Each organization must have a first-aid kit for workers on order 169n. Its composition cannot differ from the approved one. So what should be in such a first-aid kit and what are the requirements of the Ministry of Health for its placement and use? Answers in the article.
According to the norms, in every organization or individual entrepreneur where people work, it is imperative that sanitary and household and medical support workers. In addition to equipped places for eating and hygiene, in accordance with these requirements, rooms or areas for providing medical care... At each such post, there must be medical kits on the order of 169n of the Ministry of Health and Social Development of the Russian Federation. This document defines the equipment and the amount of funds that should be at hand in case of unforeseen situations.
Equipment for dressings and medicines
A first-aid kit for industrial software, the composition of which is developed taking into account the peculiarities of the labor activity of citizens, should be equipped with means for temporarily stopping bleeding and dressing wounds, as well as products for cardiopulmonary resuscitation. Complete list products medical purpose, with which each first-aid kit should be completed, is given in the appendix to the specified order. It is comprehensive. This means that the employer does not have the right to replace the products and drugs provided by him at his own discretion. Also, everything should be in complete set, a decrease in the amount of necessary funds is not allowed, but their increase is not prohibited. Especially if the employer proceeds from the specific needs of its employees and the characteristics of the types of activity.
At least one first-aid kit is provided for one organization or individual entrepreneur, however, if the state is large and there are many premises that are remote from each other, there should be several of them.
So, order 169n plays the main role in the selection of medicines. According to his version, the complete set of first aid kits should look like this:
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Name of medical devices |
Release form (dimensions) |
Quantity (pieces, packaging) |
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Medical products for temporary arrest of external bleeding and wound dressing |
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Hemostatic tourniquet |
GOST R ISO 10993-99 |
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GOST 1172-93 |
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Non-sterile medical gauze bandage |
GOST 1172-93 |
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Non-sterile medical gauze bandage |
GOST 1172-93 |
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GOST 1172-93 |
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Medical sterile gauze bandage |
GOST 1172-93 |
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Medical sterile gauze bandage |
GOST 1172-93 |
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Medical individual sterile dressing bag with hermetic sheath |
GOST 1179-93 |
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Sterile medical gauze wipes |
GOST 16427-93 |
At least 16 x 14 cm N 10 |
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Bactericidal adhesive plaster |
GOST R ISO 10993-99 |
At least 4 cm x 10 cm |
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Bactericidal adhesive plaster |
GOST R ISO 10993-99 |
At least 1.9 cm x 7.2 cm |
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Rolled adhesive plaster |
GOST R ISO 10993-99 |
At least 1 cm x 250 cm |
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Medical devices for cardiopulmonary resuscitation |
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Device for artificial respiration "Mouth - Device - Mouth" or pocket mask for artificial lung ventilation "Mouth - mask" |
GOST R ISO 10993-99 |
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Other medical products |
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Scissors for cutting dressings according to Lister |
GOST 21239-93 (ISO 7741-86) |
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Antiseptic wipes made of paper textile-like material sterile alcohol |
GOST R ISO 10993-99 |
At least 12.5 x 11.0 cm |
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Medical non-sterile gloves, examination |
GOST R ISO 10993-99 GOST R 52238-2004 GOST R 52239-2004 |
Size at least M |
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Non-sterile medical mask 3-layer of non-woven fabric with elastic bands or with ties |
GOST R ISO 10993-99 |
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Isothermal rescue blanket |
GOST R ISO 10993-99, GOST R 50444-92 |
At least 160 x 210 cm |
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Other funds |
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Safety pins steel with a spiral |
GOST 9389-75 |
not less than 38 mm |
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Sanitary case or bag |
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Tear-off notebook for notes |
GOST 18510-87 |
format not less than A7 |
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GOST 28937-91 |
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Obviously, the table contains not just the names of items and medicines, but also the GOST regulating their quality. It is imperative to pay attention to this when completing. A tool that does not comply with GOST can be regarded by inspectors as having been arbitrarily replaced. In addition, one should not deviate from the established sizes of dressings, pins and gloves. The last two items of the table - a pen and a notebook - are not items for first aid, but their presence is mandatory, and the inspectors will have natural questions if these two items are not in the first aid kit.
Where should the first aid kit be kept and who is responsible for it?
Usually, the person responsible for providing employees with the items necessary for labor protection is the head of the organization. Therefore, first of all, he is personally responsible for how the order of the Ministry of Health 169n is observed: the list of the first-aid kit according to SanPIN, its availability and other related issues. It is advisable to issue an order for the company on the assembly of the first-aid kit and the appointment of a responsible person, as well as on determining the place for its storage.
Of course, ideally, if the company has a health worker, it is best to entrust him with the acquisition of all necessary drugs, control over their completeness and checking the expiration dates (by the way, after their expiration, all drugs must be changed to new ones). But if there is no such specialist, then this function can be taken over by an occupational safety engineer with first aid skills, or any other employee. Labor legislation and general regulatory legal acts do not provide for a list of such employees, but in industry regulatory legal acts it can be found that this role can be assumed by:
- the head of the organization himself;
- heads of departments;
- heads of departments or sections.
This, in particular, is discussed in paragraph 2.6.1 of the Sanitary Rules for the organization freight traffic on rail transport, approved by the chief dignity. doctor 24.03.2000.
As for the storage location of the first aid kit, it must be kept in an easily accessible place. Therefore, the office of the responsible person will be an unfortunate choice, because in his absence, access to medicines will be limited. Therefore, you need to choose a room that is not locked with a key during office hours.
Responsibility for the lack of a first aid kit
Responsibility for the fact that the company does not have a first-aid kit for employees is provided for by order 169n. This article provides for administrative punishment for violation of legislation in the field of ensuring the sanitary and epidemiological welfare of the population. Therefore, if a company has violated the current sanitary rules and hygiene standards, it may be imposed administrative penalty in the amount of 10,000 to 20,000 rubles, or its activity may be suspended for up to 90 days. Entrepreneurs can be fined from 500 to 1000 rubles or also banned from working for up to 90 days. Officials will pay a fine of up to 1,000 rubles.
Download the standard composition of the General purpose universal first aid kit for first aid with a short description
A universal general-purpose medical kit can be used as soon as necessary to provide first aid (relevant for 2016 and 2017):
- at enterprises
- in the office
- at home
- on trips
- in educational institutions
- in social services, etc.
The base of a general-purpose medical universal first aid kit can be expanded to fit your needs.
Before moving on to the composition of a standard universal first-aid kit, consider the main situations for providing the first first aid.
1. Cut, wound. Treatment with an antiseptic (, brilliant green), application of an adhesive plaster is required. If the wound is large, it is necessary to apply a bandage from a bandage (if necessary, also a tourniquet). With severe pain and fever, take an anti-inflammatory drug. If infection is suspected, antibiotic therapy should be initiated. In the future, apply wound-healing ointment or Pantestin.
2. Fractures, injuries, bruises. The patient should be immobilized until an ambulance arrives. Give pain reliever. Apply ice. To reduce swelling and the appearance of hematoma (bruise), apply heparin ointment at the site of the injury.
3. Headache... It is enough to take an analgesic. When high blood pressure - antispasmodic.
4. Burn. Depending on the degree of damage, first aid should be provided for burns. Necessary funds: Panthenol, Levomekol ointment.
5. Pain in the region of the heart. If you suspect an attack of angina pectoris, you need to take Nitroglycerin. Before the arrival of the ambulance, take Validol, Corvalol.
6. Poisoning, indigestion, vomiting. The reception of the sorbent is shown (), Regidron - to restore the water-electrolyte balance + if there is a suspicion of infectious poisoning,. With greasy diarrhea (diarrhea) - or.
7. Stomach cramps. Reception is shown or.
8. Stressful situations. Tablets with Valerian extract, Corvalol or.
9. Increased body temperature, colds. Paracetamol, complex teas for colds:, Teraflu.
10. Allergic reaction. In case of a strong allergic reaction (extensive edema, shortness of breath, loss of consciousness), take measures as in anaphylactic shock. You must have adrenaline, Dexamethasone (or hydrocortisone) in ampoules, Suprastin.
The final composition of a standard universal general purpose first aid kit.
| № | NAME | PURPOSE | number of packages | HOW TO APPLY |
| 1 | iodine solution 5% | Treatment of the area near the wound | 1 | With the help of cotton wool, it is applied to the area near the wound |
| 2 | solution of hydrogen peroxide 3% | Treatment of the area near the wound | 1 | With the help of cotton wool, the wound is treated |
| 3 | Bandage 7x14 sterile | For bandaging | 2* | |
| 4 | Bandage 5x10 sterile | For bandaging | 2* | |
| 5 | Sterile cotton wool 50 g. | To treat wounds | 1 | |
| 6 | Levomekol ointment | Wound healing ointment, from burns | 1 | Apply under the bandage, in a thin layer |
| 7 | Heparin ointment | From bruises, hematomas | 1 | Apply to the affected area, 4-5 times a day |
| 8 | Citramon tablets | For headache | 2 | Apply 1 TB. After meal. |
| 9 | Nimesil powder | Toothache, joint pain | 5 | Apply 1 pack in water, 2 times a day |
| 10 | Nitroglycerin tablets | With angina | 1 | Apply 0.5-1 tablet under the tongue |
| 11 | Validol | For heart pain | 1 | Apply 1-2 tablets under the tongue |
| 12 | Activated carbon | In case of poisoning | 2 | Calculation: 1 tablet per 10 kg of weight. |
| 13 | Regidron | In case of poisoning, vomiting, diarrhea | 1 | 1 bag for 1 liter of water, drink instead of water |
| 14 | Nifuroxazide | In case of infectious poisoning | 1 | Drink 200 mg 3 times a day |
| 15 | Loperamide | With severe diarrhea | 1 | Initial dose - 2 tablets |
| 16 | No-shpa | Stomach cramps | 1 | Take 2 tablets |
| 17 | Valerian extract tablets | With stress, excitement | 1 | Take 2 tablets 3-4 times daily |
| 18 | Paracetamol | With increased body temperature, above 37.8 degrees | 1 | 1-2 tab. No more than 3 times a day. |
| 19 | Adrenaline ampoules | 5 ampoules | 0.3-0.5 ml IM or 0.5 ml under the tongue | |
| 20 | Dexamethasone ampoules | With a severe allergic reaction (anaphylactic shock) | 10 ampoules | i / m 8 mg-20 mg (2-5 ampoules) |
| 21 | Suprastin ampoules | With a severe allergic reaction (anaphylactic shock) | 5 ampoules | 2 ml - in / m, DO NOT USE WITH OTHER MEANS IN ONE SYRINGE |
| 22 | Syringes 2 ml | 5 | ||
| 23 | Medical alcohol | 1 | ||
| 24 | Small scissors | 1 | ||
| 25 | Tweezers | 1 | ||
| 26 | Device for artificial respiration "Mouth-device-mouth", pcs. | 1 | ||
| 27 | Instruction memo | 1 | ||
* minimum number of bandages in the first aid kit - 2 pcs.
Download this table for printing
How to equip an enterprise with first aid kits to provide first aid to workers
The employer is obliged to provide sanitary, household and treatment-and-prophylactic services for employees, including creating sanitary posts with first aid kits for first aid (Article 223 of the Labor Code of the Russian Federation).
From January 1, 2012, first-aid kits must meet the requirements approved. by order of the Ministry of Health and Social Development of Russia dated 05.03.2011 No. 169n (hereinafter - Order No. 169n).
Who is in charge of the first aid kit
The organization must appoint an employee who will purchase, store the first aid kit and be responsible for its contents. For this, the head of the organization must issue an appropriate order. Such functions can be assigned to an employee of an organization who has been trained in providing first aid to injured workers at work, and no special training is required.
As examples of the appointment of workers responsible for the first-aid kit, extracts from industry regulations can be cited:
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Workers responsible for completing a medical kit |
Normative acts |
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Enterprise Manager |
Clause 2.6.1 of the Sanitary Rules for the Organization of Freight Transportation by Rail (SP 2.5.1250-03), approved by Chief State Sanitary Doctor of Russia 03.24.2000 |
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Department Manager |
Appendix 3 to the Labor Protection Regulations for Book Trade Enterprises (POT RO 29-003-95), approved. by order of Roskompechat dated March 21, 1995 No. 33 |
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Head of department, department (editorial office) or section |
Labor protection rules for publishing houses (POT RO 29-002-94), approved by by order of Roskompechat dated 24.08.1994 No. 75 |
The employee responsible for the first-aid kit timely replenishes its contents (as it is used or expires). To do this, they keep a log of registration of the use of medical devices in first aid ( appendix 1) and draw up applications for the purchase of medical devices ( appendix 2). The frequency of checks of the first-aid kit for completeness is not clearly defined by legislation. This issue can be settled in a local regulatory act, for example, in an order to ensure the complete set of first aid kits for providing first aid to workers ( appendix 3).
What should be in the first aid kit
Equipment medical first aid kits for providing first aid to employees is determined by Order No. 169n. This should include:
medical products for temporarily stopping external bleeding and dressing wounds (for example, hemostatic tourniquet, bandages, adhesive plasters);
device for cardiopulmonary resuscitation;
other medical products (isothermal blanket, medical gloves, etc.);
Where to store the first aid kit
The employer is obliged to create sanitary posts with first aid kits for providing first aid (Article 223 of the Labor Code of the Russian Federation). Posts are positioned so that workers can quickly access them if necessary.
On the walls and doors of the premises where the first-aid kits are located, it is necessary to place the sign of the first-aid kit - a white cross on a green background (Table I2 GOST R 12.4.026-2001).
The placement of first aid kits should be indicated on the evacuation plan.
How many first aid kits should be in the organization
The number of first-aid kits and their completeness are established by the head of the organization together with a medical worker and (or) an occupational safety specialist.
There is no uniform requirement for the number of first-aid kits in enterprises - each employer must have at least one first-aid kit. Refer to industry regulations for accurate information.
|
Number of first aid kits |
Normative act |
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At every workplace of the marshalling yard |
Clause 4.6.4 of the Sanitary Rules for the Organization of Freight Transportation by Rail (SP 2.5.1250-03), approved by Chief State Sanitary Doctor of Russia 03.24.2003 |
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On racks where tanks are processed, as well as in the operator's room |
Clause 7.5.8 SP 2.5.1250-03 |
|
At each site, in workshops, workshops, as well as on the main mining and transport units and in sanitary facilities |
Clause 563 of the Safety Rules for the Development of Coal Deposits by the Open Method, approved by Resolution of the Gosgortekhnadzor of Russia dated May 30, 2003 No. 45 |
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In all areas and in household premises |
Clause 13.5 of the Sanitary and Epidemiological Rules and Regulations “Hygienic Requirements for Enterprises for the Production of Building Materials and Structures. SanPiN 2.2.3.1385-03 ", approved. Chief State Sanitary Doctor of Russia 06/11/2003 |
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In paint shops |
Clause 7.12 of the Sanitary Rules for Painting with Hand Sprayers, approved by Deputy Minister of Health of the USSR 09/22/1972 No. 991–72 |
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On every bulldozer |
Clause 2.5 of the Standard Labor Protection Instructions for Drivers of Electric Forklifts, Forklift Trucks, Bucket Loaders and Bulldozer Operators, approved. Ministry of Railways of Russia 05/25/2002 |
|
In every laboratory |
Clause 11.1.2 of the Temporary recommendations (rules) on labor protection when working in laboratories (departments, departments) of sanitary and epidemiological institutions of the system of the Ministry of Health of Russia, approved. Chief Physician of the Federal Center for Sanitary and Epidemiological Surveillance of the Ministry of Health of Russia, Deputy Chief State Sanitary Doctor of Russia, Chairman of the Laboratory Council of the State Sanitary and Epidemiological Service of Russia 04/11/2002 |
|
In each workshop and at each separate production site |
Clause 13.1.15 of POT RO 14000-005-98 Regulations. Work with increased danger. Organization of the event, approved by Department of Economics of Mechanical Engineering of the Ministry of Economy of Russia 02.19.1998 |
|
IN vehicles when transporting pesticides |
Clause 586 of the Rules for labor protection in logging, woodworking industries and during forestry work, approved. by order of the Ministry of Labor of Russia dated 02.11.2015 No. 835n |
|
Each employee when working in sparsely populated and hard-to-reach areas |
Clause 1.5.18 of the Safety Rules for Topographic and Geodetic Works PTB-88, approved by Collegium of the Main Directorate of Geodesy and Cartography under the Council of Ministers of the USSR 02/09/1989 No. 2/21 |
Should there be medicines in the medicine cabinet?
It is prohibited to include medications in the first aid kit. For this violation of the law, the employer may incur administrative liability (Article 5.27 of the Administrative Code of the Russian Federation).
Medicines can be used only if the company obtains a license to carry out medical activities.
First aid should be provided by a person with medical education. If an incident occurs at work, you need to urgently call specialists and provide the victim with peace. It is unacceptable to dispense drugs - the drug may cause an unpredictable allergic reaction.
What are the penalties for not having a first aid kit
Administrative liability is provided for the lack of a first aid kit. It comes in accordance with Part 1 of Art. 5.27 of the Administrative Code of the Russian Federation and provides for the imposition of the following fines:
on officials - from 1 thousand to 5 thousand rubles;
for persons engaged in entrepreneurial activity without forming a legal entity - from 1 thousand to 5 thousand rubles;
on legal entities - from 30 thousand to 50 thousand rubles.
How to dispose of first aid kits
The composition of first aid kits does not include medicines (Order No. 169n), therefore, there are no special requirements for their disposal. Therefore, the entire contents of the first-aid kits can be disposed of as solid household waste ( Federal Law of 24.06.1998 No. 89-FZ "On production and consumption waste").
Appendix 1
Appendix 2
Appendix 3
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There are boxes, bags or cosmetic bags with medicines and medical supplies in every home. A first aid kit is an indispensable set. You can be absolutely healthy, but one fine day you will sleep with a wild headache or a cold, for example. At this moment, you will not want to run to the pharmacy for medicines. In this case, a rescue kit will come to the rescue, in which, just in case, a variety of medicines should be stored.
What should be included in a first aid kit?
Of course, you won't be able to protect yourself from all injuries and diseases in the world. But based on many years of medical experience and the characteristics of your own body, a list of the most necessary drugs and materials can be easily compiled.
So, it is very desirable that a universal first aid kit contains the following means:
1. The most common problem of our time is headaches. They arise due to overvoltage, fatigue, magnetic storms and a host of other factors. Sometimes it is impossible to tolerate them, so the anesthetic in the arsenal will not be superfluous. This could be:
- Aspirin;
- Analgin;
- Citramon;
- Has;
- Solpadein.
If you are familiar with migraines, you should definitely put some kind of antispasmodic, like Spazmalgon or Spazmalgon, in your first aid kit.
2. Irreplaceable components of the "saving suitcase" are brilliant green and iodine. Hydrogen peroxide is a great addition to this list. Even if you do not have children, and you yourself are distinguished by accuracy, it will not hurt to have these medicines - no one is immune from accidental injuries. With such a set, you will quickly and effectively treat any wound, protecting yourself from infection.
3. Standard complete set first-aid kits certainly include antihistamines:
- Suprastin;
- Lorano;
- Diazolin and others.
4. Another component is a tourniquet or a medical rubber tube, the length of which must be at least one hundred centimeters.
5. Be sure to have sorbents and medicines for the gastrointestinal tract in any first-aid kit:
- Activated carbon;
- White coal;
- Almogel;
- Atoxil;
- Duphalac;
- Polysorb.
They will help with poisoning, save from diarrhea.
6. Ammonia will quickly bring you to your senses when you faint.
7. Even if you do not suffer from cardiovascular diseases, it will not hurt to put valerian tincture in the first aid kit for first aid. This remedy is used for tachycardia. It also helps to cope with nervous excitement. Those who are familiar with angina attacks should definitely have Nitroglycerin with them.
8. Antipyretics, like Paracetamol, quickly relieve fever and improve well-being. A thermometer will help control the patient's condition.
9. Most universal kits contain Ichthyolum or Vaseline.
10. In addition to medicines, first aid kits include dressing materials:
- bandages;
- sterile gauze wipes;
- alcohol wipes;
- cotton wool;
- patch;
- latex gloves;
- tweezers.
All drugs in the kit should be one or two packages.
How to store a first aid kit?
Light, moisture and high temperatures negatively affect medicines. That is why it is advisable to store all medicines in a tightly closed box or bag that does not transmit light.
The expiration date of any ointments and tablets is indicated on the packaging - make sure that there are no expired drugs in the first-aid kit.
Ointments, creams and other greasy products should be stored when low temperatures - preferably in the refrigerator. If they develop a fetid odor, the medication should be disposed of immediately.
