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LEARNER WORK BOOK
Table of Contents
Foreword ........................................................................................................5
Accidents......................................................................................................15
Reporting accidents.................................................................................17
Accident prevention.................................................................................20
Site Safety.....................................................................................................26
Working at height ....................................................................................26
Working in excavations............................................................................31
Manual handling ......................................................................................31
Tools and equipment...............................................................................32
Housekeeping .........................................................................................32
Electrical safety............................................................................................41
Hazards and Precautions ........................................................................41
Working with powered hand tools............................................................42
Safe and suitable equipment ...................................................................46
Common electrical safety ........................................................................47
Foreword
All employers, including the self-employed, have duties under the Health and Safety
at Work Act 1974 to ensure the health and safety of themselves and others affected
by what they do. This includes people working for employers and the self-employed
(e.g. part-time workers, trainees and subcontractors), those who use the workplace
and equipment they provide, those who visit their premises, and people affected by
their work (e.g. neighbours or the general public). This section looks at UK health and
safety legislation and its effects, and best practices to ensure a safe working
environment by avoiding accidents and understanding safe working practices on site.
In this section you will also learn about the dangers of electricity and the effect it has
upon the body. To couple with this we will also learn some basic first aid that we
could administer to anyone in the event of an electric shock.
Practical Skills
To achieve the learning outcome the candidate must be able to:
Knowledge Requirements
To achieve the learning outcome the candidate must know:
The Act is statutory, that means it is binding in law, and criminal penalties can be
imposed on people found guilty of malpractice and misconduct.
All employers are covered by the HASAWA. The Act places certain specific duties on
both employers and employees, which must be complied with by law.
Each employee, and this includes you, is also required by law to assist and co-
operate with their employer and others in making sure that safe working
environments are maintained, that all safety equipment is fully and correctly used and
that all safety procedures are followed.
Made under the HASAWA 1974, the Electricity at Work Regulations (EAWR) came
into force on 1 April 1990. They impose general health and safety requirements to do
with electricity at work, on employers, self-employed people and employees.
Every employer and self-employed person has a duty to comply with the provisions
of the Regulations, in so far as they relate to matters that are within their control.
Every employee has the duty to co-operate with their employer, so far as is
necessary to enable the Regulations to be complied with. Because these are
statutory Regulations, penalties can be imposed on people found guilty of
malpractice or misconduct.
It is the duty of every duty holder to comply with the provisions of these Regulations
in so far as they relate to matters that are within their control.
Part P applies to all fixed electrical installations after the suppliers' meter in buildings
or parts of buildings comprising:
Approved Document P is called ‘Electrical Safety’ and will be complied with if the
standard of electrical work meets the ‘Fundamental Requirements of Chapter 13 of
BS7671: 2001’. Section P1 of Part P states: ‘Reasonable provision shall be made in
the design, installation, inspection and testing of electrical installations in order to
protect persons from fire and injury’
It is not necessary to notify building control bodies when the electrical installation
work is to be undertaken by a 'Competent Person' and is self-certificated. Nor does it
when electrical installation work is 'Minor Work' and is not contained within the
kitchen or special location. Minor works certification needs to be completed though.
The CDM Regulations are aimed at improving the overall management and co-
operation of health, safety and welfare throughout all stages of a construction project
and so reducing the large number of serious and fatal accidents and cases of ill
health that happen every year in the construction industry.
The CDM Regulations place duties on all those who can contribute to the health and
safety of a construction project. Duties are placed upon clients, designers and
contractors and the Regulations create a new duty holder – the planning supervisor.
They also introduce new documents – health and safety plans and the health and
safety file.
The requirements of these Regulations are imposed upon every employer or any
person who has to any extent control of a workplace, in respect of the following
matters:
Working environment
Safety
Facilities
The Regulations are mainly concerned with the electricity transmission and
distribution systems, the overhead service lines to consumers’ premises and the
apparatus therein up to the consumers’ terminals, as all of these are accessible to
the public. However, street furniture falling within the scope of the Regulations would
include streetlights, traffic signals, bollards, advertising hoardings, bus shelters,
public telephones, etc. situated on or adjacent to roads, streets and footpaths.
The Management of Health and Safety at Work Regulations 1999 generally make
more explicit what employers are required to do to manage health and safety under
the Health and Safety at Work Act. Like the Act, they apply to every work activity.
In general terms, the Regulations require that equipment provided for use at work be:
Suitable for the intended use
Safe for use, maintained in a safe condition and, in certain circumstances,
inspected to ensure this remains the case
Used only by people who have received adequate information, instruction
and training; and accompanied by suitable safety measures, e.g.
protective devices, markings, warnings.
Using hazardous substances can put people’s health at risk. COSHH therefore
requires employers to control exposures to hazardous substances to protect both
employees and others who may be exposed from work activities.
Hazardous substances are found in nearly all work places e.g. factories, shops,
mines, construction sites and offices and can include:
Substances used directly in work activities, e.g. glues,
paints, cleaning agents
Substances generated during work activities, e.g. fumes
from soldering and welding
Naturally occurring substances, e.g. grain dust, blood,
bacteria.
COMAH applies mainly to the chemical industry, but also to some storage activities,
explosives and nuclear sites and other industries where threshold quantities of
dangerous substances identified in the Regulations are kept or used.
Their main aim is to prevent and mitigate the effects of those major accidents
involving dangerous substances such as chlorine, liquefied petroleum gas,
explosives and arsenic pentoxide, which can cause serious damage/harm to people
and / or the environment.
Manual handling implies that an attempt is being made to move a load. Therefore, if
a girder being moved manually is dropped and fractures an employee’s foot, it is a
manual handling accident. If the girder is inadvertently knocked over and causes a
similar injury this would not be due to manual handling.
The Health and Safety Information for Employees Regulations 1989 (HSIER) require
employers to provide their employees with certain basic information concerning their
health, safety and welfare at work. This information is contained in both a poster and
a leaflet approved by HSE. Employers can comply with their duty by either displaying
the poster or providing employees with a copy of the leaflet.
4. Name some work that is classed as minor work under Part P of the building regs
6. What are the Electricity Safety, Quality and Continuity Regulations 2002 mainly
concerned with?
7. What is the main requirement of the Management of Health and Safety at Work
Regulations 1999?
10. What is the first level of action whereby employers have to act to protect
employee’s hearing?
11. What does the Health and Safety Regulations 1981 require employers to do?
12. When did the regulations that govern lifting come into force and what are they
called?
14. What does RIDDOR stand for and what it is its main aim?
Accidents
A tractor driver was electrocuted when his tipped trailer struck an overhead power
line. A contractor had been engaged to remove manure and deliver it to a field site
owned by another farmer. The team of three had spent some time on this farm
several weeks earlier and were travelling to the same tipping site as before. As the
driver drew forward from the heap with the trailer raised, he struck the 11 000 volt
overhead power line. When he tried to get off the tractor he made an earth contact
and was electrocuted. It is believed the power lines had been lower than usual due to
the high temperatures in the summer sun.
Slips, trips and falls on the level are the most common cause of major injuries in
workplaces and the second highest cause of over-three-day injuries. They
occasionally cause fatalities, for example from head injuries. The financial costs of
slip and trip incidents are considerable. Based on 2005/2006 figures it is estimated
that they cost employers £368 million and society as much as £763 million.
What do you think you will encounter in the workshop that may lead to a slip, trip
or fall? List 5
Electricity can kill. Each year about 1000 accidents at work involving electric shock or
burns are reported to the Health and Safety Executive (HSE). Around 30 of these are
fatal. Most of these fatalities arise from contact with overhead or underground power
cables. Even non-fatal shocks can cause severe and permanent injury. Shocks from
faulty equipment may lead to falls from ladders, scaffolds or other work platforms.
Those using electricity may not be the only ones at risk: poor electrical installations
and faulty electrical appliances can lead to fires, which may also cause death or
injury to others. Careful planning and straightforward precautions can avoid most of
these accidents.
Reporting accidents
Reporting accidents and ill health at work is a legal requirement. The information
enables the Health and Safety Executive (HSE) and local authorities (referred to as
‘the enforcing authorities’) to identify where and how risks arise and to investigate
serious accidents. They can then help you and give you advice on how to reduce
injury, ill health and accidental loss.
Accidents have to be reported in writing using a form. This is the job of the appointed
person or first aider. The following activity will give you an opportunity to talk about
accidents and to practice filling in a form.
ACTIVITY
The objectives of this activity are to understand how to report an accident and
complete an HSE Accident Record Form.
Stage 1
On your own, read the newspaper article on the following page. If there is anything
that is not clear to you, ask someone in your group or your trainer.
Stage 2
In your group, talk about what happened. See if you can all agree on what the causes
of the accident were. Agree some ways in which the accident could have been
prevented.
Stage 3
Look at the accident form on the page after next and talk it through in pairs so that you
understand the kind of information it asks you to record. You may find it helpful to
highlight or underline the key points in the newspaper article.
Stage 4
On your own, complete an HSE Accident Record Form about Brian Leader, who died.
Show your completed form to someone you have not worked with in the session and
ask him or her to tell you what you have done well.
Accident prevention
How do we prevent accidents? So far everything that we have looked at has been
based around the legal requirements and fairly obvious material problems. These
tend to be referred to as ‘environmental causes’ as they relate to the environment
that you are working in. Such causes can be unguarded machinery, defective tools
and equipment, poor ventilation, excessive noise, poorly lit workplaces, overcrowded
workplaces and untidy or dirty workplaces.
However, there are other causes of accidents and they invariably involve people. It
would be nice to think that we all possess common sense, but the ‘human’ causes of
accidents are generally the biggest factor involved.
Health and safety in the workplace is something we each need to take personal
responsibility for, and by thinking about what we are doing, or are about to do, we
can avoid most potentially dangerous situations.
You may also have a role to play in other circumstances. For example, at present
premises are inspected by local Fire Authorities. If you are aware of something
unsafe, such as a fire exit that has been blocked, then tell them about it.
As with the risk assessment process, the secret is to be aware of all possible danger
in the workplace and have a positive attitude towards health and safety.
Golden Rule
Follow safe and approved procedures where they exist, and always act in a
responsible way to protect yourself and others.
Areas requiring protection, together with related examples of PPE, are shown on the
following pages. However, as formal risk assessment defines the type of PPE
required in any given situation, no attempt has been made to quantify the
circumstances in which they should be used.
Eye protection
Every year thousands of workers suffer eye
injuries, which result in pain, discomfort, lost
income and even blindness. Following safety
procedures correctly and wearing eye protection
can prevent these injuries. There are many types
of eye protection equipment available, for example
safety spectacles, box goggles, cup goggles, face
shields, welding goggles etc. To be safe you have
to have the right type of equipment for the specific
hazard you face.
Hand protection
This involves the protection of two irreplaceable tools – your
hands, which you use for almost everything: working, playing,
driving, eating etc. Unfortunately hands are often injured. One of
the most common problems other than cutting, crushing or
puncture wounds is dermatitis.
Head protection
People who are not wearing any protective equipment sustain an estimated 80% of
industrial head injuries. Head protection is important because it guards your most
vital organ – your brain! Head injuries pose a serious threat to your brain and your
life. Head protection can help to prevent such injuries.
There are several types of protective headwear for use in different situations; use
them correctly and wear them whenever they are required.
Safety helmets
Here are a few important rules: Only use approved
Adjust the fit of your types of identification
safety helmet so it is stickers on your safety
comfortable helmet, e.g. First Aider
All straps should be Do not use sticky tape
snug but not too tight or Dymo tape as the
Don’t wear your adhesive could
helmet tilted or back damage the helmet
to front Handle the helmet with
Never carry anything inside care: do not throw it or drop
the clearance space of a it etc.
hard hat, e.g. cigarettes, Regularly inspect and
cards and letters check the helmet for
Never wear an ordinary hat cracks, dents or signs of
under a safety helmet wear, and if you find any,
Do not paint your safety get your helmet replaced
helmet as this could Check the strap for
interfere with electrical looseness or worn stitching
protection or soften the and also check your safety
shell helmet is within its ‘use-by’
date.
Bump caps
For less dangerous situations, where there is a risk of bumping your head rather than
things falling, or where space is restricted, bump caps, which are lighter than safety
helmets, may be acceptable. These look like baseball caps but have a hard plastic
protective layer.
Class discussion
Fazal is a first-year apprentice who is starting his first day on a construction site. The
electrician in charge gives Fazal a hard hat to wear. Fazal notices that the hat has a crack
down one side and reports this to his supervisor. The supervisor tells Fazal that he must
wear this hat because there are no more in the store and he needs to get on with his work.
Hearing protection
You may sometimes have to work in noisy
environments, and if you do, your employer should
provide you with suitable hearing protection. Like any
other sort of PPE it is important that you wear hearing
protection properly and check it regularly to make sure
it is not damaged. Typical types are earplugs that fit
inside the ear, or ear defenders that sit externally such
as headphones or even attach to a hard hat.
Lung protection
We all need clean air to live, and we need
correctly functioning lungs to allow us to inhale
that air. Fumes, dusts, airborne particles such as
asbestos or from loft insulation or just foul smells,
such as in sewage treatment plants, can all be
features of construction environments.
Other items
When working involves long periods of kneeling or having to take your weight on your
elbows, you may be issued with specialist protectors for these areas. Other items you
may use could include facemasks, safety harnesses or breathing apparatus.
Risk assessment is the key here, and we’ll talk more about that later. However, all
construction sites that you work on will require you to wear a similar basic level of
PPE.
2. State 2 things that employers must do and two things that employees must do with
regard to PPE
Site Safety
According to the HSE, falls from height are the most common cause of fatal injury
and the second most common cause of major injury to employees, accounting for 15
per cent of all such injuries. Therefore it is very important to have a good
understanding of access equipment and how to use them correctly.
Working at height
All industry sectors are exposed to the risks presented by this hazard, although the
level of incidence varies considerably.
List at least five tasks that require you, as an electrician, to use access equipment
Ladders
Ladders, stepladders and trestles are perhaps the
most commonly used access equipment on sites
and they are also perhaps the most misused. It is
essential that safe working practices should be
followed if accidents are to be avoided.
Before you use a ladder or stepladder, check it –
make sure it is safe to use.
Look for:
There are certain rules for erecting ladders, which must be followed to ensure safe
working. These are:
All ladders and stepladders should be tested and examined on an annual basis. The
results of the tests should be recorded (generally called a “Scafftag”) Ideally the item
tested should be marked to show it has been tested. A competent person must carry
out this test.
Class Discussion
Joe has been asked to change a lamp in a security light that is 3 metres above floor level.
When he locates the firm’s ladder he finds the Scafftag has expired. There is another ladder
there but it belongs to another company.
1. What should Joe do now?
2. Can Joe use the other ladder to do the job?
Electrical Health and Safety REV5.1 27
LEARNER WORK BOOK
Stepladders
A lot of the rules that apply to ladders also apply to stepladders. However, specifically
bear in mind the following:
Trestles
Some jobs cannot be done safely from a ladder or
stepladder. In such cases, a working platform known
as a ‘trestle scaffold’ should be used. This consists of
two pairs of trestles or ‘A’ frames spanned by
scaffolding boards, which then provide a simple
working platform.
When working with a mobile/static tower scaffold, the following points must be checked and followed:
The person erecting the tower When moving a tower, check that
should be competent there are no power lines or other overhead
Make sure the tower is resting on obstructions; check that the ground is firm
firm, level ground with the wheels or feet and level; push or pull only from the base;
properly supported. Do not use bricks or never move it while there are people or
building blocks to take the weight of any materials on the upper platforms; and
part of the tower never move it in windy conditions
The taller the tower, the more Outriggers can increase stability
likely it is to become unstable. As a guide, by effectively increasing the area of the
if towers are used in exposed conditions or base, but if used they must be fitted
outside, the height of the working platform diagonally across all four corners of the
should be no more than 3x the minimum tower and not on one side only. When
base dimension. If the tower is to be used outriggers are used they should be clearly
inside, on firm level ground, the ratio may marked (e.g. with hazard marking tape) to
be extended to 3.5x. Using this guide, if indicate that a trip hazard is present
the base of the tower is 2m by 3m the When towers are used in public
maximum height would be 6m for use places, extra precautions may be needed
outside and 7 m for inside such as minimising the storage of
Before using the tower, always materials and equipment on the working
check that the scaffold is vertical and, in platform, erecting barriers at ground level
the case of a mobile tower, that all wheel to prevent people from walking into the
brakes are on tower or work area, and removing or
There must be a safe way to get boarding over access ladders to prevent
to and from the work platform. It is not safe unauthorized access if the tower is to
to climb up the end frames of the tower remain in position unattended
except where the frame has an Before you use a tower on a
appropriately designed built-in ladder or a pavement, check whether you need a
purpose-made ladder can be attached licence from the local authority
safely on the inside Tower scaffolds must be
Provide suitable edge protection inspected by a ‘competent person’ before
on platforms where a person could fall first use and following substantial alteration
more than 2 m. Guardrails should be at or any event likely to have affected their
least 910 mm high and toe boards at least stability.
150 mm high. An intermediate guard rail or If a tower remains erected in the
suitable alternative should be provided so same place for more than seven days, it
that the unprotected gap does not exceed should also be inspected at regular
470 mm intervals (not exceeding seven days) and a
written report should be made. Any faults
found should be put right.
In both types of lift, it is essential that the workers wear a safety harness. This must
be attached to the lift and never to the structure being worked on. Particular attention
must also be paid to whether overhead power supplies are present.
Class discussion
Kelly, a 1st-year electrical apprentice, has been left in charge of a scissor boom while the
other electricians take their lunch break in a local pub. Two carpenters climb onto the
scissor boom and use it for working; while doing so, they crash into a low ceiling, damaging
the boom. They tell Kelly not to worry because they all work for the same company. They
finish the work and leave the site. A little later the electricians return.
Working in excavations
Every year people are killed or seriously injured when working in excavations.
Excavation work has to be properly planned, managed, supervised and carried out to
prevent accidents.
Planning
Before digging any excavations, it is important to plan against the following:
Collapse of the sides
Materials falling onto people working in the excavation
People and vehicles falling into the excavation
People being struck by plant
Undermining nearby structures
Contact with underground services
Hazardous entry and exit points
Fumes
Accidents to members of the public.
Make sure the necessary equipment needed such as trench sheets, props, baulks
etc. is available on site before work starts.
Even shallow trenches can be dangerous. You may need to provide supports even if
the work only involves bending or kneeling in the trench. You should never work in a
trench alone without supervision
Manual handling
Within the context of the electrical industry, manual handling can involve
items such as scaffolding, tools, equipment, switchgear and motors
.
Where possible, avoid manual handling. Check whether you need to move the item
at all. For example, does a large work piece really need to be moved, or can the
activity be done safely where the item already is? Think about using handling aids
such as a conveyor, a pallet truck, an electric or hand-powered hoist or forklift truck.
You will use a variety of tools and pieces of equipment in your work as an electrician.
All of them are potentially dangerous if misused or neglected. Instruction in the
proper use of tools and equipment will form part of your training, and you should
continue to follow safe working methods.
Hand tools and manually operated equipment are often misused. You should always
use the right tool for the job, never just make do with whatever tool you may have to
hand. For example, never use a hammer on a tool with a wooden handle as you may
damage the wooden handle and create flying splinters. Here are some general
guidelines.
• Keep cutting tools, saws, chisels, drills etc. sharp and in good condition.
• Ensure handles are properly fitted and secure, and free from splinters.
• Check that the plugs and cables of hand-held electrically powered tools
are in good condition. Replace frayed cables and broken plugs.
• Electrically powered tools of 110 volts or 230 volts must be P.A.T. tested
in accordance with your employer’s procedures.
Other common items of equipment, e.g. barrows, trucks, buckets, ropes and tackle
etc., are all likely to deteriorate with use. If they are damaged or broken they will
eventually fail and may cause an accident.
Housekeeping
Tools, equipment and materials left lying about, trailing cables and air hoses, spilt oil
and so on cause people to trip, slip or fall. Clutter and debris, oily rags, paper etc.
should be cleared away to prevent fire hazards.
Tools and equipment left in this state become obvious targets for thieves and make it
difficult for an employer to maintain effective levels of insurance cover. Upon
completion of any work activity, all tools etc. should be cleared away and the
workplace left in a safe condition.
As an individual you may have no control over the general state of the workplace but
you should see that your own work area is kept clear and tidy, as this is the mark of a
skilled and conscientious electrician
Through out your time in the workshop you will need lots of different materials to
complete your tasks. All materials are kept in locked stores. They will have to be
issued to you by your instructor. When you require materials you will need to fill out a
stores requisition form provided to you by your trainer. The materials you are issued
with are your responsibility so please ensure you look after them. Any misuse of
materials will not be tolerated. Only use them in the manner demonstrated to you by
your instructor.
Once your practical exercises have been assessed and you must remove and return
your re-usable materials to your instructor for checking. Please ensure you bring your
stores requisition sheet with you. Some materials will not be reusable. Your trainer
will inform you of what they are. Do not dispose of anything without first checking with
your instructor. Any materials that are deemed to be waste must be disposed of in
the bins as indicated by your instructor.
6. State the precautions you should take before moving a mobile scaffold tower
Small currents can disrupt the brain's signals to the muscles, and this confusion of
signals to the muscles can result in the grip on the conductor tightening, and the
heart ceasing to pump regularly. This latter effect is known as ventricular fibrillation.
This affects blood circulation and respiration. However, the effect of the current will
vary from person to person depending upon age, body mass and the body’s moisture
content.
• Magnitude of current
• Electricity supply frequency
• The Supply voltage
• Duration of current flow
• Heart behaviour
• Current path through body
• Area of contact between the body and conductor
• Possibility of conductor penetrating skin
• Environmental conditions (dry, wet contamination)
Tests have been carried out on live and dead animals and humans, to find out how
current flows through the body, and the effect of various levels of current. It was
discovered that the severity of electric shocks were affected by impedance. The
property of a substance to limit the flow of current is called the impedance.
However, if a shock is received through a large expanse of skin, for example lying in
a bath, or lying on the ground, the current flow will be greater.
The diagram shows the values of impedance for various parts of the body. The
routes through the body will determine the level of impedance, the total (and highest)
impedance being from the hand to the foot.
You can appreciate that impedance is a variable factor but at that given time
increasing the supply voltage can increase the current flowing through the
impedance. This is basic Ohms law that states when a voltage of 1 volt is
applied to impedance of 1 Ohm, 1 ampere of current will flow. Increase the
voltage to 2 volts and the current will increase to 2 amperes. Increase the
voltage to 4 volts and the current increases to 4 amperes.
V
I R
Ohms Law Triangle
These quoted figures are used only as a general guide and apply only for a duration
of greater than 200ms. In general, DC becomes hazardous at higher values than AC.
• In the range of 10 to 15mA through the whole body there is mild to painful
shock. The individual muscles sense current of the same magnitude as
the impulses from the nerves.
• 20 to 30mA causes severe shock. The muscles contract, which can lead
to the victim grasping the live conductor and being unable to let go.
• Over 50mA for greater than 200ms, fatal shock with ventricular fibrillation
can occur with burns at the points of contact. Persons who are not in
good health can be even more sensitive.
Burn Damage
Burn damage occurs because the body's ability to absorb energy is inadequate to
cope with the quantity of energy being delivered to it.
As an example, if you put your hand into the flow from a hot water tap, your nerves
quickly tell you that the water is too hot. When you remove your hand, the heat
energy gained by your hand is dissipated into the surrounding tissue. If none of the
tissue reaches too high a temperature for too long, no damage will result.
When an electric current flows through the body, it uses energy to overcome the
impedance. This energy appears as heat, which is dissipated into the surrounding
tissue. This may result in burn damage to the skin at the entry and exit points of the
current flow, and possibly internal burning along the length of the current path.
PLEASE NOTE:
THERE NOW FOLLOWS ON THE POWER POINT GRAPHIC IMAGES OF
INJURIES SUSTAINED TO WORKMEN IN HAZARDOUS ELECTRICAL
CIRCUMSTANCES.
External burn damage to the body through heat radiation may be caused by the
catastrophic failure of electrical equipment. This picture below shows what happens
when a junction box, which has a short circuit within it, is energised. This vividly
demonstrates how much energy is available from an electrical system.
An electrical explosion
Burns from these incidents can be particularly nasty because they are often
contaminated with the products of the explosion. These contaminants may be from
hot oil, gas, plasma, or molten copper, etc. resulting from the failure of the
equipment.
Finally, electricity used in processes may give off energy in the visible or non-visible
energy spectrum, and both infrared and ultra-violet radiation can cause burns.
Arc welding
At one end of the spectrum, electrical heating of components to dull red heat will
cause infrared radiation, which may cause injury to the eyes. At the other end of the
spectrum, arc welding will cause ultra-violet radiation, which may also cause eye
damage.
3. What is impedance?
4. Name four things relating to a body that can affect the magnitude of an electric shock
Electrical safety
Electricity can kill. Even non-fatal shocks can cause severe and permanent injury.
Shocks from faulty equipment may lead to falls from ladders, scaffolds or other work
platforms. Those using electricity may not be the only ones at risk, as poor electrical
installations and faulty electrical appliances can lead to fires. Yet most of these
accidents can be avoided with careful planning and straightforward precautions.
Each year about 1,000 accidents at work involving electric shock or burns
are reported to the Health and Safety Executive (HSE). Around 30 of these
are fatal. Most of these fatalities arise from contact with overhead or
underground power cables
Main hazards
Contact with live parts causing shock and burns (mains voltage at 230
volts a.c. can kill)
Faults that could cause fires
Fire or explosion where electricity could be the source of ignition in a
potentially flammable or explosive atmosphere, e.g. in a spray-paint
booth.
The risk of injury from electricity is also strongly linked to where and how it is used.
The risks are greatest in harsh conditions.
Safety precautions
There are precautions that can be taken to ensure that the electrical installation is
safe.
It is very important that you make sure any electrical equipment (including powered
hand tools) is safe to work with. To do this you must follow these safety procedures.
Check that the body of the tool is clean and free from grease or excessive dirt. This
dirt could make the tool more difficult to hold and control. It could also hide other
defects. Check for cracks in the body. Check for loose fittings and missing bits of the
tool. Check as well to see if there is an up-to-date PAT label on the tool. PAT is the
‘Portable Appliance Test’. This will show it has passed an electrical safety test on a
particular date. A competent person must carry out the test.
The cable could be considered the ‘weaker’ part of the power tool. It often lies on the
ground in dirt and water and can easily be damaged by treading or driving over it.
Check the cable for cuts, abrasions, burns, bare wires and frayed ends.
The plug needs to be checked to make sure it is not dirty, wet or covered in grease.
Check the pins are in place and not loose or misshapen. Also check the casing of the
socket to make sure the spring-loaded cover operates correctly and that it is not
cracked.
Once you have made all the checks correctly, you can plug in the power tool and
start work. If you are not sure about the checks you have just made, do not plug in
the tool and do not start work. Go and ask advice from your trainer.
There is no set procedure for checking power tools before use, but it is good
practice to decide your own routine. The following activity will help you to do this.
Activity
Resources
In your group you will need:
One set of 24 coloured cards;
A yellow start card entitled ‘Mains supplied power tool’.
The purpose of the activity is to lay down all the cards in a suitable order to show the
correct safety checks needed before using a power tool. Have a look at the flow chart
layout for guidance. (This flow chart is simply a guide. Although there is no set order
for checking portable powered hand tools, it is good practice to plan your own
procedure and use it every time.)
Stage 1
Check that everybody understands what the terms on all the cards mean. Discuss
the meanings of the statements with your trainer. Shuffle the cards and share out.
Stage 2
Put the large, yellow card, ‘Mains supplied power tool,’ on the table. Choose the
order in which each person or group will play the activity. Only one card can start the
activity. The person who thinks they have this first card shows it to the other players.
This card is laid down next to the large yellow card.
Stage 3
The task is now to put down the remaining cards in a logical order. Each player takes
turns. If a player cannot lay down any cards, the turn passes to the next player. The
group has to agree a card is correct before going on. The activity is complete when
all cards have been laid down. Check your solutions with the trainer then fill out the
blank template on the page after next.
Stage 4
Now check your understanding.
Complete the power tools safety checks chart on the next page.
The column on the left lists all the stages of successful safety checks. You must
complete the column on the right, putting in all the detail for safety checks.
So that we can achieve the safest possible situation during each of our tasks at work
we need to ensure we are using safe and suitable equipment. This will mean that we
will have to make informed decisions before we start work. These decisions, along
with correct use of tools and equipment will determine how safely we carry out our
tasks. Below is a checklist to help us.
Temporary lighting can be run at lower voltages, e.g. 12, 25, 50 or 110
volt
Where electrically powered tools are used, battery-operated ones are
safest.
Portable tools are readily available that are designed to be run from a 110
volt centre-tapped-to-earth supply.
The frequency of inspections and any necessary testing will depend on the type of
equipment, how often it is used, and the environment in which it is used (see
BS7671). Records of the results of inspection and testing can be useful in assessing
the effectiveness of the system. Guidelines are shown below.
Work safely
Make sure that people who are working with electricity are competent to do the job.
Even simple tasks such as wiring a plug can lead to danger – ensure that people
know what they are doing before they start. Therefore check that:
Suspect or faulty equipment is taken out of use, labelled ‘DO NOT USE’
and kept secure until examined by a competent person
Where possible, tools and power socket outlets are switched off before
plugging in or unplugging
Equipment is switched off and/or unplugged before cleaning or making
adjustments
More complicated tasks, such as equipment repairs or alterations to an
electrical installation, should only be tackled by people with a knowledge
of the risks and the precautions needed
You must not allow work on or near exposed live parts of equipment
unless it is absolutely unavoidable and suitable precautions have been
taken to prevent injury, both to the workers and to anyone else who may
be in the area.
Cables should be laid on a bedding of sand laid on to a light aggregate and then
back filled with sand to minimise damage potential. The cables should then be
marked with danger tiles and or warning tape.
4. Before you plug in a portable power tool what are the 5 steps to observe?
6. What is one of the best ways to reduce risk of injury when using electrical equipment?
7. What level of tripping current sensitivity do RCDs operate at when designed to protect
people?
In your own words, try to define what an unsafe electrical situation is. Think of
various different occasions or events that involve electricity and write a few lines
about one or more unsafe electrical situation.
What could the workman have done to prevent this unsafe electrical situation
becoming dangerous to himself and others around him?
Explosion
The person who plugged the washing machine in was blown across the room but
was found to be unharmed after a brief check up at hospital. An arc flash caused the
scorch marks on the wall.
The main sense we would use in an inspection is the eyes. Seeing a situation will
give an instant indicator as to a circuit’s integrity. It could be said that all other senses
are equally as important and should all be used to achieve a full examination. Smell
can be used for detecting burn damage or over heating. Touch can detect
overheating or damaged mechanical operations of switches, etc. Hearing can help
where rotating machinery is making odd sounds or where crackling noises could
indicate loose connections and arcing. Generally taste is not used so don’t be
tempted to stick your tongue on an exposed conductive part! And finally your brain.
Think! These things happen for a reason so use your mind to try to discover why,
where and how. Previous experience plays a big part so remembering events can be
a big help.
Electrician’s competency
Safe working practices
Proper use of the circuit and its components
Preventative maintenance
Loose Connections
Loose connections are usually the result of poor electrical work. An electrician who
fails to check that connections are electrically and mechanically sound runs the risk
of someone receiving an electric shock, arcing and even starting a fire.
Arc Flash
Think of an arc flash as electricity jumping through the air. In an arc flash incident, an
enormous amount of concentrated radiant energy explodes outwards from the
electrical equipment (see videos on power point), creating pressure waves that can
damage a persons hearing, a high-intensity flash that can damage their eyesight and
a superheated ball of gas that can severely burn a workers body and melt metal. The
pressure waves can also send loose material like pieces of damaged equipment,
tools and other objects flying through the air.
On a small scale it will sound like a crackling noise. Can you think of any where in
your home or at work where you might come across arc flash?
Overloading
Defined as: “An act of putting excessive demand on a circuit by adding too much
equipment”
A circuit protective device and its circuit conductors have an upper limit or rating
where a value of current will be given as its maximum ratings. If this rating is
exceeded through adding more demand to the circuit this is called “overloading”.
The common three-pin plug you see on a four way extension lead is designed to
carry a maximum of 13 amps. A standard electrical heater with a 3 KW rating will
carry 13 amps of current. What do you think would happen if you were to plug in
one more 3 KW heater?
An overloaded socket
Short Circuit
Defined as: “line and neutral conductors coming directly or indirectly into contact
whilst live”
The lines or line and neutral should never be in contact with each other. If under fault
conditions they do come into contact this is called a “short circuit”. This could happen
through damage to the cable’s insulation or from a faulty component. Large amounts
of fault current will flow in this situation and the fuse or circuit breaker should operate.
Earth Fault
Defined as: “A fault condition that exists between line conductors and earth”
The earth conductor is present to carry any earth fault current. This would occur
when a line conductor comes into contact with an earth conductor. Due to the very
low impedance of the earth conductor this will cause a massive amount of fault
current to flow in the circuit and in this case the fuse or circuit breaker should
operate. A fault path to earth can be via earthed metallic pipe work as well as earthed
conductors.
ACTIVITY- In groups of two discuss each picture on the power point and try to determine whether
the picture shows a safe or an unsafe electrical situation. In terms of people and property, try to
think of them in terms of whether they could either be hazardous or non hazardous. What is it that
makes them dangerous? What might happen? What is needed to make them safe?
1 6
2 7
3 8
4 9
5 10
Isolation is an essential part of electrical work. But what if you isolate the wrong
circuit? You might be required to isolate and modify a socket circuit. A mistaken
isolation may mean you isolate a circuit that supplies intensive care equipment or
important safety circuits.
You could be asked to change a light fitting in an office. It may be that you failed to
isolate the correct lighting circuit. That doesn’t sound too bad does it? But what if that
lighting circuit you isolated was in a workshop operating dangerous machinery at
night?
• Ensure the circuit chart has been assessed to identify the correct
circuit to be isolated.
• Take extra care when removing covers and lids from equipment and
always treat them as “live”.
• Obtain permission and a permit (if required) to isolate circuits
beforehand.
State two more circumstances where isolating the wrong circuit could have an
adverse affect.
1. What are the three main factors that determine the safety of a circuit?
Risk Assessment
Accidents and ill health can ruin lives, and affect business too if output is lost,
machinery is damaged, insurance costs increase or employers have to go to court.
Employers are therefore legally required to assess the risks in their workplace. A risk
assessment is nothing more than a careful examination of what, during working
activities, could cause harm to people, so that an employer can weigh up whether
they have taken enough precautions or should do more to prevent harm. The aim is
to make sure that no one gets hurt or becomes ill.
Employers need to check this when assessing risks. For example, we know that
electricity is a hazard that can kill, but the risk of it doing so in a tidy, well-run office
environment is remote, provided that the installation is sound, ‘live’ components are
insulated and metal casings are properly earthed.
A hazard means anything that can A risk is the chance, high or low,
cause harm (e.g. chemicals, that somebody will be harmed by
asbestos, electricity, working from the hazard
ladders or scaffolding, etc.)
Some years ago the HSE produced guidance for employers to help with the process.
Known as the 5 Steps to Risk Assessment, it has become an invaluable tool for
grasping the essentials of risk assessment and comprises:
To help understand the concepts, when you read on, try to put yourself in the position
of an employer carrying out a risk assessment. We’ve worded it in that way.
Workshop Task:
In groups of three carry out a risk assessment in the workshop. Use the model form on the
last page to help you identify each stage of the process. Record your assessment on the
model HSE form below then return to the class
Classroom task: When you have completed your risk assessment and the form on the last
page use the model form below to grade the hazards according how much danger they present
(see below for details). Once completed nominate one person from your group to present your
groups findings to the class. As a group you may have to explain your reasons for certain
decisions you have made.
Hazards
Record all the potential hazards and activities associated with the task including
equipment (e.g. noise, dust, use of step ladders etc.).
Nature of the Risk
Use this area to record the likelihood of the activity, substance or process to cause
harm (e.g. fall from step ladder causing injury).
Risk Rating
Rate the risk of each hazard, using the values given in the table. Multiply them
together to obtain the risk factor for each element of the assessment.
Nature of Risk
Likelihood of Occurrence Severity of Incident
Extremely Unlikely 1 Minor Injury 1
Unlikely 2 Injury (3 days lost) 2
Likely 3 Reportable 3
Very Likely 4 Major 4
Almost Certain 5 Fatal 5
Risk Factor 1-5 Low Priority 6-9 Medium Priority 10-25 High Priority
Likelihood x Severity = Risk Factor
Risk Analysis of Hazard Likelihood Severity Risk Factor
1 Slips, trips and falls 2 1 2
2
3
4
5
6
7
8
9
10
Record highest risk factor in L M H
Existing Control Systems appropriate box
Permit to Work
There will always be circumstances where you will be involved in potentially
dangerous tasks. These tasks will mean a company will have to provide special
authorisation for work such as access into live equipment or enclosures or for “hot”
work such as welding or grinding. Authorisation may also necessary for entry in
certain areas or for any work at all. For many situations, the answer is the use of the
Permit to Work system.
The permit is then only ‘active’ for a set period, and if you haven’t returned by the
allocated time, someone will investigate. Some companies make use of a paper-
based ‘Permit to Work’ system for all isolation procedures.
Construction sites can be dangerous places, but with a little thought no one needs to
come to any harm. One area that continues to be of concern, however, is that people
remain unaware of the dangers of working in isolation.
Class discussion
Roger, a painter, had gone off to paint some rooms one Saturday morning. Arriving on site
he said hello to a few people and went off to start his work. Once there he realised he also
had a fairly large storage tank to paint. Many hours later, his body was found inside the
storage tank. He was killed by the fumes from the specialist paint he was using.
1. What precautions should Roger have taken before starting this work?
2. Who would have been involved in the investigation of this accident? And what
recommendations do you think they would make?
One contributing factor to the painter’s death in the case study above was that no
one knew exactly where he was or what he was doing. This is one example, but there
are many circumstances where you should not work by yourself such as:
In confined spaces
In trenches
Near, or on, live sources or equipment
At height
Near to unguarded machinery
Where there is a risk of fire or in hazardous atmospheres
With toxic or corrosive substances.
The Permit to Work form aids communication between everyone involved, and
employers must train staff in its use. The company issuing the permit, taking into
account individual site conditions and requirements, should ideally design it.
On certain sites, separate permit forms may be required for different tasks, such as
hot work and entry into confined spaces, so that sufficient emphasis can be given to
the particular hazards present and precautions required.
The location of the permit will generally reside with the permit issuer / authorizer or in
a dedicated permit issue office. The worker will have a carbon copy of the permit for
their own use.
1. What are the main things to consider when completing a risk assessment?
2. State in your own words what a hazard and what a risk are.
1. The circuit
The isolation has one purpose, to make
the circuit safe so that it can worked up
on. Knowing where the circuit is supplied
from is the primary requirement of any
electrical isolation.
The circuit may be labelled with a circuit
reference at the isolator or on accessories
such as sockets on the circuit.
If the supply DB is in a locked switch room
Overloaded socket
special permission and a permit may be
required to enter and isolate.
2. Lockable Isolation device
The isolation device must be lockable. If it is
not then there is always a risk that it will be
unintentionally energised. This is essential.
Always be sure you only isolate the intended
isolation device. Unintentional operation of
other devices can have serious effects.
For single-line systems, both live conductors
(line and neutral) must be broken by the
isolator.
On three line supplies, only the three lines (LI,
IP65 Isolator L2 and L3) need to be broken, the neutral
being left solidly connected.
Isolators are required for all circuits and for all equipment, and must be adjacent to
the system protected. The isolator must be arranged so that it will not close
unintentionally due to vibration or other mechanical effect. It is particularly important
for motors and their starters to be provided with adjacent isolation to enable safe
maintenance.
The OFF position on all isolators must be clearly marked and should not be indicated
until the contacts have opened. Every isolator must be clearly and durably marked to
indicate the circuit or equipment it protects. If a single isolator will not cut off the
supply from internal parts of an enclosure, it must be labelled to draw attention to the
possible danger.
Published by the HSE, the GS38 document covers electrical test equipment used by
electricians and gives guidance to electrically competent people involved in electrical
testing, diagnosis and repair. Electrically competent people may include electricians,
electrical contractors, test supervisors, technicians, managers or appliance repairers.
Test probes
Test probes and leads used in conjunction with a voltmeter, multimeter, electrician’s
test lamp or voltage indicator should be selected to prevent danger. Good test probes
and leads will have the following:
Probes:
Have finger barriers or are shaped to guard against inadvertent hand
contact with the live conductors under test
Are insulated to leave an exposed metal tip not exceeding 4 mm
measured across any surface of the tip. Where practicable it is strongly
recommended that this is reduced to 2 mm or less or that spring-loaded
retractable-screened probes are used
Should have suitable high-breaking capacity fuse or fuses with a low
current rating usually not exceeding 500 mA or a current limiting resistor
and a fuse.
Leads:
Are adequately insulated
Are coloured so that one lead can be easily distinguished from the other
Are flexible and of sufficient capacity for the duty expected of them
Are sheathed to protect against mechanical damage
Are long enough for the purpose while not being so long that they are
clumsy or unwieldy
Do not have accessible exposed conductors other than the probes or tips
or have live conductors accessible to the person’s finger should a lead
become detached from a probe.
The test lead or leads are held captive and sealed into the body of the
voltage detector.
Non-
Recommended recommended
voltage voltage
indicators indicators
Voltage-indicating devices
Instruments that are used solely for detecting a voltage fall into two categories
as described below.
• Detectors that rely on an illuminated lamp (test lamp) or a meter scale (test
meter)
• Detectors that use two or more independent indicating systems (one of which
may be audible) and limit energy input to the detector by the circuitry used
Detectors that rely on an illuminated lamp (test lamp) or a meter scale (test meter)
Test lamps are fitted with a 15 W lamp
Should not give rise to danger if the lamp is broken
Should also be protected by a guard.
Requires protection against excess current. This may be provided by a
suitable high breaking capacity fuse with a low current rating usually not
exceeding 500 mA or by means of a current-limiting resistor and a fuse.
These protective devices are housed in the probes themselves. The test
lead or leads are held captive and sealed into the body of the voltage
detector.
Describe briefly how you might perform an isolation on a lighting circuit you
were about to modify.
4. Lockable device
Any device that can lock and remain locked
unless opened with a key is acceptable.
Where more than one operative may be
working on one circuit or system multi-
hasps may be used like the one shown on
the left. The circuit cannot be energised
unless ALL locks have been removed.
The circuit must not be energisable when
locked off unless the person who carried
out the isolation is satisfied it can be re-
energised.
One of the most important factors of securing an isolation is where the key is
retained. An isolated circuit with the key still in the lock or left lying around the
location of the isolator may be unintentionally re-energised by an unknowing person.
Ideally the person who carried out the isolation should retain the key on his person.
Otherwise a company with a safe isolation procedure can be used. This would mean
filling in paper work and locking the key in an enclosure to keep it safe. For this
system to work it is recommended that only a minimum number of fully trained
persons have access to the enclosure.
5. Notification
• Notification of isolations can be a simple card located at the point of isolation but
• It must be a durable notification written in durable ink that is secured to the
locking device.
• It can take the form of a safe isolation permit system that a company uses where
a book will be filled in with all the relevant information and held in a secure
location.
• The information required on the notification is:
• The name of the person who isolated it
• The date it was isolated
• Additional information may show:
• Circuit reference
• Circuit designation
• Contact details of person who isolated
• Key location
• Authorised persons who can re-energise
Can you remember the images you saw earlier? They were real pictures of real
electrocution victims. An electric shock in excess of 50mA can cause ventricular
fibrillation and death!
To carry out a safe isolation we first need to know where and how to test. The most
common location to test at is the supply terminals. These are the terminals where the
circuit feed enters and the supply conductors terminate. They will generally be made
of brass and, within an enclosure, may need to be exposed by removing a protective
cover. Other test locations could be the terminals on accessories such as light fittings
and sockets or isolators. Remember to take care when entering a potentially live
enclosure.
First, test the voltage indicator on a known supply or proving unit before use.
Then for single-line supplies test between:
Line and neutral,
Line and earth,
Neutral and earth,
For three-line supplies, test between:
Brown (L1) and black (L2),
Brown (L1) and grey (L3),
Grey (L3) and black (L2),
Brown (L1) and blue (N),
Black (L2) and blue (N),
Grey (L3) and blue (N),
Brown (L1) and green/yellow (Earth),
Black (L2) and green/yellow (Earth),
Grey (L3) and green/yellow (Earth),
Blue (N) and green/yellow (Earth).
Retest the voltage indicator on a known supply or proving unit after use
On 1 April 2004 the insulation colours of conductors changed. However, for many
years to come you will find existing installations with the old colours.
These were:
Single-line – Red and Black
Three-line – Red (L1), Yellow (L2) and Blue (L3).
All live conductors must be isolated before work can be carried out. As the neutral
conductor is classified as a live conductor this should also be disconnected.
This may mean removing the conductor from the neutral block in the distribution
board. Not all distribution boards are fitted with double pole isolators so the
connecting sequence for neutral conductors needs to be verified and maintained.
7. Keep the key in your pocket ensuring only you can re-energise the
circuit
While you are working on the circuit only you can re-energise it
Basically that’s how to keep the Grim Reaper at bay. Stay safe. Follow the
correct procedure. Even if you haven’t made the isolation, make sure
someone else has.
Your safety is your responsibility so double check it is isolated.
Your safety is your own responsibility. If you follow the rules the chances of you
receiving an electric shock are absolutely minimal. If, and hopefully not, you do get
electrocuted the odds are that it was because you didn’t follow the rules.
How did your ceiling light isolation compare to the correct procedure? Study
your previous answer and try to think of one thing that may have happened
when following ‘your’ process. Try to describe where you may have made a
mistake and what could have happened. You may be required to present your
findings to the class.
Other than Electricians, who might wish to isolate electrical circuits and what are
the type of circuits they may need to isolate?
Algorithm drawing
Algorithms are difficult to design and rely heavily on the designer’s ability to
anticipate a wide range of possible faults and tests. They do provide an effective
approach for people with no knowledge of a system.
Statement
NO
Question “Check the” NO
“Does it
Statement work”?
YES YES
O.K.
Follow up NO
question
YES
Legend:
Action Question
Activity:
Using the Isolation Procedure Kit, work in pairs to try to complete the exercise. There are
the exact numbers of cards to place onto the template. If you need any help ask the
instructor for some guidance. When you have finished and it has been marked correctly by
your instructor you will be required to fill in the blank template above.
3. What is GS38?
5. What are the two most common instruments used for electrical isolations and state how
you test them?
6. What should we do with the key once we have locked off an isolator?
First of all check your safety to ensure that you would not put
yourself at risk by helping the casualty
Then break the electrical contact to the casualty by switching off
the supply, removing the plug (if it is undamaged) or wrenching
the cable free (only attempt this if the cable and plug etc. are
undamaged.
If this is not possible break the contact by pushing or pulling the
casualty free using a piece of non-conductive material, e.g. a
piece of wood
If the casualty is conscious , guide them to the ground making
sure that further injuries are not sustained, e.g. banging their
head on the way down.
If the casualty is unconscious, get help straight away, then
check the casualty’s response. Talk to and gently shake the
casualty to gauge their level of response. If the casualty appears
unharmed they should be advised to rest and see a GP
If there is no movement or any sign of breathing summon help
immediately. If there is someone with you, tell them to get help,
i.e. ring 999; if you are on your own with the casualty you will
have to leave them for a moment while you get help yourself
As soon as you return to the casualty you need to begin CPR
(cardio-pulmonary resuscitation).
Dr’s ABC is the current preferred method of delivering first aid to suspected shock
victims or victims that are unconscious.
Danger
The casualty may still be in contact with a live conductor. Ask yourself.
Am I in any danger? If I get to the casualty will I be in danger? Always
be on the lookout for signs of unsafe situations and never put yourself in
danger before you are sure you can help.
Responses
When a casualty is unconscious, you need to know to what degree they
are unconscious. Ask a question or give a command – for example,
‘What happened?’ or ‘Open your eyes’. Speak loudly and clearly, close to the
casualty’s ear. Carefully shake their shoulders. A casualty in a serious state of
‘altered consciousness’ may mumble, groan or make slight movements. A fully
unconscious casualty will not respond.
Airways
Open the airway. An unconscious
casualty’s airway may be narrowed or
blocked, making breathing difficult and
noisy, or impossible. The main reason
for this is that muscular control in the
throat is lost, which allows the tongue to
sag back and block the throat. Lifting
the chin and tilting the head back lifts
the tongue away from the entrance to
the air passage.
To open the airway, remove any obvious obstruction from the mouth. Place two
fingers under the point of the casualty’s chin as shown here and lift the jaw. At the
same time, place your other hand on the casualty’s forehead and tilt the head well
back.
Breathing
To check for breathing put your ear close to the casualty’s mouth. Look and feel for
breathing as well as looking for chest movements. Listen for the sound of breathing.
Feel for breath on your cheek. Look, listen and feel for 10 seconds before deciding
that breathing is absent.
Check for signs of life and a pulse. Because of the time being lost trying to find the
pulse in the neck, the National Institute of Clinical Excellence currently does not
advise this method of checking for a pulse. Current thinking is to listen to the patient’s
chest instead. Check for about 10 seconds to see whether a pulse is present.
If the casualty is breathing, place them in the recovery position. If not, deliver CPR
(cardiopulmonary resuscitation) in the following manner.
Circulation
Mouth to mouth
Mouth-to-mouth ventilation is given with the casualty lying flat on their back. The aim
is go get oxygen into the lungs of the casualty:
First, remove any obvious obstruction including broken or displaced dentures
from the mouth open the airway by tilting the head and lifting the chin
Close the casualty’s nose by pinching it with your index finger and thumb
Take a full breath, and place your lips around their mouth, making a good seal
Blow into the casualty’s mouth until you see the chest rise. Take about two
seconds for full inflation
Remove your lips and allow the chest to fall fully
Repeat
If there is a response from the casualty, place him or her in the recovery position.
If not, begin chest compressions.
Chest compressions
Chest compressions are given to the
casualty so that the heart can be
“jump” started.
With the casualty still lying flat on
their back on a firm surface, kneel
beside them, and find one of the
lowest ribs using your index and
middle fingers
Slide your fingers upwards to the
point in the middle where the rib
margins meet the breastbone
Place your middle finger over this
point and your index finger on the
breastbone above
Place the heel of your hand on the breastbone, and slide it down until it reaches
your index finger. This is the point at which you will apply pressure
Place the heel of your first hand on top of the other hand, and interlock fingers
Leaning well over the casualty, with your arms straight, press down vertically on
the breastbone to depress it approximately 4–5 cm, then release the pressure
without removing your hands
Repeat the compressions 15 times, aiming for a rate of approximately 100
compressions per minute
Return to the head and give two more ventilations, then 15 further compressions
Continue to give two ventilations to every fifteen compressions until help arrives
or you are unable to continue.
Do not interrupt CPR to make pulse checks unless there is any sign of a returning
circulation.
With a pulse confirmed, check breathing and if it is still absent continue with
artificial ventilation.
Check the signs of life / pulse after every 10 breaths, and be prepared to re-start
chest compressions if it disappears.
If the casualty starts to breathe unaided, place them in the recovery position.
Re-check breathing and pulse every three minutes.
The head, neck and back are kept in a straight line while the bent limbs keep the
body propped in a secure and comfortable position. If you must leave an
unconscious casualty unattended, they can be left safely in the recovery position
while you get help.
The technique for turning is described below and assumes that the casualty is found
lying on their back from the start:
• Kneeling beside the casualty, open the airway by tilting the head
and lifting the chin; straighten the legs. Place the arm nearest
you out at right angles to the body, elbow bent, and with the
palm uppermost.
• Bring the arm furthest from you across the chest, and hold the
hand, palm outwards, against the casualty’s nearer cheek.
(Remember to turn any rings with stones in them to face the
palm so that there is no contact between the ring and the
casualty’s face. Also remember to check pockets for keys etc.
that could cause more injury when the casualty is turned on to
his or her side.)
• With your other hand, grasp the lower thigh just above the knee
furthest from you and pull the knee up, keeping the foot flat on
the ground.
• Keeping the casualty’s hand pressed against his or her cheek,
pull at the knee to roll the casualty towards you and onto his or
her side.
• Tilt the head back to make sure the airway remains open. Adjust
the hand under the cheek, if necessary so that the head stays in
this tilted position and circulation to the hand is not restricted.
• Adjust the upper leg, if necessary, so that both the hip and the
knee are bent at right angles.
• The casualty should then be sent to hospital in an ambulance.
An electric shock may result in other injuries as well as unconsciousness. There may
be burns at both the entry point and exit point of the current. The treatment for these
burns is to flood the site of the injury with cold water for at least 10 minutes. This will
halt the burning process, relieve pain and minimise the risk of infection.
Once you are satisfied that the casualty is in a stable condition, you should cover any
burned skin with a loose, lint-free dressing, or even with sheets of cling film (do not
wind any dressing around the injured area). If the casualty had sustained a broken
bone then your first aim is to prevent movement at the site of the injury.
Do not move the casualty until the injured part is secured and supported, unless he
or she is in danger, i.e. from further electric shock. You must arrange for the
casualty’s immediate removal to hospital, maintaining comfortable support during
transport.
If you find someone suffering from the effects of fume inhalation or asphyxiation,
provided that it is safe to do so, get them outside into the fresh air as soon as
possible. Loosen any clothes around their neck or chest that may impair their
breathing. Call the emergency services and be prepared to resuscitate if necessary.
3. Briefly explain how you would use DR’s ABC on a suspected electric shock victim
4. What are the advantages of placing an unconscious victim in the recovery position?