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Workplace First Aid and the Law

The half of first aid that isn't bandaging. What an employer actually has to provide, the difference between an appointed person and a first aider, what EFAW covers, and why no online course can qualify you.

Skill levelComplete beginner
Time needed3–4 hours
Starter budget£0 to learn; £60–120 for the one-day EFAW course
Step 01

What the law actually requires

The First Aid Essentials course teaches you what to do when someone is injured. This one is about the framework around it — the duties an employer carries, who has to be trained and to what, and what has to be recorded. It is dull in the way that seatbelts are dull, and it is most of what separates the classroom day from what you already know.

The duty, and why it has no fixed number in it

The Health and Safety (First-Aid) Regulations 1981 require an employer to provide adequate and appropriate equipment, facilities and personnel so that employees receive immediate attention if injured or taken ill at work. Note what it does not say: it names no headcount, no kit contents, and no qualification. What counts as adequate is established by a first aid needs assessment.

Hazards and risk
A low-risk office and a workshop with machinery reach different conclusions. Higher hazard means more, and better trained, provision.
Numbers and spread
How many people, across how many floors, buildings or sites. One trained person is no use three buildings away.
Shift patterns and cover
Provision has to survive holidays, sickness and night shifts. A single first aider is a single point of failure.
Lone and travelling workers
People working alone or off-site need their own arrangements — often a personal kit and a check-in procedure.
Distance from help
A remote site with a long ambulance response justifies more provision than a city centre office.
Public and non-employees
The Regulations cover employees, but the HSE strongly encourages including visitors, customers and contractors — and other duties of care apply to them anyway.

Self-employed people are covered too

The Regulations apply to the self-employed in respect of their own work: you must have such equipment as is adequate and appropriate to render first aid to yourself while working. In practice that usually means a suitable kit in the van — modest, but it is a legal duty rather than a suggestion.


Step 02

Appointed person or first aider

The needs assessment produces an answer about people, and there are two distinct roles the law recognises. Confusing them is the most common workplace first aid mistake.

The two roles

Appointed person
Takes charge of first aid arrangements — looking after the kit, and calling the emergency services when needed. Not trained to give treatment. Acceptable where the needs assessment shows a trained first aider is not required, typically small low-hazard workplaces.
First aider
Holds a current qualification from a course meeting the required standard — EFAW or FAW — and can actually treat a casualty. Required where the needs assessment says the risk warrants it.

The two qualifications

EFAW
Emergency First Aid at Work, a Level 3 Award, typically one day of around six hours. Covers the emergency essentials: primary survey, CPR and AED, choking, bleeding, shock, and the recovery position. The usual answer for lower-risk workplaces.
FAW
First Aid at Work, also a Level 3 Award, typically three days of around eighteen hours. Everything in EFAW plus fractures, spinal and chest injuries, and medical emergencies including stroke, diabetes, asthma, anaphylaxis and poisoning.
Validity
Both certificates are valid for three years, after which a requalification course is needed. The HSE strongly recommends annual refresher training in between, which is guidance rather than a legal requirement.
Paediatric first aid
A separate qualification, and a statutory requirement in early years childcare settings rather than a workplace option. If children are involved, this is the one that applies.

Both EFAW and FAW are Level 3 qualifications

You will still find guidance and course listings calling EFAW "Level 2". That comes from the old QCF framework; under the current RQF both EFAW and FAW sit at Level 3 in England, Wales and Northern Ireland, with SCQF equivalents in Scotland. If a provider's paperwork still says Level 2, that is a reason to check how current the rest of their material is.


Step 03

Kit, records and RIDDOR

The first aid box

There is no legally mandated list of contents — the needs assessment governs this too — but BS 8599-1 is the British Standard for workplace first aid kits and gives small, medium and large specifications that most employers simply buy to. What the Regulations are firm about is that kits should contain no medication of any kind: a first aider does not administer drugs, and aspirin or paracetamol in a workplace kit is a longstanding and avoidable mistake. Check contents and expiry dates on a schedule, and record that you did.

Records

Every incident treated should be recorded — date and time, who was injured, what happened, what treatment was given, and by whom. Two reasons: it is evidence if a claim or an investigation follows months later, and patterns in the book are how you notice that the same step keeps causing the same injury. The record contains health information about identifiable people, so it is personal data and must be kept securely and only as long as needed. The old-style open accident book where everyone can read the previous entries is a data protection problem.

RIDDOR

The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 require certain things to be reported to the HSE, and this sits on top of your own records rather than replacing them. Reportable categories include deaths, a defined list of specified injuries (fractures other than to fingers, thumbs and toes; amputations; serious burns; loss of consciousness from head injury or asphyxia, among others), over-seven-day incapacitation where a worker cannot do their normal work for more than seven consecutive days, certain occupational diseases, and dangerous occurrences — near misses serious enough to report even though nobody was hurt.

Seven days, and the day of the accident does not count

The over-seven-day threshold trips people up. You count consecutive days including weekends and non-working days, but you exclude the day the accident happened. There is also a separate three-day threshold for recording — not reporting — which is why the accident book matters even for incidents that never reach the HSE.


Step 04

Sitting EFAW, and beyond

No online course can qualify you, and this is the one to understand

EFAW is assessed practically. You demonstrate CPR on a manikin, casualty handling and the recovery position while an assessor watches. That cannot happen through a screen, which is why an entirely online "first aid certificate" does not evidence the qualification however official the PDF looks. Blended delivery — theory online, practical and assessment face to face — is legitimate and common. Everything on this page prepares you for the day; it cannot replace it.

Choosing a provider

Since 2013 the HSE no longer approves first aid training providers, which surprises people and means the responsibility for due diligence sits with the employer. In practice you are looking for one of three things: a provider working under a recognised awarding organisation (so the certificate is a regulated qualification), a member of a voluntary aid society — St John Ambulance, British Red Cross, St Andrew's First Aid — or a provider operating a recognised trade body membership. The HSE publishes guidance (GEO1) on selecting a provider. Expect roughly £60–£120 for a one-day EFAW course, and confirm current fees and the awarding organisation when you book.

You're here: the framework

This course

The 1981 Regulations and the needs assessment. Appointed person versus first aider. EFAW and FAW, both Level 3, valid three years. BS 8599 kits and no medication. Records, data protection and RIDDOR thresholds.

2

Level 3 Award in Emergency First Aid at Work

1 day, around 6 hours

The standard workplace qualification for lower-risk settings. Classroom and practical assessment, certificate valid three years. Cannot be obtained online only.

3

Level 3 Award in First Aid at Work

3 days, around 18 hours

The fuller qualification most larger or higher-risk employers require: fractures, spinal and chest injuries, and the medical emergencies EFAW does not cover.

4

Specialist routes

1–5 days each

Paediatric first aid, statutory in early years settings. Mental Health First Aid, increasingly asked for. Outdoor and remote first aid where help is hours rather than minutes away — and for a few people, the route onward into pre-hospital care.

Best resources

Part ofBe the First Aider·Course 2 of 2

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