fall from height exists Personal fall protection system which enables the user to work in tension or suspension in such a way that free fall is prevented Personal fall protection system which limits the impact force on the body of the user during fall arrest Personal fall protection system by which a person can rescue themselves or others, in such a way that a free fall is prevented

Must

Should

Fall arrest

Fall prevention

Personal fall protection system

Restraint system

Work positioning system

Fall arrest system

Rescue system

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3 C HANGE L OG – R EVISION 10.1

Amendment Date

Oct. 2020

Approved by & date

Version

10.1

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 4. 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

- 5.4 Conformity with other training – section removed - 5.5 Legal Requirements – Section Removed - 5.9 Training Equipment section added

Section 6

-

6.1 Staff – section removed

- 6.2 Facilities and Equipment – section removed / Equipment now moved to section 5.9 - 6.3 Theory training facilities – section removed - 6.4 Practical training facilities – section removed - 6.5 Training Equipment – section removed

Section 8

- 8.1 Administrative arrangements – section removed - 8.2 Delegate performance assessment – section removed - 8.3 Requirement to upload training record in WINDA – section removed ( course Codes have now been moved to section 5.6) - 8.4 Training Providers own Records and Certificates issue – section removed - 8.5 Delegate performance assessment form – section removed

Annex 1

- Delegate Performance Assessment Form – Section removed

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Annex 2

- Medical Assessment Form – Section removed

All section reference numbers have now been updated

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4 S COPE

This Standard describes the requirements for Basic Safety Training Refresher courses that are recommended by the members of GWO. The full standard covers 6 modules:

1) First Aid

2) Manual Handling

3) Fire Awareness

4) Working at Height

5) Working at Height & Manual handling combined

6) Sea Survival

The members of the Global Wind Organisation (GWO) recognize trained persons as competent within Basic Safety in the wind industry and accept the trained person as possessing the required knowledge to stop an unsafe work situation where they as duty- holders are accountable for safety.

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5 G ENERAL R EQUIREMENTS FOR GWO BST R EFRESHER

Upon completion of the Global Wind Organisation (GWO) Basic Safety Training (BST) Delegates will possess an awareness of the hazards encountered when working within the wind industry and how to control and mitigate these hazards. The BST will also equip participants with the knowledge, skills and confidence to appropriately respond in the event of an emergency and to increase their safety through proper use of Personal Protective Equipment (PPE), emergency equipment and procedures. The approved GWO Basic Safety Training Refresher (BSTR) refreshes, reviews and builds on Delegates existing skills and tools obtained during BST courses, which include Fire Awareness, First Aid, Working at Heights and Manual Handling. To enable Delegates to work in the offshore environment, an additional GWO Sea Survival training shall be completed.

5.1

Overview

The GWO Basic Safety Training Refresher is divided into the following six Modules:

1) First Aid Refresher

2) Manual Handling Refresher

3) Fire Awareness Refresher

4) Working at Heights Refresher

5) Working at Heights and manual handling combined refresher

6) Sea Survival Refresher

Note: Module 5 working at heights & Manual handling combined refresher is a combined module comprising the lessons and elements from both the working at height module and the manual handling module and is intended to be delivered in 1 day. The combined working at height & manual handling module can be delivered instead of the two standalone modules. Where the combined module is delivered then the delegate shall receive two training records one for working at height and one for manual handling.

5.2

Target group

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 performs job functions that has been risk assessed by their employer or their workplace duty holder as a function, where training according to one or more modules of the BST standard may mitigate of the identified risks.

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5.3

Aims and objectives

The aim of BSTR is to review and build on previously gained knowledge and skills from BST through theoretical and practical training. This BSTR Training shall enable Delegates to support and care for themselves and others working in the industry by possessing the knowledge and skills of First Aid, Working at Heights, Manual Handling, Fire Awareness, Sea Survival and in case of an emergency, to be able to evacuate, rescue and provide appropriate First Aid to casualties.

5.4

Duration of BSTR Modules

The total contact time for completing the modules in this basic safety training standard is estimated to be 27 hours and 40 minutes . 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 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

First Aid Refresher

7 hours 00 minutes

Manual Handling Refresher

3 hours 35 minutes

Fire Awareness Refresher

3 hours 20 minutes

Working at Heights Refresher

8 hours 00 minutes

Working at Heights & Manual handling Refresher

8 hours 00 minutes

Sea Survival Refresher

6 hours 40 minutes

Table 5-4.1- GWO BSTR Module durations

Maximum duration per day

Contact time

8 hours

Total training day

10 hours

Table 5-4.2 - 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).

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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.

5.5

Validity period

The Basic Safety Training Refresher Modules are valid for the period 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 Delegate is only allowed to attend a refresher course in the specific Training Module prior to the date of expiry on the current certificate or training records. If a certificate or training record is expired, the Delegate must attend the full Basic Safety Training Module(s) to obtain a new training record. The validity period is automatically calculated in WINDA by entering the course completion date.

Modules

Certificate Validity Period

First Aid Refresher

24 months

Manual Handling Refresher

24 months

Fire Awareness Refresher

24 months

Working at Heights Refresher

24 months

Working at Heights & Manual handling Refresher

24 months

Sea Survival Refresher

24 months

Table 5-5 - GWO BSTR modules certificate validity periods

5.6

Course codes:

Module

Course code

First Aid Refresher

FAR

Manual Handling

MHR

Fire Awareness

FAWR

Working at Heights

WAHR

Sea Survival

SSR

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Table 5-6 - GWO BSTR module course codes

5.7

Delegate prerequisites for the BSTR

All personnel participating in Refresher Training shall be medically fit and capable of fully participating. Training providers shall have a procedure that requires Delegates to sign a statement (see Requirements for Training Providers Annex 1 & 2, Suggestion for Medical Statement from GWO) stating that they are medically fit to participate in the safety training and that they do not suffer from any medical illness or are under influence of any narcotic substance or alcohol.

Delegates’ signatures shall be collected prior to the start of the safety training course.

Furthermore, Delegates shall possess valid BST/ BSTR certificates or training records in WINDA for the relevant Modules prior to attending BSTR training. The Delegates shall also have a personal Delegate profile in WINDA and provide their own WINDA ID prior to completing the BST training.

5.8

Physical demands

BSTR Modules may potentially be physically demanding.

If there is any doubt regarding the medical fitness of any Delegate, the Training Provider shall stop training the 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 Delegates other than those required to meet this Standard.

5.9

Training equipment

The equipment required for the delivery of the BSTR modules is shown in Annex 1.

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6 U NDERSTANDING GWO L EARNING O BJECTIVES

The described learning objectives (expected learning outcome) are the foundation of the course contents and what the 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.

6.1

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 delegate name or recognize something, as oppose to have 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 delegate, thus describing the taxonomy level of a learning objective. Learning objectives in this standard are followed by an indication of the taxonomy level and domain in brackets e.g. (L3 – Skill)

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

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. Be positive and creative to what is being taught. Action verbs:

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. Action verbs:

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. Action verbs:

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

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

Ask, Be open to, Concentrate, Discuss, Focus, Follow, Listen, Reply, Take part.

Table 6-1 - Taxonomy used by GWO

Note:

Higher taxonomy levels exist.

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First Aid Refresher Module (FAR)

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7 M ODULE 1 – F IRST A ID R EFRESHER

7.1

Aims and objectives of the BSTR First Aid Module

The aim of this BSTR First Aid Module is to review and build on previously gained knowledge and skills from BST First Aid through theoretical and practical training so that Delegates can administer safe and effective First Aid, perform cardiopulmonary resuscitation (CPR) and use an automated external defibrillator (AED) in the wind industry / WTG environment.

This BSTR First Aid Module shall ensure that:

1) Delegates are able to demonstrate understanding of the importance of safely and correctly carrying out First Aid in accordance with the legislative requirements of their geographic location and according to the International Liaison Committee on Resuscitation (ILCOR) e.g. European Resuscitation Council (ERC) and American Heart Association (AHA) guidelines (L2 – Knowledge) 2) Delegates are able to identify and explain normal function, normal signs and symptoms of injuries and illness related to the human body (L1) -Skills & knowledge) 3) Delegates are able to demonstrate understanding and correct order of management in emergency situations in a wind turbine work environment (L3 – Skills & knowledge) 4) Delegates are able to demonstrate correct use of lifesaving First Aid using the Primary and Secondary Survey (“C”-A-B-C-D-E) (L3 – Skills) 5) Delegates are able to demonstrate correct use of an Automatic External Defibrillator (AED) (L3 – Skills) 6) Delegates are able to demonstrate correct use of First Aid equipment in First Aid scenarios (L3 – Skills)

7.2

Duration of the BSTR First Aid Module

The total contact time for completing this first aid refresher module is estimated to be 7 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 delegates with prior experience to share their experiences related to first aid in a way that is constructive for the entire class.

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Maximum duration per day

Contact time

8 hours

Total training day

10 hours

Table 7-2 - 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).

7.3

First Aid Instructor to Delegate Ratio

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

Module

Session

Instructor to Delegate Ratio

Theory

1:12

BSTR First Aid

Practical

1:6

Table 7-3 - GWO First Aid Refresher module instructor to delegate ratio

7.4

Equipment

The equipment required for training as listed in Annex 1 must be available and must fulfil national legal requirements as listed in table A1-1 in annex 1 where applicable.

7.5

First Aid Module timetable

The order in which the elements of this BSTR 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.

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Approx. Duration

Lesson

Element

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 (Control Measures) 1.6 Motivation

TOTAL

15 min.

2 Legislation/Risks/ Hazards

2.1 Risks and hazards 2.2 National legislation 2.3 First Aid guidelines 2.4 Global legislation TOTAL

15 min.

3 Anatomy

3.1 The human body’s life conditions, structure, function and signs 3.2 Use of anatomy and First Aid in emergency situations TOTAL

60 min.

4 Life-saving First Aid using Primary and Secondary Survey

4.1 Primary Survey (“C”-A - B - C) 4.2 Unresponsive 4.3 Unresponsive, not breathing 4.4 CPR, including AED 4.5 Obstruction of airways 4.6 Bleeding, internal and external 4.7 Shock 4.8 Secondary survey A-B-C-D-E TOTAL

75 min.

5 Themes

Choose one of the following 5 themes for instruction:

5.1 Theme 1:

 Psychological effects of First Aid

5.2 Theme 2:

 Sudden sickness and environmental factors

5.3 Theme 3:

 Types of trauma

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5.4 Theme 4:

 Incident management and situational awareness

5.5 Theme 5:

 Complex incidents with several (2-5) casualties TOTAL

120 min.

6 Scenario-based training

6.1 Practice First Aid techniques

TOTAL

120 min.

7 Evaluation

7.1 Summary 7.2 Evaluation 7.3 Training records TOTAL

15 min.

GRAND TOTAL

420 min.

Table 7-5 - GWO First Aid Refresher module timetable

7.6

Detailed description of the First Aid module

The learning outcomes specified for the First Aid Module are:

Note:

The administrative part of the registration shall be completed before the course commences.

INTRODUCTION

15 min.

The aim of this lesson is to give the Delegates the needed awareness of the Refresher Course content and the facilities involved in order to ensure that all Delegates are aware of what to expect and what is expected of them during the course.

To successfully complete this BSTR First Aid Module, Delegates shall be aware of:

1) Safety instructions and emergency procedures

2) Facilities

3) Who the instructor and other Delegates are

4) Aims and main learning objectives

5) On-going assessment according to GWO Control Measures

6) Motivation for the course

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SAFETY INSTRUCTIONS AND EMERGENCY PROCEDURES

Training Staff shall:

Explain safety instructions according to internal procedures

Explain the emergency procedures and emergency exits for the areas the Delegates will be located during the course

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FACILITIES

Training Staff shall:

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

INTRODUCTION

Training Staff shall give :

Give a short introduction, including their backgrounds as instructors

Delegates shall give :

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

Training Staff shall:

Explain the programme of the BSTR Module, including breaks and meal times

SCOPE AND MAIN OBJECTIVES

Training Staff shall:

Explain the scope and main objectives of this BSTR Module

ON-GOING ASSESSMENTS

Training Staff shall:

Explain the reasons for the on-going assessment

Explain the GWO Control Measures and their use

MOTIVATION

Training Staff shall:

Explain the importance of personal involvement in the course

Explain the definition and need for correct First Aid

Explain the chain of survival

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

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LEGISLATION/RISKS/HAZARDS

15 min.

The aim of this lesson is to refresh and increase Delegates’ previously acquired knowledge of the relevant legislation/risks/hazards 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 BST Module, Delegates shall be able to:

1) Explain risks and hazards relating to First Aid in a WTG environment (L2 – Knowledge)

2) Summarize national legislation relevant to First Aid (L2 – Knowledge)

3) Explain different First Aid guidelines – ILCOR e.g. ERC and AHA (L2 – Knowledge)

4) Recognise global legislation relevant to First Aid (L2 – Knowledge)

RISK AND HAZARDS

Training Staff shall:

Lead a discussion about the risks and hazards involved in an incident relevant for job functions within the wind industry, based on participants’ practical experiences since the previous GWO BST First Aid Training, covering the following topics

a. Onshore

b. Offshore

c. Group discussions

FIRST AID GUIDELINES

Training Staff shall:

Explain recent changes/updates to guidelines from ILCOR e.g. ERC and AHA*

* If ERC and/or AHA guidelines have changed, these changes shall be discussed during this BSTR First Aid Module

NATIONAL LEGISLATION

Training Staff shall:

Explain recent changes/updates to national legislation

Explain recent changes/updates to national legal requirements

Explain recent changes/updates to national legal responsibilities

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

GLOBAL LEGISLATION

Training Staff shall:

Lead a discussion to refresh site organisation and types of units on a site and using of the Delegates’ personal practical experiences Explain recent changes/updates to global legislation (Differences in national regulations between countries)

Explain recent changes/updates to global legal responsibilities

ANATOMY

75 min.

The aim of this lesson is to refresh and increase Delegates’ previously acquired knowledge and skills regarding the human body. Delegates will be able to identify and explain normal bodily function, signs, symptoms and functions of injuries and illnesses related to the human body.

To successfully complete this BSTR Module, Delegates shall be able to demonstrate:

1) Understanding of the human body’s life conditions, structures, functions and signs (L2 – Knowledge) 2) Knowledge and skills for detecting abnormal signs, symptoms and functions of injuries (L2 – Knowledge) 3) Knowledge and skills for detecting abnormal signs, symptoms and functions of illness related to the human body (L2 – Skills & knowledge) 4) Understanding of anatomy and First Aid in emergency situations (L2 – Knowledge & attitude)

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

Delegates shall explain and demonstrate :

Normal life conditions for the human body

a. Human cells and life conditions

b. Cells and oxygen (O 2 )

c. Cells and carbon dioxide (CO 2 )

d. Vital organs and their needs

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Vital systems of the human body

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Nervous system

a. Anatomy of the nervous system

b. Structure, functions and normal signs

c. Threats to the nervous system (signs and symptoms of injuries and illnesses)

Respiratory system

a. Anatomy of the respiratory system

b. Structure, functions and normal signs

c. Threats to the respiratory system (signs and symptoms of injuries and illnesses)

Circulatory system

a. Anatomy of the circulatory system

b. Structure, functions and normal signs

c. Threats to the circulatory system (signs and symptoms of injuries and illnesses)

Blood filled organs

a. Placement of kidneys, liver and spleen

b. Effects of injury of the organs

Training Staff shall:

If Delegates do not cover all points during their review, Training Staff shall ensure that following topics are covered

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

b. Injuries - signs, symptoms and function

c. Illnesses - signs symptoms and function

d. Use of anatomy and First Aid in emergency situations

USE OF ANATOMY AND FIRST AID IN EMERGENCY SITUATIONS

Training Staff shall:

Explain and demonstrate how to assess a casualty:

a. Personal Protective Equipment against infections; protection and use of barriers in emergency situations b. From structure, function and symptoms to correct First Aid treatment of a casualty

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LIFESAVING FIRST AID USING PRIMARY AND SECONDARY SURVEY

60 min.

The aim of this lesson is to refresh and enhance Delegates’ previously acquired knowledge of and skills for following a systematic sequence for establishing techniques so that each life threatening condition can be identified in a priority order and dealt with on a “find and treat” basis in emergency situations.

To successfully complete this BSTR Module, Delegates shall be able to demonstrate :

1) Immediate First Aid actions using the Primary Survey (“C”-A - B - C) (L3 – Skills & knowledge)

2) Correct First Aid to an incident related to critical bleeding (L3 – Skills)

3) Correct First Aid to an unresponsive and breathing casualty (L3 – Skills)

4) Correct First Aid to an unresponsive and not breathing casualty (L3 – Skills)

5) Knowledge and skills regarding Cardiopulmonary Resuscitation (CPR) (L3 – Skills & knowledge)

6) Correct First Aid for obstruction of airways (L2 – Skills & knowledge)

7) Correct First Aid for bleeding - externally and internally (L2 – Skills & knowledge)

8) Correct First Aid for shock (L2 – Skills, Knowledge & attitude)

9) Correct use of Secondary Survey (L3 – Skills)

PRIMARY SURVEY (“C” - A - B - C)

Delegates shall:

Explain and demonstrate how to use the Primary Survey (“C” - A - B - C) in an incident

a. C – Critical Bleeding

b. A - Airway

c. B - Breathing

d. C - Circulation

UNRESPONSIVE

Training Staff shall:

Explain First Aid for an unresponsive casualty

a. Reasons for unresponsiveness

b. Threats

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c. Primary Survey (“C”-A - B - C)

d. Recovery position - Single First Aider

e. Recovery position - Two First Aiders

f.

First Aid equipment

Delegates shall:

Practice and demonstrate the ability to perform First Aid for an unresponsive casualty

a. Threats

b. Primary Survey (“C”-A - B - C)

c. Recovery position - Single First Aider

d. Recovery position - Two First Aiders

e. Use of First Aid equipment

UNRESPONSIVE, NOT BREATHING

Training Staff shall:

Explain First Aid for unresponsive, not breathing casualty

a. Reasons for unresponsiveness and not breathing

b. Threats

c. Primary Survey (“C”-A - B - C)

d. Performing CPR on adults - Single First Aider

e. Performing CPR on adults - Two First Aiders

f. Use of First Aid equipment, including AED

CPR

Delegates shall:

Practice and demonstrate the ability to perform First Aid for unresponsive, not breathing casualty

a. Primary Survey (“C”-A - B - C)

b. Performing correct and efficient CPR on adults

c. Use of First Aid equipment, including AED

OBSTRUCTION OF AIRWAYS

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Training Staff shall:

Explain obstruction of airways

a. Reasons for obstruction of airways

b. Threats

c. Primary Survey (“C”-A - B - C)

d. Adults

Delegates shall:

Practice and demonstrate the ability to perform First Aid in case of obstruction of airways

a. Primary Survey (“C”-A - B - C)

b. Adults

BLEEDING, INTERNAL AND EXTERNAL

Training Staff shall:

Explain external bleeding

a. Reasons for external bleeding

b. Threats

c. Primary Survey (“C”-A - B - C)

d. Use of First Aid equipment

e. Use of other equipment

Delegates shall:

Practice and demonstrate the ability to perform First Aid where a casualty is bleeding externally

a. Primary Survey (“C”-A - B - C)

b. Use of First Aid equipment

c. Use of other equipment

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Training Staff shall:

Explain internal bleeding

a. Reasons for internal bleeding

b. Threats

c. Primary Survey (“C”-A - B - C)

d. Use of First Aid equipment

Delegates shall:

Practice and demonstrate the ability to perform First Aid when a casualty is internally bleeding

a. Primary Survey (“C”-A - B - C)

b. Use of First Aid equipment

SHOCK

Training Staff shall:

Explain shock

a. Reasons for shock

b. Types of shock

c. Threats

d. Primary Survey (“C”-A - B - C)

e. Use of First Aid equipment

f.

Psychological First Aid

Delegates shall:

Practice and demonstrate the ability to perform First Aid for Shock

a. Primary Survey (“C”-A - B - C)

b. Use of First Aid equipment

c. Psychological First Aid

SECONDARY SURVEY

Training Staff shall:

Explain how to perform a secondary survey correctly

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Explain the general conditions of secondary survey using the A-B-C-D-E - principle

Explain the A - B – C - D – E- principle in the context of the secondary survey:

D: Disability/Neurologic assessment

E: Exposure and environmental control

Training Staff shall:

Explain and demonstrate the differences between/indications for sitting, lying and shock position (conscious/unconscious) and the importance of keeping up body temperature

THEMES

120 min.

This lesson presents 5 themes (situations or factors) that may significantly affect the response and management of First Aid incidents in Wind Turbine environments. The aim of this lesson is to give the Delegates the knowledge, skills and understanding presented in one of the 5 themes . The course Instructor shall select one of the 5 themes to teach during the Refresher First Aid Training.

THEME 1: PSYCHOLOGICAL EFFECTS OF FIRST AID

To successfully complete this BSTR First Aid Module Theme 1, Delegates shall be able to demonstrate:

1) Knowledge of how administering First Aid during an incident psychologically affects the First Aider (L2 – Knowledge) 2) Knowledge of how to give psychological First Aid to the First Aider (Person administering First Aid) (L2 – Knowledge)

a. Immediately after an incident (short-term impacts on the First Aider)

b. After an incident (long-term impacts on the First Aider)

3) Knowledge of tools a First Aider can use to evaluate whether they can give psychological First Aid or if they need to contact professional help (L2 – Knowledge) 4) Knowledge of where First Aiders can receive psychological help (company-specific internal and external psychological help) (L2 – Knowledge)

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THEME 2: SUDDEN SICKNESS AND ENVIRONMENTAL FACTORS

To successfully complete this BSTR First Aid Module Theme 2, Delegates shall be able to demonstrate:

1) Knowledge of and skills for responding to sudden sickness and environmental factors, that affect the central nervous system (L3 – Skills & knowledge) 2) Knowledge of and skills for responding to sudden sickness and environmental factors that affect the respiratory system (L3 – Skills & Knowledge) 3) Knowledge of and skills for responding to sudden sickness and environmental factors that affect the circulatory system (L3 – Skills & Knowledge)

THEME 3: TYPES OF TRAUMA

To successfully complete this BSTR First Aid Module Theme 3, Delegates shall be able to demonstrate:

1) Knowledge of and skills for managing and responding to trauma incidents that affect the central nervous system (L3 – Skills & knowledge) 2) Knowledge of and skills for managing and responding to trauma incidents that affect the respiratory system (L3 – Skills & knowledge) 3) Knowledge of and skills for managing and responding to trauma incidents that affect the circulatory system (L3 – Skills & knowledge)

THEME 4: INCIDENT MANAGEMENT AND SITUATIONAL AWARENESS

To successfully complete this BSTR First Aid Module Theme 4, Delegates shall be able to demonstrate:

1) Knowledge, skills for and understanding of incident management and situational awareness in a wind turbine environment, onshore (L3 – Skills & knowledge) 2) Knowledge, skills for and understanding of incident management and situational awareness in a wind turbine environment, offshore (L3 – Skills & knowledge)

THEME 5: COMPLEX INCIDENTS WITH SEVERAL (2-5) CASUALTIES

To successfully complete this BSTR First Aid Module Theme 5, Delegates shall be able to demonstrate:

1) Knowledge of and understanding for managing and effectively carrying out First Aid during complex incidents with several (2 - 5) casualties in a wind turbine work environment (L2 – Knowledge)

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