Version 19 is valid from 2nd May, 2025 Version 13 will be valid until 1st October, 2025
Safety training
Basic Safety Training Refresher Standard
V19
Publication date: 02052025
Safety training
Basic Safety Refresher Training / V19 02052025
CONTENTS
1. LIST OF ABBREVIATIONS .................................................................................................................................4
2. TERMS AND DEFINITIONS...............................................................................................................................5
3. CHANGE LOG ................................................................................................................................................... 6
4. SCOPE ...............................................................................................................................................................9
5. GENERAL REQUIREMENTS FOR THE GWO BST REFRESHER .......................................................................9
5.1 5.2 5.3 5.4 5.5 5.6 5.7
Overview
10 10 10 11 11 12 13
Target Group
Aims and Objectives
Duration of the BSTR Modules
Validity Period Course Codes
Participant Prerequisites for the BSTR
6. USING THIS STANDARD TO DEVELOP TRAINING .......................................................................................13
7. MODULE 1 – BSTR FIRST AID MODULE ........................................................................................................15
7.1 7.2 7.3 7.4 7.5 7.6
Aims and Objectives for the BSTR First Aid Module
15 15 15 16 16 17
Duration of the BSTR First Aid Module BSTR First Aid Module Participant Ratio Equipment for the BSTR First Aid Module
BSTR First Aid Module Timetable
Detailed Description of the BSTR First Aid Module
Introduction to the training .............................................................................................................. 17 Practical application of the primary survey ....................................................................................... 20 Scenario-based training .................................................................................................................... 25 Training review ................................................................................................................................. 28
8. MODULE 2 – BSTR MANUAL HANDLING MODULE.....................................................................................31
9. MODULE 3 – BSTR FIRE AWARENESS MODULE ..........................................................................................33
10. MODULE 4 – BSTR WORKING AT HEIGHTS MODULE.................................................................................35
10.1 10.2 10.3 10.4 10.5
Aims and Objectives of the BSTR Working at Heights Module Duration of the BSTR Working at Heights Module BSTR Working at Heights Instructor to Participant Ratio Equipment for the BSTR Working at Heights Module BSTR Working at Heights Module Timetable
35 35 35 36 37
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10.6
Detailed Description of the BSTR Working at Heights Module
39
Introduction to the training .............................................................................................................. 39 Knowledge review ............................................................................................................................ 44 PPE Review exercises ....................................................................................................................... 46 Theory .............................................................................................................................................. 48 Measures to prevent injury during training....................................................................................... 52 Individual practical review exercises................................................................................................. 53 Dropped Objects.............................................................................................................................. 57 Practical exercises – group ............................................................................................................... 61 Training review ................................................................................................................................. 65
10.7
Participant performance assessment
66
11. MODULE 5 – BSTR WORKING AT HEIGHTS WITH MANUAL HANDLING MODULE ..................................69
11.1 11.2 11.3 11.4 11.5 11.6
Aims and Objectives of the BSTR Working at Heights with Manual Handling Module Duration of the BSTR Working at Heights with Manual Handling Module BSTR Working at Heights with Manual Handling Instructor to Participant Ratio Equipment for BSTR Working at Heights with Manual Handling Module
69 69 70 70 71 73
BSTR Working at Heights with Manual Handling Module timetable
Detailed Description of the BSTR Working at Heights with Manual Handling Module
Introduction to the training .............................................................................................................. 73 Knowledge review ............................................................................................................................ 78 PPE review exercises ........................................................................................................................ 83 Theory .............................................................................................................................................. 84 Measures to prevent injury during training....................................................................................... 90 Individual practical review exercises................................................................................................. 91 Dropped Objects.............................................................................................................................. 96 Practical exercises – group ............................................................................................................. 100 Training review ............................................................................................................................... 104
11.7
Participant performance assessment
105
12. MODULE 6 – BSTR SEA SURVIVAL MODULE ..............................................................................................108
ANNEX 1 - EQUIPMENT LISTS ..................................................................................................................................110
ANNEX 2 - GUIDELINE FOR WARM-UP EXERCISES ................................................................................................117
ANNEX 3 - MANUAL HANDLING RISK ASSESSMENT .............................................................................................124
ANNEX 4 - VERSION HISTORY ..................................................................................................................................133
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1. LIST 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
GMDSS
Global Maritime Distress and Safety System
GWO
Global Wind Organisation
H.E.L.P.
Heat Escape Lessening Posture
ILCOR
International Liaison Committee on Resuscitation
LSA
Life Saving Appliances
MES
Marine Evacuation Systems
MOB
Man Overboard
PLB
Personal Locating Beacon
PPE
Personal Protective Equipment
PTSD
Post-Traumatic Stress Disorder
SAR
Search and Rescue
SART
Search and Rescue Transponder
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SRL
Self-Retractable Lifeline
T.I.L.E.
Task Individual Load Environment
WTG
Wind Turbine Generator
2. TERMS AND DEFINITIONS
Term
Definition
Additional fall protection
Describes the use of an independent, additional suitable fall protection system in conjunction with a primary fall protection system. Typically, used during training to provide fall protection to participants as they learn to use fall protection equipment. Additional fall protection may sometimes be referred to as a “backup”
The additional fall protection system should be chosen in such a way that it will not hinder the exercise. Preferably this additional fall protection is not even noticeable by the participant
As low as reasonably practicable
This means that a risk is identified and controlled to a lower level weighted against the effort, time and money needed to control it
Buddy check A safety practice where two workers pair up to inspect each other’s equipment, tools, or work setup. The purpose of a buddy check is to catch any errors, oversights, or loose connections that a person might miss when inspecting their own setup. This extra layer of accountability helps prevent accidents, improves situational awareness, and reinforces a culture of safety on the worksite
A zone where there is a risk of objects falling from height, and there is a risk of injury to persons or significant damage to plant and equipment from dropped or falling objects. In some localities the terms “Restricted Access Area”, “Restricted Access Zone”, or “Exclusion Zone” may be used Working at different levels in a structure, where there is a risk of objects falling from one level to a lower level, shall be avoided. A safety perimeter or safety area can be established and barricaded off to keep personnel from entering. Staying out of the drop zone aims to prevent injury from falling objects
Drop Zone
Preventing the user of a personal fall protection system from colliding with the ground, structure, or any other obstacle during a free fall
Fall arrest
Fall arrest system
Personal fall protection system which limits the impact force on the body of the user during fall arrest
Fall prevention Preventing the user of a personal fall protection system from going into a free fall
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For clarity where the word must is used in this standard it shall have the same meaning as shall
Must
Personal fall protection system
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
Rescue system Personal fall protection system by which a person can rescue themselves or others, in such a way that a free fall is prevented
Restraint system
Personal fall protection system which prevents the user from reaching zones where the risk of a fall from height exists
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
Should
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
Work positioning system
Personal fall protection system which enables the user to work in tension or suspension in such a way that free fall is prevented
3. CHANGE LOG
Amendment date
Version
Approved by & date
02052025
19
GWO TC 10042025
Description of changes
Changes throughout:
• Aligned standard with GWO Corporate Visual Identity guidelines
Corrected spelling mistakes
•
Section 2. Terms and definitions:
Definition for “buddy check” added
•
Definition for “drop zone” added
•
Module – BSTR manual handling
Section 8.2 Duration of the BSTR manual handling module:
Total duration 10 minutes added
•
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Updated the term in use throughout
•
Element 2.1 How to avoid musculoskeletal injuries :
• Three Learning objectives knowledge raised from basic to intermediate level
2.1.2 Added topics to be covered
•
Element 4.6 Work with handheld tools:
Two new learning objectives added
•
• Existing learning objectives were adjusted accordingly
Module – BSTR working at heights
Section 10.2 Duration of the BSTR working at heights module:
Total duration 55 minutes added
•
Lesson 6 Individual practical review exercises:
• Elements 6.1, 6.2 and 6.3 headlines, learning objectives, and learning activities were aligned
Element 6.4 Anchor points:
New learning activity added
•
Lesson 7 Dropped objects:
• New overall lesson learning objective added Element 7.1 Risks :
• Three new learning objectives and corresponding learning activities added
Element 7.2 Risk reduction:
• Five new learning objectives and corresponding learning activities added Element 8.1 PFPE :
New learning activity added
•
Element 8.4 Rescue and evacuation equipment :
New learning activity added
•
Element 8.6 Safe practices :
Learning activity revised and updated
•
Module – BSTR working at heights with manual handling
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Section 11.2 Duration of the BSTR working at heights with manual handling module:
Total duration 75 minutes added
•
Lesson 2 Knowledge review:
Total duration 10 minutes added
•
Element 2.5 Knowledge of manual handling:
• Two new learning objectives and corresponding learning activities added
Lesson 4 Theory:
Total duration 10 minutes added
•
Element 4.10 Manual handling:
4.10.4 d etailed focus topics added
•
Element 6.2 Fall restraint and fall arrest lanyards:
New learning activity added
•
Element 6.3 Work positioning lanyards:
New learning activity added
•
Element 6.6 Safe practices:
New learning activity added
•
Lesson 7 Dropped objects:
• New overall lesson learning objective added Element 7.1 Risks :
• Three new learning objectives and corresponding learning activities added
Element 7.2 Risk reduction:
• Five new learning objectives and corresponding learning activities added Element 8.1 PFPE :
New learning activity added
•
Element 8.4 Rescue and evacuation equipment :
New learning activity added
•
Element 8.6 Safe practices :
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Learning activity revised and updated
•
Annex 2 Guideline for warm-up exercises
•
Layout updated
4. SCOPE
Global Wind Organisation is a non-profit body founded by the wind turbine manufacturers and owners. Our members strive for an injury free work environment in the wind turbine industry, setting common international standards for safety training and emergency procedures.
This standard describes the requirements for Basic Safety Training Refresher courses that are recommended by the members of GWO. The full standard covers six 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) recognise 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 situation where they as duty-holders are accountable for safety. This standard has been developed in response to the demand for recognisable safety 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 from G+ and the wind industry.
General feedback on this document can be sent to info@globalwindsafety.org See globalwindsafety.org on how to raise a complaint about a training provider or report a safety incident occurring during training.
5. GENERAL REQUIREMENTS FOR THE GWO BST REFRESHER Upon completion of the Global Wind Organisation (GWO) Basic Safety Training Refresher (BSTR) participants will possess an awareness of the hazards encountered when working within the wind industry and how to control and mitigate these hazards. The BSTR 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.
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The approved GWO Basic Safety Training Refresher (BSTR) refreshes, reviews and builds on participants existing skills and tools obtained during BST Module courses, which include Fire Awareness, First Aid, Working at Heights, and Manual Handling Modules. To enable participants to work in the offshore environment, an additional GWO Sea Survival Module training shall be completed.
5.1 Overview
The GWO Basic Safety Training Refresher is divided into the following six modules:
Module 1: First Aid Refresher
Module 2: Manual Handling Refresher
Module 3: Fire Awareness Refresher
Module 4: Working at Heights Refresher
Module 5: Working at Heights and Manual Handling Combined refresher
Module 6: Sea Survival Refresher
Module 5, Working at Heights & Manual Handling Combined Refresher is a combined module comprising the lessons and elements from both the Working at Heights Module and the Manual Handling Module and is intended to be delivered in one day. The Working at Height & Manual Handling Combined Module can be delivered instead of the two standalone modules. Where the combined module is delivered then the participants shall receive two training records one for working at height and one for manual handling.
Note
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 perform 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.
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 participants 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
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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 the BSTR Modules The total contact time for completing the basic safety training standard refresher is to be 21 hours and 50 minutes. This is based on the times given in the module timetables and summarised in table 5.4.1 below.
The training provider must not exceed the time per day given in table 5.4.2 below.
Modules
Duration
First Aid Refresher
4 hours 00 minutes
Manual Handling Refresher
3 hours 35 minutes
Fire Awareness Refresher
3 hours 20 minutes
Working at Heights Refresher
7 hours 55 minutes
Working at Heights & Manual handling Refresher
9 hours 15 minutes
Sea Survival Refresher
6 hours 30 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
Contact time includes delivery of course lesson content, practical exercises and activities directly related to these.
Note
The total training day includes contact time, meals and breaks and travel between training sites (where applicable).
The delivery of this module must comply with the requirements described in the GWO Requirements for Training.
5.5 Validity Period The Basic Safety Training Refresher Modules are valid for the period stated in the table below. Training records shall be renewed before the end of a given validity period. A training record can be renewed up to
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two months prior to expiry and maintain the original certification date by uploading the previous training record’s valid until date in WINDA.
If a training record is renewed outside of two months of expiry, it must carry the new date of certification.
A participant is only allowed to attend a refresher course in the specific training module prior to the date of expiry on the current training records.
If a training record is expired, the participant 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.
Course/module
Training Records Validity (Months)
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 5.5.1 – GWO BSTR modules training record 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
Table 5.6.1 – GWO BSTR module course codes
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5.7 Participant Prerequisites for the BSTR
All personnel participating must meet the participant prerequisites described in the GWO Requirements for Training.
6. USING THIS STANDARD TO DEVELOP TRAINING The training in this standard is designed around the GWO taxonomy described in the GWO Requirements for Training. Theoretical and practical activities must be delivered according to the defined taxonomic level in order to reach the described learning objectives. When teaching safety equipment, a generic approach to shall be applied aiming to avoid additional potential product specific formal training after completion of this training. However, national or regional legislation, company gap analysis and location specific risk assessments may require additional product specific familiarisation which is the responsibility of the duty holder.
In addition to this, all training based on this standard including all related resources shall, as a minimum, meet the requirements described in the GWO Requirements for Training.
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First Aid Refresher Module
(FAR)
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7. MODULE 1 – BSTR FIRST AID MODULE
7.1 Aims and Objectives for the BSTR First Aid Module The aim of this module is to enable participants, through theoretical and practical training, to refresh the participants prior experiences, knowledge, skills, and abilities to enable participants to recognise signs and symptoms of life threating situations and administer safe and effective first aid in the wind turbine industry/WTG environment in order to save lives, preventing further illness or injury, until the casualty can be handed over to the next level of care in case of an incident in the wind turbine industry/WTG environment.
After having successfully completed this BSTR First Aid module, the participants will have the ability to:
1) Act independently in recognising, assessing, and prioritising the need for basic first aid and providing lifesaving first aid until the casualty can be handed over to the next level of care in case of an incident in the wind turbine industry/WTG environment (Ability, intermediate level) 2) Take responsibility for recognising their limitations as a basic first aider, calling for help and enable evacuation off the casualty in case of an incident in the wind turbine industry/WTG environment (Ability, intermediate level)
7.2 Duration of the BSTR First Aid Module
The total contact time for completing the BSTR First Aid Module is estimated to be 4 hours and 0 minutes.
The training provider must not exceed the time per day given in the table 7.2.1 below.
Maximum Duration Per Day
Contact time
8 hours
Total training day
10 hours
Table 7.2.1 – Maximum durations for training days
Contact time includes delivery of course lesson content, practical exercises and activities directly related to these.
Note
The total training day includes contact time, meals and breaks and travel between training sites (where applicable).
7.3 BSTR First Aid Module Participant Ratio
The ratio shown for theory sessions indicates the maximum number of participants per instructor attending the course.
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Practical ratios indicate the maximum number of participants to be supervised by an instructor during each activity.
Module
Session
Instructor to Participant Ratio
Theory
1:12
BSTR First Aid
Practical
1:6
Table 7.3.1 – GWO First Aid Refresher Module instructor to participant ratio
7.4 Equipment for the BSTR First Aid Module
The equipment required for training as listed in Annex 1 must be available and must fulfil national legal requirements as listed in table Annex 1-1 where applicable.
7.5 BSTR First Aid Module Timetable
The order in which elements of this Module training are delivered may vary according to the didactical choices of the delivering training provider.
The delivery of this module must comply with the requirements described in the GWO Requirements for Training .
Lesson
Element
Duration
1. Introduction to the training
1.1
Safety instructions and emergency procedures
1.2
Facilities
1.3
Introduction
1.4
Scope and main learning objectives
Ongoing assessments (participant assessment form)
1.5
1.6
Motivation TOTAL
20 min.
2. Practical application of the primary survey
2.1
Primary survey (“C” A – B – C)
2.2
“C” – catastrophic external bleeding
2.3
Unresponsive
2.4
CPR – unresponsive, not breathing
2.5
Calling for help
2.6
Head-to-toe examination TOTAL
80 min.
3. Scenario-based training
3.1
Practice first aid techniques
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TOTAL
130 min.
4. Training Review
4.1
Training review
4.2
Feedback session TOTAL
10 min.
GRAND TOTAL
240 min.
7.6 Detailed Description of the BSTR First Aid Module INTRODUCTION TO THE TRAINING
20 min.
The aim of this lesson is for the participants to be motivated and to engage in the training safely at a training facility, while recognising what is expected of them during the training.
After having successfully completed this lesson, the participants can:
1) Recognise what is expected of them throughout the module (Knowledge, basic level)
2) Name and point out local emergency procedures and facilities (Knowledge, basic level)
3) Discuss the relevant human factors and explain their implications (Knowledge, intermediate level)
ELEMENT 1.1 - SAFETY INSTRUCTIONS AND EMERGENCY PROCEDURES
Learning objective:
4) The participants can show interest or curiosity in the safety and emergency procedures at the training facility (Ability, basic level)
The instructor shall:
Explain and ask involving questions aiming at:
a. safety instructions according to internal procedures
b. emergency procedures and emergency exits in the areas where the participants can be expected to be located during the course
The participants shall:
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Engage in answering questions on local safety and emergency procedures
ELEMENT 1.2 - FACILITES
Learning objective:
5) The participants can recognise the location of facilities at the training location (Knowledge, basic level)
The instructor shall:
Present a general description of the facilities at the training location (administration, dining area, restrooms, toilets, etc.)
Alternative activity: lead a tour and point out facilities
The participants shall:
Note relevant facilities and ask questions when in doubt
ELEMENT 1.3 - INTRODUCTION
Learning objective:
6) The participants can show interest in fellow participants and the course content and design (Ability, basic level)
The instructor shall:
Explain the timetable of the BSTR First Aid Module, including breaks and mealtimes
Give a short introduction to themselves, including their backgrounds as instructors
Ask for participants’ expectations of the training and their learning or development
The participants shall:
Give a short introduction to themselves, including job function and expected primary geographic work location and share expectations on the training
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ELEMENT 1.4 - SCOPE AND MAIN LEARNING OBJECTIVES
Learning objective:
7) The participants can recognise the scope and main objectives of the BSTR First Aid Training Module (Knowledge, basic level)
The instructor shall:
Present the scope and main learning objectives of the BSTR First Aid Module through a scenario, a challenge or, “Your goal with the BSTR First Aid Module, should you choose to accept is…”-message
A suggested learning activity could be to share stories, present scenarios or personal experiences that show the importance of being able to do basic first aid in the wind industry (what is in it for the participants). Where possible, ‘learning objectives – PowerPoint slide(s)’ as part of the introduction should be avoided. Instead use stories, examples or personal experiences that shows the importance of being able to provide basic first aid in the wind industry and the importance of the BSTR First Aid Module.
Note
Note
Involve participants with questions on understanding and individual experiences relevant to the BSTR First Aid Module
The participants shall:
Engage in answering questions and share experiences relevant to the BSTR First Aid Module
ELEMENT 1.5 - ONGOING ASSESSMENTS (PARTICIPANT ASSESSMENT FORM)
Learning objective:
8) The participants can recognise the assessment procedure and the aim of the ongoing assessment (Knowledge, basic level)
The instructor shall:
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Explain the reasons for the ongoing assessment
Explain the layout of the GWO participant assessment form and how it will be used
The participants shall:
Engage themselves in discussions and ask questions when in doubt on relation to the assessment procedure
ELEMENT 1.6 - MOTIVATION
Learning objective:
9) The participants can show interest and willingness to engage in the learning activities (Ability, basic level)
The instructor shall:
Explain and lead a discussion on:
a. the importance of personal involvement in the course
b. the definition of and the need for BSTR First Aid Module understandings and abilities:
Positive motivation is the driving force for commitment, and the instructor should make a focused effort to support growth of the necessary attitude and motivation in the participant.
Note
The participants shall:
Engage themselves in discussions and share experiences on BSTR First Aid training
When the participants succeed by trying out on their own, bring their relevant experience into play and apply learning points from the instructor’s feedback, the participant develops a positive attitude and responsibility towards the subject and the performance in the work situation
Note
PRACTICAL APPLICATION OF THE PRIMARY SURVEY
80 min.
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The aim of this lesson is to refresh the participants prior experiences, knowledge, skills, and abilities to enable the participants to recognise signs and symptoms of life threating situations and save lives and preventing injury to the casualty by being able to use primary survey to provide the correct and effective lifesaving first aid in case of an emergency situation in the wind industry.
After having successfully completed this lesson, the participants can:
10) Act independently in providing lifesaving basic first aid by using primary survey to identify and treat life-threatening conditions in a prioritised order in an incident in a WTG environment (Ability, intermediate level). The mentioned life-threatening conditions include:
a. catastrophic external bleeding
b. unresponsive casualty
c. unresponsive not breathing casualty
ELEMENT 2.1 - PRIMARY SURVEY (“C” – A – B – C)
Learning objective:
11) The participants can explain how to ensure personal safety during the management of a first aid incident (Knowledge, intermediate level)
12) The participants can perform a correct primary survey in incidents (Skills, intermediate level)
The instructor shall:
Lead a discussion on ensuring personal safety including the correct use of first aid equipment and PPE to minimise the risk of exposure to blood-borne and other pathogens
Facilitate practice for the participants in how to do a primary survey (“C”- A-B-C) in incident(s)
The instructor shall give constructive feedback to the participants performance throughout the elements of this lesson
Note
The participants shall:
Engage in the learning activity and share understandings of how to manage personal safety during a first aid incident
Engage in the practise of how to do a primary survey (“C”- A-B-C) in incident(s)
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The participants shall think about the received feedback and use the feedback to improve their performance throughout the elements of this lesson
Note
Element 2.1.1 and 2.1.3 may be carried out as part of the practical training (e.g., Lesson 3 – Scenario based training)
Note
ELEMENT 2.2 - “C” – CATASTROPHIC EXTERNAL BLEEDING
Learning objectives:
13) The participants can solve the challenge of how to detect catastrophic external bleeding (Ability, basic level)
14) The participants can perform the correct treatment of a casualty with catastrophic external bleeding including the use of first aid equipment (Skills, intermediate level)
The instructor shall:
Facilitate guided practice for the participants in detecting catastrophic external bleeding e.g.:
a. present examples of ‘bleeding’ casualties; some casualties with catastrophic external bleeding and some casualties that are bleeding, but not considered to be catastrophic external bleeding (e.g. examples of casualties with arterial bleed and examples of other casualties with venous bleed)
b. ask the participants to detect which are the casualties with catastrophic external bleeding and why?
c. facilitate practice for the correct treatment of a casualty with catastrophic external bleeding including the use of first aid equipment:
c.i
direct pressure and dressings
c.ii correct use of a tourniquet
c.iii use of improvised techniques to control catastrophic external bleeding e.g improvised tourniquet
The participants shall:
Engage in the learning activity and practise how to detect catastrophic bleeding
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Engage in the practice of how to correctly treat a casualty with catastrophic external bleeding including the use of first aid equipment:
a.
direct pressure and dressings
b. correct use of a tourniquet and improvised tourniquet (two tourniquets may be required to control bleeding)
ELEMENT 2.3 - UNRESPONSIVE
Learning objective:
15) The participants can perform first aid to an unresponsive casualty (Skills, intermediate level)
The instructor shall:
Facilitate practice for the participants in providing first aid to an unresponsive casualty:
a.
reasons for being unresponsive
b.
threats to the casualty e.g. casualty´s airways
c.
primary survey (“C” – A - B - C)
d. unresponsive and breathing casualty should be managed using positional techniques such as the recovery position (or other national/regional established practices)
The participants shall:
Practise providing first aid to an unresponsive casualty
a.
threats to the casualty e.g. casualty´s airways
b.
primary survey (“C” – A - B - C)
c. unresponsive and breathing casualty should be managed using positional techniques such as the recovery position (or other national/regional established practices)
ELEMENT 2.4 - CPR – UNRESPONSIVE, NOT BREATHING
Learning objectives:
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16) The participants can apply an AED safely and correctly following the AED safety procedures (Skills, intermediate level)
17) The participants can perform the correct first aid to an unresponsive, not breathing casualty (Skills, intermediate level)
The instructor shall:
Facilitate practice for the participants in how to use an AED correctly and safely
Facilitate practice for the participants in how to do provide first aid for an unresponsive and not breathing casualty
Give constructive feedback to the participants performance in providing first aid to an unresponsive casualty, not breathing casualty
The participants shall:
Engage in the practice of correctly and safely using an AED
Engage in the practice of how to provide first aid for an unresponsive and not breathing casualty
a.
primary survey (“C” – A - B - C)
b. performing CPR on adults both with and without the use of an AED
ELEMENT 2.5 - CALLING FOR HELP
This element can be combined with the other elements of Lesson 2
Note
Learning objective:
18) The participants can perform appropriate call for help in case of a first aid incident in the wind industry (Skills, intermediate level)
The instructor shall:
Facilitate practise for the participants in how to appropriately call for help in case of a first aid incident in the wind industry
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Give constructive feedback to the participants´ performance in how to appropriately call for help in case of a first aid incident in the wind industry
The participants shall:
Practise calling for help in a first aid incident
ELEMENT 2.6 - HEAD-TO-TOE EXAMINATION
Learning objective:
19) The participants can perform a correct head-to-toe examination of a casualty (Skills, intermediate level)
The instructor shall:
Facilitate practice for the participants in how to do a head-to-toe examination and ask the participants questions about what the focus of a head-to-toe examination is (identifying other injuries) and why a head-to-toe exam is performed
Give constructive feedback to the participants performance throughout the activities of this element
The participants shall:
Engage in the practice of how to do a head-to-toe examination
Engage in answering the questions about what the focus of a head-to-toe examination is and why it is performed
SCENARIO-BASED TRAINING
130 min.
The aim of this lesson is to refresh the participants prior experiences, knowledge, skills, abilities to enable the participants to be able to assess, assist and provide the correct lifesaving basic first aid in an incident in the wind industry.
After having successfully completed this lesson, the participants can:
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20) Take responsibility for managing incidents with the correct approach and assessments made in a first aid incident in a WTG environment (Ability, Intermediate level)
21) Act independently in correctly assessing, assisting, and providing the necessary first aid in a first aid incident in a WTG environment (Ability, Intermediate level)
22) Take responsibility for the correct use of first aid equipment (Ability, Intermediate level)
23) Discuss common and expected reactions to acting as a first aider, to an unusual situation and to a casualty (Knowledge, intermediate level)
The instructor must lead a brief warmup of the participants in accordance with Annex 2 of the BSTR Standard – Guideline for warm-up exercises prior to beginning scenario based practical exercises.
Note
The instructor shall:
Explain safety procedures in the training area
Facilitate practice for the participants in providing first aid through scenario-based training. As a minimum, the instructor must ensure that each participant practise the following through the scenario-based training:
a. managing incidents (following the correct first aid structure for the incident and the condition of the casualty)
b. providing necessary lifesaving first aid for a casualty that is unconscious and require CPR
c.
correct use of first aid equipment
d.
correct and safe use of an AED
Give constructive feedback to and debrief the participants´ performance throughout the scenario- based training:
a.
review positive actions observed during exercise
b.
suggest points for improvement
c. acting as a first aider e.g. what are their reactions to this?
d.
normal reactions to an unusual situation
The participants shall:
Practise providing basic first aid through relevant scenarios. As a minimum, the participants must practise the following through the scenario-based training:
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a. managing incidents (following the correct first aid structure for the incident and the condition of the casualty)
b.
providing necessary lifesaving first aid
c.
correct use of first aid equipment
d.
correct and safe use of an AED
Engage in the debriefing and share their experiences and attitudes
Think about the received feedback and use the feedback to improve their performance
This scenario-based training shall be conducted as group work with one or more participants as first aiders, while the other participants act as casualty/casualties or observer/s. Each participant shall, as a minimum, participate as a first aider e.g. not as a casualty at least two times. Relevant first aid equipment shall be available and used at all times during scenario-based training. To ensure all of the above-mentioned points are covered during scenario-based training, training providers shall combine several of the following first aid situations mentioned below
Note
Scenarios from the below lists can be combined at will during the scenario-based training as long as all the mandatory scenarios are covered
Note
The mandatory scenarios to be covered during scenario-based training are:
a.
one electrical incident
b. one incident with either a stroke (circulatory, respiratory, central nervous system) or a heart attack
c. two scenarios must include a head-to-toe examination of the casualty
d.
CPR using an AED
Additional scenarios which should be considered included in the scenario-based training are:
a.
dropped object – serious injury
b.
fall from heights
c.
hypovolemic shock
d.
serious external bleeding
e.
unresponsive with normal breathing
f. serious burns (chemical, electrical, thermal and sun)
g.
hypothermia
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h.
crush injury (e.g. finger injuries)
i.
chemical contacts to the eye
j.
minor incident escalating to a serious incident
TRAINING REVIEW
10 min.
The aim of this lesson is to enable the participants to think about and process their learning outcome and key takeaways from the module, aiming to achieve a high learning transfer from the module to their way of working.
ELEMENT 4.1 - TRAINING REVIEW
The instructor shall:
Re-present the overall aims and learning objectives of the module for the participants’ comparison of their learning outcome and the achievement of their previously stated expectations for the module
The participants shall:
Think about their learning outcome and key takeaways from the First Aid Refresher Module, aiming to achieve a high learning transfer from the module to their way of working by means of e.g.:
a.
group discussion or walk and talk
b.
questions and answers in class, or where suitable
The instructor may additionally conduct a local evaluation of the training.
Note
ELEMENT 4.2 - FEEDBACK SESSION
The instructor shall:
Give an overall feedback and feed forward on the participants’ learning outcome inspired by the training as well as from the training-review-session
Encourage the participants to examine and grow awareness of which specific elements in their own WTG type/WTG environment differ from the training scenario environment (to visualise and enhance learning transfer)
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