First Aid on Construction | Why is First Aid Crucial in Construction?

First aid on construction sites is often overlooked, but it’s crucial for ensuring the safety and well-being of workers. Accidents are common in the construction industry, making first aid a vital part of any safety program. This article explores why first aid is essential in construction, what measures can be taken to ensure it, and how it can save lives.

Why is First Aid Essential in Construction?

First Aid is indispensable in construction as it ensures the immediate well-being of workers, prevents the escalation of injuries, and contributes to a safer and more secure work environment. It is a proactive measure that not only addresses emergencies effectively but also promotes a culture of safety within the construction industry.

First Aid is essential in construction for several critical reasons:

  • Immediate Response to Injuries:

    • Construction sites are prone to accidents and injuries. First Aid provides immediate care, addressing injuries promptly and preventing them from worsening.
  • Preventing Escalation:

    • Timely administration of First Aid can prevent minor injuries from escalating into more severe conditions. Quick intervention can make a significant difference in the outcome.
  • Life-Saving Measures:

    • Construction sites involve heavy machinery and potentially hazardous conditions. First Aid training equips workers to perform life-saving measures, such as CPR, until professional help arrives.
  • Minimizing Recovery Time:

    • Properly applied First Aid can minimize the recovery time for injured workers. Swift and appropriate care can contribute to faster healing and return to work.
  • Reducing Severity of Injuries:

    • Immediate attention to injuries can reduce the severity of the condition. For example, prompt wound care can prevent infections and complications.
  • Promoting a Culture of Safety:

    • Emphasizing the importance of First Aid fosters a culture of safety on construction sites. Workers become more aware of potential risks and are better prepared to respond in emergencies.
  • Legal Compliance:

    • Many regions and regulatory bodies mandate the presence of First Aid facilities on construction sites. Adhering to these regulations not only ensures legal compliance but also prioritizes the well-being of workers.
  • Addressing Common Construction Injuries:

    • Construction sites often witness injuries like cuts, burns, falls, and sprains. First Aid provides specific protocols for addressing these common injuries effectively.
  • Boosting Employee Confidence:

    • When workers are trained in First Aid, they gain confidence in their ability to handle emergencies. This confidence contributes to a safer and more secure work environment.
  • Emergency Preparedness:

    • First Aid training prepares workers for various emergency scenarios. This preparedness is crucial for handling unexpected situations until professional medical assistance arrives.

What is the most common injury on site?

Construction workers face an array of potential injuries, ranging from minor cuts and abrasions to more severe incidents such as falls, fractures, electrical accidents, and even cardiac events. Being prepared to address these injuries promptly can minimize their impact and contribute to better outcomes.

Here are some of the typical injuries encountered on construction sites:

  • Falls:

    • Falls from heights, such as ladders, scaffolding, or roofs, are prevalent in construction. Lack of fall protection measures can contribute to these incidents.
  • Struck-by Incidents:

    • Workers can be struck by falling objects, moving equipment, or vehicles on construction sites. Inadequate signaling and communication may lead to these incidents.
  • Electrocutions:

    • Construction sites involve electrical work, and contact with live wires or faulty equipment can result in electrocutions. Failure to adhere to electrical safety protocols is a common cause.
  • Caught-In/Between Objects:

    • Workers may get caught between equipment, machinery, or materials. Trench collapses and equipment entanglements are examples of caught-in/between incidents.
  • Trips and Slips:

    • Uneven surfaces, debris, and inadequate housekeeping can lead to trips and slips. These seemingly minor incidents can result in significant injuries.
  • Musculoskeletal Injuries:

    • Lifting heavy objects, repetitive motions, and poor ergonomics contribute to musculoskeletal injuries among construction workers.
  • Burns:

    • Welding, cutting, and the use of hot materials can lead to burns. Lack of personal protective equipment (PPE) or inadequate training may contribute to burn injuries.
  • Respiratory Issues:

    • Exposure to dust, asbestos, and other airborne contaminants can cause respiratory problems. Inadequate ventilation and lack of proper respiratory protection contribute to these issues.
  • Noise-Induced Hearing Loss:

    • Construction sites are often noisy environments, and prolonged exposure without hearing protection can result in permanent hearing loss.
  • Strains and Sprains:

    • Overexertion, improper lifting techniques, and repetitive motions can lead to strains and sprains among construction workers.
  • Crush Injuries:

    • Heavy equipment and machinery pose a risk of crush injuries, especially in areas with limited visibility or poor communication.
  • Heat-Related Illnesses:

    • Working outdoors in high temperatures can lead to heat-related illnesses such as heat exhaustion or heat stroke, particularly if proper hydration measures are not in place.

Why Are Construction Workers Prone to Injuries?

Construction workers are prone to injuries due to a combination of factors inherent to the nature of their work environment and specific job tasks. Here are key reasons why construction workers face a higher risk of injuries:

  • High-Risk Work Environment:

    • Construction sites are dynamic and often involve working at heights, around heavy machinery, and in confined spaces. These factors inherently increase the risk of accidents.
  • Use of Heavy Machinery:

    • The use of heavy equipment and machinery, such as cranes, forklifts, and excavators, poses significant risks. Accidents involving the operation of these machines can result in severe injuries.
  • Frequent Lifting and Handling:

    • Construction workers commonly engage in lifting and handling heavy materials. Improper lifting techniques and lack of ergonomic practices contribute to musculoskeletal injuries.
  • Working at Heights:

    • Tasks like roofing, scaffolding, or working on elevated surfaces expose workers to the risk of falls. Falls from heights are a leading cause of injuries in the construction industry.
  • Limited Visibility:

    • The nature of construction sites often involves limited visibility, especially around heavy equipment. This can lead to struck-by incidents where workers may be hit by moving vehicles or equipment.
  • Exposure to Hazardous Materials:

    • Construction materials, including asbestos, lead, and chemicals, can pose health risks. Exposure to these hazardous materials without proper protection can lead to long-term health issues.
  • Complexity of Tasks:

    • Construction projects involve a variety of tasks that demand specific skills and attention. Lack of training or experience in handling certain tasks increases the likelihood of accidents.
  • Variable Weather Conditions:

    • Construction work is often performed outdoors, exposing workers to varying weather conditions. Extreme temperatures, rain, or snow can contribute to accidents and health issues.
  • Noise and Vibrations:

    • Construction sites are noisy environments, and prolonged exposure to high levels of noise can lead to hearing loss. Vibrations from machinery can also contribute to musculoskeletal issues.
  • Tight Schedules and Pressure:

    • Construction projects often have tight deadlines, leading to time pressure. In such situations, workers may bypass safety protocols to meet deadlines, increasing the risk of accidents.
  • Inadequate Training:

    • Insufficient training in safety procedures and the proper use of equipment can result in accidents. Well-trained workers are better equipped to identify and mitigate risks.
  • Communication Challenges:

    • Effective communication is crucial on construction sites. Miscommunication or lack of clear instructions can lead to errors and accidents.

To address these challenges, it is essential for construction companies to prioritize comprehensive safety training, provide proper personal protective equipment (PPE), conduct regular safety inspections, and foster a culture of safety awareness among workers. Creating a safer work environment involves a collective effort to mitigate the specific risks associated with construction work.

What first aid items are needed for construction sites?

To ensure the safety and well-being of workers on construction sites, it’s essential to have well-equipped first aid kits readily available. Here is a list of first aid items that are commonly needed for construction sites:

  • Basic First Aid Supplies:

    • Adhesive bandages (assorted sizes)
    • Sterile gauze pads
    • Adhesive tape
    • Sterile dressing
    • Antiseptic wipes or solution
  • Wound Care Supplies:

    • Sterile eye wash solution
    • Eyewash cups
    • Sterile eye dressings
    • Tweezers for removing splinters or debris
    • Scissors
  • Burn Care:

    • Burn dressings or gel
    • Sterile burn sheets
    • Non-adhesive sterile bandages
  • Trauma Supplies:

    • Triangular bandages
    • Compression bandages
    • Pressure dressings
    • Sterile absorbent compresses
  • Resuscitation Equipment:

    • Pocket mask or face shield for CPR
    • Resuscitation bag-valve mask (BVM) for trained personnel
  • Medications:

    • Pain relievers (aspirin, ibuprofen, or acetaminophen)
    • Antihistamines for allergic reactions
    • EpiPen (for severe allergic reactions, if needed)
  • Personal Protective Equipment (PPE):

    • Disposable gloves (latex or nitrile)
    • CPR barrier device
    • Safety goggles or glasses
  • Miscellaneous Items:

    • Instant cold packs
    • Emergency blanket
    • First aid manual or instructions
    • Hand sanitizer
    • Tweezers for removing splinters or foreign objects
  • Emergency Information:

    • List of emergency contact numbers
    • Site-specific emergency procedures
    • Workers’ medical information (if applicable)
  • Documentation Supplies:

    • Notepad and pen for recording details of injuries and treatments
    • Accident/incident report forms
  • Personal Medications:

    • If applicable, a designated area for workers to store personal medications securely
  • Communication Devices:

    • Ensure that communication devices, such as a charged mobile phone or two-way radio, are accessible in the first aid area for contacting emergency services.

Regularly check and replenish first aid kits, ensuring that they are easily accessible and clearly marked. Additionally, provide adequate training to workers on the location of first aid kits, emergency procedures, and the proper use of first aid supplies. Having a well-maintained and stocked first aid kit is a crucial aspect of promoting a safe and prepared work environment on construction sites.

What are the Requirements for First Aid Training for Construction Workers?

Proper first aid training is a cornerstone of safety on construction sites. Workers should receive comprehensive training that covers CPR, basic wound care, fracture stabilization, and other critical skills. Regular refreshers are also recommended to keep these skills sharp.

First aid training for construction workers is crucial to ensure a safe working environment and the prompt response to injuries or emergencies. Here is a comprehensive guide on the key aspects of first aid training for construction workers:

1. Basic First Aid Skills:

  • Wound Care: Train workers in cleaning and dressing wounds to prevent infections.
  • Burn Care: Provide knowledge on assessing and treating burns, including the use of burn dressings and gels.
  • Fracture Management: Teach how to recognize and immobilize fractures until professional help arrives.

2. Cardiovascular Emergency Response:

  • CPR (Cardiopulmonary Resuscitation): Ensure workers are trained in CPR techniques for adults, including chest compressions and rescue breaths.
  • AED (Automated External Defibrillator): Familiarize workers with AED operation for responding to cardiac emergencies.

3. Respiratory Emergency Training:

  • Choking Response: Instruct on the proper techniques for responding to a choking victim, including the Heimlich maneuver.

4. Trauma and Bleeding Control:

  • Applying Pressure Dressings: Train workers to apply pressure dressings to control bleeding from wounds.
  • Tourniquet Application: Provide instruction on the correct application of tourniquets for severe bleeding control.

5. Specific Construction-Related Injuries:

  • Crush Injuries: Teach how to respond to crush injuries, including safely extricating the victim and providing immediate care.
  • Fall Response: Instruct on the proper first aid measures for individuals who have fallen from heights.

6. Recognition of Hazardous Situations:

  • Identifying Hazards: Train workers to recognize potential hazards that could lead to injuries and how to mitigate those risks.

7. Personal Protective Equipment (PPE) Training:

  • Proper PPE Usage: Emphasize the importance of using PPE and provide training on how to use it correctly.

8. Emergency Communication:

  • Effective Communication: Teach workers how to communicate emergencies to emergency services and within the construction site.

9. Evacuation Procedures:

  • Site Evacuation: Instruct on proper evacuation procedures in the event of a major emergency.

10. Mock Drills:

  • Emergency Drills: Conduct regular mock drills to simulate emergency situations, allowing workers to practice their first aid skills in a controlled environment.

11. Record Keeping:

  • Documentation: Stress the importance of accurate and timely documentation of injuries, treatments provided, and any follow-up actions.

12. Refresher Courses:

  • Regular Updates: Schedule periodic refresher courses to keep workers updated on the latest first aid techniques and procedures.

13. Psychological First Aid:

  • Emotional Support: Include training on providing emotional support to colleagues in the aftermath of traumatic incidents.

14. Coordination with Emergency Services:

  • Emergency Contacts: Ensure workers know how to contact emergency services promptly and provide necessary information.

By incorporating these elements into first aid training programs, construction workers can be better prepared to respond effectively to injuries, emergencies, and hazardous situations, contributing to a safer work environment on construction sites.

What is to be done immediately for an injured person for Common Injuries?

For common injuries encountered in various situations, here are immediate actions to be taken to provide initial care for an injured person:

1. Cuts and Abrasions:

  • Immediate Action:
    • Clean the wound gently with mild soap and water.
    • Apply direct pressure with a clean cloth or sterile bandage to control bleeding.
    • Elevate the injured area if possible to minimize swelling.
  • Do Not:
    • Use a tourniquet unless bleeding is severe and uncontrollable.
    • Remove embedded objects; stabilize them and seek medical help.

2. Bruises:

  • Immediate Action:
    • Apply a cold compress or ice pack wrapped in a cloth to reduce swelling.
    • Elevate the injured area if possible to minimize swelling.
    • Provide pain relief if necessary (over-the-counter pain relievers).
  • Do Not:
    • Apply ice directly to the skin; use a cloth or towel as a barrier.

3. Sprains and Strains:

  • Immediate Action:
    • Rest the injured area and avoid putting weight on it.
    • Apply ice for 15-20 minutes every 2-3 hours during the first 48 hours.
    • Compress the injured area with an elastic bandage to reduce swelling.
    • Elevate the injured limb if possible.
  • Do Not:
    • Ignore persistent severe pain; seek medical attention.

4. Fractures:

  • Immediate Action:
    • Keep the injured limb still and support it to prevent movement.
    • Immobilize the injured area with a splint, if available.
    • Apply ice to reduce swelling.
    • Seek emergency medical attention.
  • Do Not:
    • Attempt to realign the bones.
    • Move the injured person unless there is an immediate threat.

5. Burns:

  • Immediate Action:
    • For minor burns, cool the burn with cold running water for at least 10 minutes.
    • Cover the burn with a sterile non-stick dressing.
    • Seek medical attention for more severe burns.
  • Do Not:
    • Use ice or very cold water on burns.
    • Apply creams, ointments, or adhesive bandages to severe burns.

6. Eye Injuries:

  • Immediate Action:
    • Flush the eye with clean water if a foreign object is present.
    • Cover the injured eye with a sterile dressing.
    • Seek immediate medical attention for any eye injury.
  • Do Not:
    • Rub the eye or attempt to remove a foreign object with sharp tools.

7. Struck-by Objects:

  • Immediate Action:
    • Ensure the safety of the injured person and those nearby.
    • Check for severe bleeding and provide first aid.
    • Stabilize the injured person and seek medical help.
  • Do Not:
    • Move the person unnecessarily, especially if there is a risk of spinal injury.

8. Electric Shocks:

  • Immediate Action:
    • Ensure the area is safe from electrical hazards.
    • Call for emergency medical help.
    • If the person is not breathing, start CPR if trained.
    • Do not touch the person until the power is turned off.
  • Do Not:
    • Touch the person if there is still an electrical source present.

In all cases, after providing immediate first aid, it’s essential to seek professional medical help promptly for a thorough assessment and appropriate treatment. If in doubt or if the injury is severe, always call for emergency medical assistance.

Do’s and Don’ts of Construction Site First Aid

Do’s of Construction Site First Aid:

  1. Assess the Situation:

    • Do: Quickly assess the scene to ensure it’s safe for both the injured person and the responder.
  2. Call for Help:

    • Do: Immediately call for emergency medical assistance if the injury is severe or life-threatening.
  3. Protect Yourself:

    • Do: Wear appropriate personal protective equipment (PPE) to protect yourself from potential hazards.
  4. Control Bleeding:

    • Do: Apply direct pressure with a clean cloth or sterile bandage to control bleeding. Use additional dressings if necessary.
  5. Immobilize Fractures:

    • Do: Keep the injured limb still and support it to prevent movement. Immobilize fractures with a splint if available.
  6. Provide Comfort:

    • Do: Reassure the injured person and provide comfort. Keep them warm by covering with a blanket if needed.
  7. Use First Aid Supplies:

    • Do: Use the contents of the first aid kit appropriately for wound care, burns, or other injuries.
  8. Communicate Effectively:

    • Do: Communicate clearly and calmly with the injured person. Provide information about what you are doing and reassure them.
  9. Evacuate if Necessary:

    • Do: Evacuate the injured person from the immediate danger if the situation requires it.
  10. Record Details:

    • Do: Record details of the injury, treatments provided, and any other relevant information for documentation purposes.

Don’ts of Construction Site First Aid:

  1. Don’t Panic:

    • Don’t: Panic in an emergency. Stay calm and focused to provide effective first aid.
  2. Don’t Move Unnecessarily:

    • Don’t: Move the injured person unnecessarily, especially if there is a risk of spinal injury. Wait for professional medical help.
  3. Don’t Remove Embedded Objects:

    • Don’t: Remove embedded objects from wounds. Stabilize them and seek medical help.
  4. Don’t Ignore Severe Pain:

    • Don’t: Ignore persistent severe pain in the injured person. Seek medical attention promptly.
  5. Don’t Use Ice Directly:

    • Don’t: Apply ice directly to the skin for extended periods. Use a cloth or towel as a barrier.
  6. Don’t Apply Tourniquets Unnecessarily:

    • Don’t: Apply a tourniquet unless bleeding is severe and uncontrollable. Use other methods first.
  7. Don’t Delay Calling for Help:

    • Don’t: Delay calling for professional medical assistance, especially in serious or life-threatening situations.
  8. Don’t Rub Eyes:

    • Don’t: Rub the eyes or attempt to remove a foreign object with sharp tools. Flush the eye with clean water.
  9. Don’t Overlook Psychological Support:

    • Don’t: Overlook the need for psychological support. Offer reassurance and comfort to the injured person.
  10. Don’t Neglect Follow-Up:

    • Don’t: Neglect follow-up actions. Ensure that the injured person receives appropriate medical care and monitoring.

What are the Top Safety Tips for Construction Sites?

Ensuring safety on construction sites is paramount to protect workers and prevent accidents. Here are top safety tips for construction sites:

1. Personal Protective Equipment (PPE):

  • Tip: Require all workers to wear appropriate PPE, including hard hats, safety glasses, gloves, high-visibility clothing, and steel-toed boots.

2. Fall Protection:

  • Tip: Implement fall protection measures, such as guardrails, safety nets, and personal fall arrest systems, especially for work at heights.

3. Scaffolding Safety:

  • Tip: Regularly inspect and maintain scaffolding. Ensure proper assembly and use guardrails and fall arrest systems.

4. Equipment Safety:

  • Tip: Conduct regular equipment inspections and maintenance. Train operators on safe equipment use and establish clear operating zones.

5. Hazard Communication:

  • Tip: Clearly communicate hazards and safety procedures to all workers. Use signs, labels, and training programs to enhance awareness.

6. Electrical Safety:

  • Tip: Identify and label electrical hazards. Provide training on electrical safety, and ensure compliance with lockout/tagout procedures.

7. Excavation Safety:

  • Tip: Implement proper shoring, sloping, or trench box systems for excavations. Conduct soil assessments, and keep workers away from the edges.

8. Emergency Preparedness:

  • Tip: Develop and communicate emergency response plans. Conduct regular drills, and ensure easy access to first aid kits and emergency equipment.

9. Housekeeping:

  • Tip: Maintain a clean and organized site to reduce tripping hazards. Properly dispose of debris, and secure tools and materials when not in use.

10. Training and Education:

  • Tip: Provide comprehensive safety training for all workers. Ensure they understand and follow safe work procedures and use equipment properly.

11. Tool Safety:

  • Tip: Train workers on the correct use of hand and power tools. Ensure tools are in good condition, and provide proper storage.

12. Fire Safety:

  • Tip: Have fire prevention measures in place. Install fire extinguishers, clearly mark emergency exits, and conduct regular fire drills.

13. Traffic Control:

  • Tip: Establish clear traffic control measures. Use signage, barricades, and designated walkways to separate pedestrians and vehicles.

14. Heat Stress Prevention:

  • Tip: Implement measures to prevent heat-related illnesses, such as providing shade, hydration stations, and scheduled breaks during hot weather.

15. Regular Inspections:

  • Tip: Conduct regular site inspections to identify and address potential hazards promptly. Involve workers in the inspection process.

16. Supervision and Communication:

  • Tip: Maintain clear communication between workers and supervisors. Encourage reporting of safety concerns and incidents.

17. Ergonomics:

  • Tip: Design workstations and tasks to minimize ergonomic risks. Provide training on proper lifting techniques and posture.

18. Respiratory Protection:

  • Tip: Use respiratory protection when necessary, and ensure workers are trained on the proper use, care, and limitations of respirators.

19. Security Measures:

  • Tip: Implement security measures to prevent unauthorized access to the construction site. Secure tools and equipment to prevent theft.

20. Continuous Improvement:

  • Tip: Foster a culture of continuous improvement in safety. Encourage feedback, investigate incidents, and implement corrective actions.

FAQs:

1. What should be in a construction site’s first aid kit?

A first aid kit should include bandages, antiseptic wipes, sterile gloves, gauze pads, adhesive tape, scissors, tweezers, a CPR mask, burn cream, and cold packs.

2. How often should first aid kits be checked?

First aid kits should be checked regularly, ideally monthly, to ensure they are fully stocked and all items are in good condition.

3. What is the legal requirement for first aid on construction sites?

Employers are required by law to provide first aid resources and training. The specific requirements vary by country, but they generally include having accessible first aid kits and trained personnel.

4. Why is first aid training important in construction?

First aid training equips workers with the skills to handle emergencies, potentially saving lives and preventing minor injuries from becoming serious.

5. How can construction sites prepare for emergencies?

Construction sites can prepare by conducting safety drills, ensuring first aid kits are accessible, having an emergency response plan, providing regular training, and establishing clear communication systems.

6. What are the most common injuries on construction sites?

Common injuries include cuts, burns, fractures, and sprains, all of which can be managed effectively with proper first aid.

7. What are the first steps to take when an injury occurs?

The first steps are to stay calm, assess the situation, protect yourself, and provide the necessary first aid while waiting for emergency services if needed.

8. What role does OSHA play in construction site safety?

OSHA sets regulations for workplace safety, including first aid requirements, to protect workers and ensure that employers provide a safe working environment.

9. How can first aid prevent serious injuries?

First aid prevents serious injuries by providing immediate care, such as stopping bleeding, cooling burns, or immobilizing fractures, reducing the severity of the injury.

10. What should you do if someone is unconscious on a construction site?

If someone is unconscious, check their airway, breathing, and circulation. If they are not breathing, begin CPR and call emergency services immediately.

Conclusion

First aid on construction sites is not just a legal requirement; it’s a vital part of keeping workers safe. Proper training, well-stocked first aid kits, and a proactive approach to safety can prevent minor injuries from becoming major ones and save lives in the process. Employers must prioritize first aid to ensure a safer, more productive work environment.

Key Takeaways

  • First aid is essential on construction sites to manage injuries and prevent serious consequences.
  • Training and preparation are crucial for effective emergency response.
  • Regular checks and proper maintenance of first aid kits can ensure readiness in emergencies.
  • Employers must comply with legal requirements to avoid penalties and ensure worker safety.

Ananta has more than 10 years of experience as a lecturer in civil engineering & a BIM Implementation Specialist.