Accidents

REGULATIONS AND STANDARDS

The Protection of Children Standard

AMENDMENT

In June 2019, this chapter was substantially updated and should be re-read in its entirety.

This chapter is currently under review.



Contents

1. Definition of Accident 
2. Accident Reporting 
  2.1 All Accidents
  2.2 Reportable Accidents and Incidents 
  2.3 Serious Reportable or Notifiable Accidents and Incidents
  2.4 Notifications


1. Definition of Accident

An accident is an unplanned event that results in injury or ill heath to people as well as damage to property, plant and equipment where there was a risk of harm. This includes what are known as 'dangerous occurrences' or 'near misses'.

Most accidents have the potential to cause both property damage and personal injury but not always both. All accidents need to be reported to enable the company to take appropriate action to prevent a recurrence. To this end the following procedures need to be adhered to by all involved.


2. Accident Reporting

2.1 All Accidents 

All accidents must be recorded/reported in the home’s Accident Records and if the accident relates to a child this should be cross-referenced in their daily records. If First Aid is given it may be necessary to record this, see First Aid, Homely Remedies and Medication Procedure.

The Human Resources department should be informed of all staff accidents to ensure staff are well cared for and for monitoring purposes.

If the accident is minor, the Director or nominated person may investigate the incident and initiate control measures and risk assess to determine the possibility of repeat accidents. Any investigation and outcomes must be documented. The majority of accidents within the home are day to day accidents not uncommon for the age of children we care for e.g. trips and grazes. Some accidents recorded are the result of intentional physical assault by a Child/Young Person.

If the accident is more serious, it will be necessary to record/report it as set out in the following sections

2.2 Reportable Accidents and Incidents

These are any accidents or incidents that fall between 'minor' and Health & Safety Executive (HSE) reportable (see Section 2.3, HSE Reportable Accidents). For example:

  • An injury to a person that results in them being unable to carry out their normal duties for seven calendar days;
  • An injury that required hospital treatment but the person was not kept in hospital for more than 24hrs;
  • Any accident involving a child that requires hospital treatment.

In the case of these accidents:

  • The records must be in accident records and an accident report completed;
  • The Registered Manager must be informed and should conduct a risk assessment where appropriate.

2.3 Serious Reportable or Notifiable Events/Incidents

  • These are accidents and incidents that are serious and are reportable or notifiable (for notifications procedure see Section 2.4, Notifications);
  • Seven-day reportable accidents. Where a person is absent from work or is unable to perform their normal work duties for more than seven consecutive days as a result of their injury (including an act of physical violence). This seven day period does not include the day of the accident, but does include weekends, rest days and holidays. This report must be made within 15 days of the accident;
  • Death or major injury. A Child/Young Person, employee or self employed person working on the premises is killed or suffers a major injury (including as a result of physical violence), or a member of the public including a Child/Young Person is killed or taken directly from the scene of the accident to hospital for treatment to their injury.

Specified injuries reportable to RIDDOR (2013) are:

  • Fractures other than to fingers, thumbs and toes;
  • Amputations;
  • Any injury likely to lead to permanent loss of sight or reduction in sight;
  • Any crush injury to the head or torso causing damage to the brain or internal organs;
  • Serious burns (including scalding) which:
    • Covers more than 10% of the body;
    • Causes significant damage to the eyes, respiratory system or other vital organs.
  • Any scalping requiring hospital treatment;
  • Any loss of consciousness caused by head injury or asphyxia;
  • Any other injury arising from working in an enclosed space which:
    • Leads to hypothermia or heat-induced illness;
    • Requires resuscitation or admittance to hospital for more than 24 hours.
  • Dislocation of the shoulder, hip, knee or spine;
  • Loss of sight (temporary or permanent);
  • Chemical or hot metal burn to the eye or any penetrating injury to the eye;
  • Injury resulting from an electric shock or electrical burn leading to unconsciousness or requiring resuscitation; or requiring admittance to hospital for more than 24 hours;
  • Any other injury: leading to hypothermia, heat-induced illness or unconsciousness; or requiring resuscitation or requiring admittance to hospital; for more than 24 hours;
  • Unconsciousness caused by asphyxia or exposure to harmful substances or biological agents;
  • Acute illness requiring medical treatment, or loss of consciousness arising from absorption of any substance by inhalation, ingestion or through the skin;
  • Acute illness requiring medical treatment where there is reason to believe that this resulted from exposure to a biological agent or toxins or infected material;
  • Serious or persistent self harming or attempted suicide by a Child (see Self Harming Procedures).

Specified diseases

If a doctor notifies you that your employee, visitor or young person suffers from a reportable work-related disease then you must report it to the enforcing authority. For employees these are reportable where these are likely to have been caused or made worse by their work.

Examples of reportable diseases include:

  • Carpal tunnel syndrome;
  • Severe cramp of the hand or forearm;
  • Occupational dermatitis;
  • Harm-arm vibration syndrome;
  • Occupational asthma;
  • Temndonitis or tenosynovitis of the hand or forearm;
  • Any occupational cancer;
  • Any disease attributed to an occupational exposure to a biological agent;
  • Certain poisonings;
  • Some skin diseases such as occupational dermatitis, skin cancer, chrome ulcer, oil folliculitis/acne;
  • Lung disease including occupational asthma, farmer's lung, pneumoconiosis, asbestosis, mesothelioma;
  • Infections such as : leptospirosis, hepatitis, tuberculosis, anthrax, legionellosis, tetanus;
  • Other conditions such as occupational cancer, certain musculoskeletal disorders, decompression illness and hand-arm vibration syndrome.

For further guidance on reportable diseases refer to Health & Safety Executive Website.

Dangerous Occurrence

If something happens involving an employee, self employed person, visitor or young person which does not result in a reportable injury, but which clearly could have done, then it may be a dangerous occurrence, which must be reported immediately to the enforcing authority. Dangerous occurrences are certain, specified near-miss events. Not all such events require reporting. There are 27 categories of dangerous occurrences that are relevant to most workplaces, including:

  • The collapse, overturning or failure of load-bearing parts of lifts and lifting equipment;
  • Plan or equipment coming into contact with overhead powerlines;
  • The accidental release of any substance which could cause injury to any person.

Reportable dangerous incidents include :

  1. Collapse, overturning or failure of load bearing parts of lifts and lifting equipment;
  2. Electrical short circuit or overload causing fire or explosion;
  3. Any unintentional explosion, misfire, failure of demolition to cause the intended collapse. Projection of material beyond a site boundary, injury caused by an explosion;
  4. Malfunction of breathing apparatus while in use or during testing immediately before use;
  5. Failure or endangering of diving equipment, the trapping of a diver, an explosion near a diver or an uncontrolled ascent;
  6. Dangerous occurrence at a well;
  7. Unintended collapse of any building or structure under construction, alteration or demolition where over 5 Tonnes of material falls, a wall or floor in a place of work;
  8. Explosion or fire causing suspension of work for over 24 hours;
  9. Accidental release of any substance which may damage health.

A full definitive list can be found on the HSE website.

2.4 Notifications

Serious/Reportable Accidents should be reported initially to the Deputy CEO, who will be responsible for notifying other senior managers and the following people/agencies:

  • The Placing Authority/social worker (if a Child/Young Person is affected);
  • Regulatory Authority;
  • Health Authority where the home is located;
  • The Registered Manager shall be responsible for the completion of RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrence Regulations) reports.