First Aid

Did you know?

First aid records – did you know that there must be a written record of each time an injured person is administered first aid in the workplace?

Summary

First aid is basic care given to a person who has suffered an injury in the course of work. The workplace must have sufficient supplies and trained personnel to quickly respond to accidents when needed. The Workplace Health and Safety Regulations define the responsibilities of employers and employees, provide clear requirements for first aiders, and give directions on how to get injured workers appropriate care.

An employer must:

An employee must:

First Aiders

  • A first aider must provide first aid to an injured employee as soon as possible, as they have been trained. [N.S. Reg. 52/2013, s. 4.3]
  • The minimum number of trained workplace first aiders depends on the type of workplace, the number of employees per shift and if the workplace is considered a close, distant, or isolated workplace. Refer to the legislation to see the required number of first aiders and the level of training required. [N.S. Reg. 52/2013, s. 4.8(2)]
  • A workplace that is a hospital, emergency care facility, or long-term care facility may substitute a workplace first aider with a medical professional who has valid training in cardio-pulmonary resuscitation (CPR). [N.S. Reg. 52/2013, s. 4.16(1)(a) to (c)]

First Aid Training

  • The training agency that offers first aid training must be compliant with the latest version of CSA standard CSA Z1210 “First aid training for the workplace — Curriculum and quality management for training agencies.” [N.S. Reg. 52/2013, s. 4.5]
  • The training agency must keep a copy of valid workplace first aid certificates for each trained first aider. [N.S. Reg. 52/2013, s. 4.6(1)(b)]
  • A workplace training certificate expires 3 years from the date of issue, or less if the training agency establishes a shorter expiration date. [N.S. Reg. 52/2013, s. 4.6(2)]
  • First aid certificates obtained under the former regulations are considered equivalent to the corresponding workplace first aid certificate requirements in the Workplace Health and Safety Regulations until they expire. [N.S. Reg. 52/2013, s. 4.20(2)]

First Aid Kits, Rooms, and Supplies

  • Distribute first aid kits throughout the workplace so that they can be quickly accessed in a medical emergency, if more than 1 kit is available. [N.S. Reg. 52/2013, s. 4.10(2)]
  • First aid supplies must be in a visible location, clean and dry, and regularly checked to ensure the contents match what is expected of that type of first aid kit and that nothing is expired. [N.S. Reg. 52/2013, s. 4.11]
  • A first aid room must meet all requirements identified in the regulations. [N.S. Reg. 52/2013, s. 4.13]
  • A workplace that is a hospital, emergency care facility, or long-term care facility may substitute the required contents of a first aid kit or a first aid room with supplies and facilities maintained at the workplace, provided that the substitutes meet the same or greater standard [N.S. Reg. 52/2013, s. 4.16]
  • Keep a small Type 2 first aid kit in any vehicle that is regularly used to transport employees and a small Type 1 first aid kit in any vehicle that is regularly used to transport only the driver. [N.S. Reg. 52/2013, s. 4.17]

Isolated Workplace First Aid Plan

An isolated workplace first aid plan must:

Legislation

OCCUPATIONAL HEALTH AND SAFETY ACT

S.N.S. 1996, c. 7

Section 3

3. In this Act,

(a) "aggrieved person" means an employer, constructor, contractor, employee, self-employed person, owner, supplier, provider of an occupational health or safety service, architect, engineer or union at a workplace who is directly affected by an order or decision;

(b) "analyst" means a person appointed as an analyst by the Minister pursuant to this Act;

(c) "Board" means the Labour Board established under the Labour Board Act;

(d) "committee" means a joint occupational health and safety committee established pursuant to this Act;

(e) "compliance notice" means a response, in writing, to an order of an officer, describing the extent to which the person against whom the order was made has complied with each item identified in the order;

(f) "constructor" means a person who contracts for work on a project or who undertakes work on a project himself or herself;

(g) "contractor" means a person who contracts for work to be performed at the premises of the person contracting to have the work performed, but does not include a dependent contractor or a constructor;

(h) "contracts for work" includes contracting to perform work and contracting to have work performed;

(i) "Council" means the Occupational Health and Safety Advisory Council established pursuant to this Act;

(j) "dependent contractor" means a person, whether or not employed under a contract of employment and whether or not furnishing the person's own tools, vehicles, equipment, machinery, material or any other thing, who performs work or services for another on such terms and conditions that the person is

(i) in a position of economic dependence upon the other,

(ii) under an obligation to perform duties mainly for the other, and

(iii) in a relationship with the other more closely resembling that of an employee than an independent contractor;

(k) "Deputy Minister of Labour and Advanced Education" includes a person designated by the Deputy Minister of Labour and Advanced Education to act in the stead of the Deputy Minister;

(l) "Director" means the Executive Director of Occupational Health and Safety or any person designated by the Executive Director pursuant to this Act to act on behalf of the Executive Director;

(m) "Director of Labour Standards" means the Director of Labour Standards under the Labour Standards Code;

(n) "Division" means the Occupational Health and Safety Division of the Department of Labour and Advanced Education;

(o) "employee" means a person who is employed to do work and includes a dependent contractor;

(p) "employer" means a person who employs one or more employees or contracts for the services of one or more employees, and includes a constructor, contractor or subcontractor;

(q) "former Act" means Chapter 320 of the Revised Statutes, 1989, the Occupational Health and Safety Act;

(r) "health and safety" includes both physical and psychological health and safety;

(s) "Minister" means the Minister of Labour and Advanced Education;

(t) "occupation" means any employment, business, calling or pursuit;

(u) "officer" means an occupational health and safety officer appointed pursuant to this Act and includes the Director;

(v) "owner" includes a trustee, receiver, mortgagee in possession, tenant, lessee or occupier of lands or premises used as a workplace and a person who acts for, or on behalf of, an owner as an agent or delegate;

(w) "police officer" means

(i) a member of the Royal Canadian Mounted Police, or

(ii) a member or chief officer of a police force appointed pursuant to the Police Act;

(x) "policy" means an occupational health and safety policy made pursuant to this Act;

(y) "practicable" means possible, given current knowledge, technology and invention;

(z) "program" means an occupational health and safety program required pursuant to this Act, unless the context otherwise requires;

(aa) "project" means a construction project, and includes

(i) the construction, erection, excavation, renovation, repair, alteration or demolition of any structure, building, tunnel or work and the preparatory work of land clearing or earth moving, and

(ii) work of any nature or kind designated by the Director as a project;

(ab) "reasonably practicable" means practicable unless the person on whom a duty is placed can show that there is a gross disproportion between the benefit of the duty and the cost, in time, trouble and money, of the measures to secure the duty;

(ac) "regularly employed" includes seasonal employment with a predictably recurring period of employment that exceeds four weeks, unless otherwise established by regulation or ordered by an officer;

(aca) "repeatedly" means occurring more than once within the preceding three year period;

(ad) "representative" means a health and safety representative selected pursuant to this Act;

(ae) "self-employed person" means a person who is engaged in an occupation on that person's own behalf and includes a person or persons operating a sole proprietorship but does not include a dependent contractor;

(aea) "serious injury" means an injury that endangers life or causes permanent injury;

(af) "supplier" means a person who manufactures, supplies, sells, leases, distributes or installs any tool, equipment, machine or device or any biological, chemical or physical agent to be used at or near a workplace;

(ag) "union" includes a trade union as defined in the Trade Union Act that has the status of bargaining agent under that Act in respect of any bargaining unit at a workplace, and includes an organization representing employees where the organization has exclusive bargaining rights under any other Act in respect of the employees;

(ah) "workplace" means any place where an employee or a self-employed person is or is likely to be engaged in any occupation and includes any vehicle or mobile equipment used or likely to be used by an employee or a self-employed person in an occupation.

[S.N.S. 2000, c. 28, s. 86; 2010, c. 66, s. 2; 2010, c. 37, s. 117; 2011, c. 24, s. 2; 2016, c. 14, s. 1; 2024, c. 10, s. 11]


Workplace Health and Safety Regulations

N.S. Reg. 52/2013

Part 4 FIRST AID

Section 4.1 Definitions for Part 4

4.1 In this Part,

"advanced workplace first aid certificate" means a document issued by a training agency certifying that a person

(i) has successfully completed an advanced level of workplace first aid training, and

(ii) holds the applicable valid qualifications for an advanced workplace first aider as set out in the CSA first aid training standard;

"basic workplace first aid certificate" means a document issued by a training agency certifying that a person

(i) has successfully completed a basic level of workplace first aid training, and

(ii) holds the applicable valid qualifications for a basic workplace first aider as set out in the CSA first aid training standard;

"close workplace" means a workplace where the surface travel time is no more than 20 minutes;

"CSA first aid training standard" means the latest version of CSA standard CSA Z1210 , "First aid training for the workplace -Curriculum and quality management for training agencies";

"distant workplace" means a workplace where the surface travel time is more than 20 minutes but less than 40 minutes;

"emergency care facility" means a healthcare facility that meets all of the following criteria:

(i) it is equipped to provide immediate treatment of injuries and illnesses,

(ii) it has a medical practitioner, registered and licensed to practise medicine under the Medical Act, on call;

"emergency health services" means the co-ordinated delivery of services provided by registered pre-hospital first responders and by paramedics and other medical professionals under the Emergency Health Services Act to prevent and manage medical, trauma and health conditions;

"first aid kit" means a first aid kit that conforms to the latest version of CSA standard CSA Z1220 , "First aid kits for the workplace";

"first aid room" means a room at a workplace that is used exclusively for administering first aid;

"hospital" means a hospital, as defined in the Hospitals Act, that provides emergency services during all hours of operation;

"intermediate workplace first aid certificate" means a document issued by a training agency certifying that a person

(i) has successfully completed an intermediate level of workplace first aid training, and

(ii) holds the applicable valid qualifications for an intermediate workplace first aider as set out in the CSA first aid training standard;

"isolated workplace" means a workplace where the surface travel time is 40 minutes or more;

"long-term care facility" means any of the following, as defined in the Homes for Special Care Act:

(i) nursing home,

(ii) residential care facility;

"medical professional" means any of the following:

(i) a medical practitioner who is registered and licensed to practise medicine under the Medical Act,

(ii) a nurse practitioner who is registered and licensed to engage in the practice of a nurse practitioner under the Nursing Act,

(iii) a registered nurse who is registered and licensed to engage in the practice of a registered nurse under the Nursing Act,

(iv) a licensed practical nurse who is registered and licensed to engage in the practice of a licensed practical nurse under the Nursing Act,

(v) a paramedic who is licensed to practise paramedicine under the Paramedics Act;

"office" means a workplace that meets all of the following criteria:

(i) the only work carried out at the workplace is of an administrative, professional or clerical nature,

(ii) the work carried out at the workplace does not require substantial physical exertion or exposure to processes, substances or other conditions that are potentially hazardous to the health and safety of persons at or near the workplace;

"surface travel time" means the time required, under normal travel conditions,

(i) to transport an injured employee from the place where they are injured to a hospital or an emergency care facility, or

(ii) for emergency health services to arrive at the place where an employee is injured and attend to the injured employee;

"training agency" means an agency, organization or person that is approved to provide first aid training under Section 4.5;

"workplace first aider" means a designated employee who holds a valid workplace first aid certificate;

"workplace first aid certificate" means any of the following:

(i) basic workplace first aid certificate,

(ii) intermediate workplace first aid certificate,

(iii) advanced workplace first aid certificate.

[N.S. Reg. 43/2022, s. (b)]

Section 4.2 Duty to report injuries

4.2 An employee at a workplace must report all injuries to the employer without undue delay.

[N.S. Reg. 43/2022, s. (b)]

Section 4.3 Duty of workplace first aiders

4.3 A workplace first aider must provide first aid within the scope of their training to any injured employee without undue delay.

[N.S. Reg. 43/2022, s. (b)]

Section 4.4 Providing first aid supplies, services and workplace first aiders at workplace

4.4 (1) Except as provided in subsection (3), an employer must, at the employer’s expense, provide and maintain the first aid supplies, services and workplace first aiders required by this Part at each of its workplaces.

(2) To enable a designated employee to act as a workplace first aider at its workplace, an employer must pay for all of the following:

(a) the cost of the employee’s first aid course;

(b) the employee’s wages and benefits while taking the first aid course, at the same rates and amounts that they would receive in the ordinary course of their employment.

(3) Two or more employers may enter into a written agreement to collectively provide and maintain the first aid supplies, services and workplace first aiders required by this Part and must keep and make any agreement entered into available at each workplace covered by the agreement.

[N.S. Reg. 43/2022, s. (b)]

Section 4.5 Training agencies

4.5 A training agency is approved to provide first aid training if the training agency complies with the minimum requirements for a workplace first aid program as established in the latest version of CSA first aid training standard.

[N.S. Reg. 43/2022, s. (b)]

Section 4.6 Workplace first aid certificates

4.6 (1) A copy of all valid workplace first aid certificates must be maintained by all of the following:

(a) the employer of the certificate holder;

(b) the training agency that issued the certificate.

(2) Unless the training agency that issues a certificate establishes a shorter period, a workplace first aid certificate expires 3 years from the date it is issued.

[N.S. Reg. 43/2022, s. (b)]

Section 4.7 Determining number of employees per shift

4.7 In consultation with the committee or representative, if any, an employer must include all persons employed on any 1 shift in determining the total number of employees employed on that shift, including full-time, part-time and casual employees.

[N.S. Reg. 43/2022, s. (b)]

Section 4.8 Minimum number of workplace first aiders

4.8 (1) Except as provided in Section 4.16, an employer must ensure that the minimum number of workplace first aiders are present in each of its workplaces during working hours, in accordance with this Section.

(2) The following number of workplace first aiders, with the workplace first aid certificate indicated, are required for a close workplace:

Table

Close Workplaces
Number of Employees per Shift Number of Workplace First Aiders and Certificate Required
Offices Other Workplaces
1 - -
2-25 1 basic 1 basic
26-50 1 basic 1 intermediate
51-99 1 basic 2 intermediate
100-199 2 basic 2 intermediate
200 or more 3 basic 3 intermediate

(3) The following number of workplace first aiders, with the workplace first aid certificate indicated, are required for distant workplaces:

Table

Distant Workplaces
Number of Employees per Shift Number of Workplace First Aiders and Certificate Required
Offices Other Workplaces
1 - 1 basic
2-25 1 basic 1 intermediate
26-50 1 basic 1 intermediate
51-99 1 basic 2 intermediate
100-199 2 basic 1 intermediate 1 advanced
200 or more 3 basic 2 intermediate
1 advance

(4) The following number of workplace first aiders, with the workplace first aid certificate indicated, are required for isolated workplaces:

Table

Isolated Workplaces
Number of Employees per Shift Number of Workplace First Aiders and Certificate Required
Offices Other Workplaces
1 1 basic 1 intermediate
2-25 1 basic 1 intermediate
26-50 1 basic 1 advanced
51-99 2 basic 2 advanced
100-199 2 basic 3 advanced
200 or more 3 basic 4 advanced

[N.S. Reg. 43/2022, s. (b)]

Section 4.9 Type, size and number of first aid kits

4.9 (1) Except as provided in Section 4.16, an employer must provide and maintain first aid kits in the type, size and number according to the type of workplace and number of employees, as set out in the following table:

Table

Minimum First Aid Kits Required
Close and Distant Workplaces
Number of Employees per Shift Offices Other Workplaces
1 1 Type 1 1 Type 1
2-25 1 Type 2 (small) 1 Type 2 (small)
26-50 2 Type 2 (small) 2 Type 2 (small)
51-99 3 Type 2 (small) 3 Type 2 (small)
100 or more 6 Type 2 (small) 6 Type 2 (small)
Isolated Workplaces
Number of Employees per Shift Offices Other Workplaces
1 1 Type 1 1 Type 1
2-25 1 Type 2 (small) 1 Type 3 (small)
26-50 2 Type 2 (small) 1 Type 2 (small)
1 Type 3 (small)
51-99 3 Type 2 (small) 2 Type 2 (small)
1 Type 3 (small)
100 or more 6 Type 2 (small) 4 Type 2 (small)
2 Type 3 (small)

(2) The first aid kits required by subsection (1) may be substituted with kits of different sizes based on the following equivalencies:

Table

Smaller first aid kits Equivalent larger first aid kits
2 small first aid kits 1 medium first aid kit
4 small first aid kits or 1 medium first aid kit
2 medium first aid kits

[N.S. Reg. 43/2022, s. (b)]

Section 4.10 Location and accessibility of supplies and workplace first aider

4.10 (1) An employer must ensure that first aid services and supplies are readily accessible during all working hours.

(2) If more than 1 first aid kit is required at a workplace, the kits must be distributed in the workplace so that they can be quickly accessed in a medical emergency.

(3) To the extent reasonably practicable, an employer must post all of the following information on signs throughout its workplace where they can easily be seen by all persons at the workplace:

(a) the location of first aid supplies;

(b) the name and location or phone number of the workplace’s workplace first aiders.

[N.S. Reg. 43/2022, s. (b)]

Section 4.11 Condition of supplies

4.11 First aid supplies must be kept in a visible location and maintained in accordance with all of the following:

(a) they meet the requirements of this Part;

(b) they are clean and dry;

(c) they are checked regularly for quantity and expiry.

[N.S. Reg. 43/2022, s. (b)]

Section 4.12 When first aid room required at workplace

4.12 Except as provided in Section 4.16, an employer must provide at least 1 first aid room for each workplace that meets all of the following criteria:

(a) it is not an office;

(b) there are 200 or more employees regularly employed on any 1 shift at the workplace.

[N.S. Reg. 43/2022, s. (b)]

Section 4.13 First aid room requirements

4.13 (1) A first aid room must meet all of the following requirements:

(a) it must be easily accessible to employees during all working hours;

(b) it must be large enough to accommodate the supplies and services required by this Part;

(c) it must have an entrance that can easily accommodate a stretcher;

(d) it must be well-lighted, heated and ventilated;

(e) it must be equipped with an efficient means of communicating between the first aid room and all workplace areas served by the first aid room;

(f) it must have emergency telephone numbers prominently posted and accessible;

(g) it must be equipped with all of the equipment and furniture, material and supplies and dressings set out in subsection (3).

(2) A first aid room must be kept clean and in a sanitary condition.

(3) The minimum equipment and furniture, material and supplies and dressings (individually wrapped) required for a first aid room are as set out in the following table:

Table

Equipment and supplies Minimum required in room
Equipment and furniture • 1 sink with running water
• 1 refuse pail with a cover
• 1 chair with arm rests that ensure that the chair is suitable to treat injured employees
• 1 bed, covered with a plastic sheet
• pillows and blankets
• 1 cabinet suitable for storing dressings and instruments
Material and supplies • 1 first aid guide
• 12 assorted safety pins
• 1 wash basin
• 1 package of paper towels
• hand soap
• 1 package of disposable paper cups
• 1 kidney basin
• 1 set of assorted splints
• 1 portable medium size Type 2 first aid kit
• 1 flashlight for use outside the room at the scene of an accident
• 20 pairs of disposable latex gloves or gloves made of material that provides an equivalent level of protection against the spread of infections or contagious conditions
• instructions on how to record first aid treatments
• 1 pencil
• the material and supplies of a large size Type 2 first aid kit

[N.S. Reg. 43/2022, s. (b)]

Section 4.14 Creating and maintaining first aid records of injured persons

4.14 The employer of an injured person who is administered first aid at a workplace must create a written record of the injury, including all of the following information:

(a) the name of the injured person;

(b) the date and time of the injury;

(c) the location and nature of the injuries on the person’s body;

(d) the time when first aid was administered;

(e) the first aid treatment provided;

(f) the name of the person who provided the first aid, and the workplace first aid certificate that they hold;

(g) the name of the person to whom the injury was reported.

[N.S. Reg. 43/2022, s. (b)]

Section 4.15 Transporting injured persons from workplace

4.15 (1) An employer is responsible for providing a safe and timely means of transporting an injured person from the workplace to a hospital or an emergency care facility.

(2) If an injured person being transported to a hospital or an emergency care facility may require the assistance of another person, at least 1 person, in addition to the driver or operator of the vehicle, boat or aircraft must accompany the injured person.

[N.S. Reg. 43/2022, s. (b)]

Section 4.16 Exceptions for hospitals, emergency care facilities or long-term care facilities

4.16 (1) At any of the following workplaces, an employer may substitute a medical professional who maintains current training in cardio-pulmonary resuscitation for a workplace first aider required to be at the workplace under this Part:

(a) a hospital;

(b) an emergency care facility;

(c) a long-term care facility.

(2) At any of the workplaces listed in subsection (1), an employer may substitute medical supplies maintained at the workplace for the first aid kits required by Section 4.9 if the supplies include at least all of the items required by that Section.

(3) At any of the workplaces listed in subsection (1), an employer is not required to strictly comply with the requirements for first aid rooms in Section 4.13 if first aid supplies and facilities equivalent to those set out in that Section are available to employees at the workplace.

[N.S. Reg. 43/2022, s. (b)]

Section 4.17 First aid supplies for vehicles, boats and aircrafts

4.17 (1) In this Section,

"vehicle" includes any motor vehicle, boat or aircraft.

(2) Except as provided in subsection (3), an employer must ensure that a vehicle that is regularly used to transport employees is equipped with a size small Type 2 first aid kit.

(3) For a vehicle that is regularly used to transport only the driver of the vehicle, the driver’s employer must ensure that the vehicle has at least a Type 1 first aid kit.

[N.S. Reg. 43/2022, s. (b)]

Section 4.18 Isolated workplace first aid plans

4.18 (1) Except as provided in Section 4.19, an employer must maintain a written isolated workplace first aid plan for each of its isolated workplace.

(2) A committee or representative, if 1 exists, must be consulted in the development of a workplace’s isolated workplace first aid plan.

(3) An employer’s isolated workplace first aid plan must set out a comprehensive plan for ensuring compliance with this Part at each isolated workplace, and must specify all of the following:

(a) the method for transporting injured employees from each isolated workplace;

(b) the means of communicating with and from each isolated workplace.

(4) An isolated workplace first aid plan for an isolated workplace must reflect the nature of the work being performed at the isolated workplace.

(5) All persons at an isolated workplace must comply with any isolated workplace plan for the workplace.

[N.S. Reg. 43/2022, s. (b)]

Section 4.19 When no isolated workplace first aid plan required

4.19 An employer is not required to have an isolated workplace first aid plan if any of the following apply over a 4-week period:

(a) no employee spends more than 10% of their time at the isolated workplace;

(b) any of the employees spend more than 10% but less than 25% of their time at the isolated workplace, and the safety of the isolated workplace is adequately assured including meeting all of the following criteria:

(i) an injured person can be transported from the isolated workplace to the closest emergency care facility within a reasonable time,

(ii) there is a means of transport at the isolated workplace for an injured worker,

(iii) there is a means of summoning assistance available at the isolated workplace,

(iv) the workplace is an office.

[N.S. Reg. 43/2022, s. (b)]

Section 4.20 Transition - first aid certificates and first aid kits under former regulations

4.20 (1) In this Section,

"former regulations" means the Occupational Health and Safety First Aid Regulations, N.S. Reg. 155/1996.

(2) A first aid certificate obtained under the former regulations is deemed to be equivalent to a workplace first aid certificate, as set out in the following table, and is valid until the certificate expires.

Table

First Aid Certificate Equivalencies
Former Regulations This Part
emergency first aid certificate basic workplace first aid certificate
standard first aid certificate intermediate workplace first aid certificate
advanced first aid certificate advanced workplace first aid certificate

(3) An employer who meets the first aid kit requirements of the former regulations is deemed to be in compliance with the first aid kit requirements of this Part for a period of 12 months immediately after this Part comes into force.

[N.S. Reg. 43/2022, s. (b)]