First Aid Needs Assessment

Comprehensive assessment form for determining first aid requirements based on workplace hazards and risks.

Business Name *

Site Location *

Assessment Date *

Assessor Name *

Number of Employees at Site *

Maximum Visitors/Customers Expected

Operating Hours

Identified Workplace Hazards (tick all that apply)

Dog bites/scratchesSlips, trips and fallsManual handlingChemical exposure (COSHH)Outdoor work/weatherVehicle-related risksLone workingEquipment hazardsOther (specify in notes)

Additional Hazard Details

Overall Risk Level *

First Aid Equipment Required

Main first aid kitTravel first aid kit (vehicles)Portable outdoor kitEye wash stationBurn gelDefibrillator (AED)Specialist bite/wound kit

Number of Trained First Aiders Required *

First Aider 1 - Name

First Aider 1 - Qualification Type

First Aider 1 - Certificate Expiry Date

First Aider 2 - Name

First Aider 2 - Qualification Type

First Aider 2 - Certificate Expiry Date

Additional Training Needs Identified

First Aid Kit Location(s) *

Emergency Services Access Time (estimated)

Nearest Hospital A&E

Recommendations / Actions Required

Next Review Date *

Assessor Signature *

Sign here (or print and sign by hand)

Manager Approval Signature

Sign here (or print and sign by hand)

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