HSE AWARENESS TRAINING

PROGRAM
FOR SCHEDULED CONTRACT Provision of Nursing services in Ahmadi Hospital
and its satellite clinics
Contract No :16053179
HYGEINE & PERSONAL HYGEINE &PPE
HAND HYGIENE

 Strict adherence to hand washing reduce the risk of cross transmission of infections

 Proper hand hygiene is the single most important ,simplest and least expensive means of
reducing the prevalence of hand associated infections.

 Hand hygiene during patient care

 Wash hands with soap and water when visibly dirty or contaminated with proteinaceous material ,blood
or other body fluids

 After using a rest room wash hands with soap and water

 Before and after having food

 Clean care is safe care

HAND HYGIENE
PERSONAL PROTECTIVE EQUIPMENT

 PURPOSE OF PPE

 Designed to protective the wearer from injury or from the spread of infection and
illness

 Acts as barriers between infection materials such as viral and bacterial contaminants and
your skin mouth nose and eyes

 The barrier has the potential to block transmission of contaminants from blood ,body
fluids or respiratory secretions

 PPE also protect patients who are at high risk for contracting infection who is
undergoing medical surgical procedure or having medical condition such as immune
deficiency .
DOFFING &DONING OF PPES IN WORK PLACES - VIDEO
FIRE SAFETY &EMERGENCY
EVACUATION
DEFINITION OF THE FIRE

 Chemical reaction between Oxygen, Heat and Fuel

 That’s why we call it

 Fire Triangle
FIRE TRIANGLE
WAYS TO PUT FIRE

 3 WAYS TO PUT OUT THE FIRE

 1-SMOTHERING.

 2-COOLING.

 3-ISOLATION.
TYPES OF FIRE EXTINGUISHERS
FIRE EXTINGUISHER COLOUR CODE

 WATER EXTINGUISHER ---------- RED

 FOAM EXTINGUISHER ---------- CREAM

 CO2 EXTINGUISHER ------------ BLACK

 DRY CHEMICAL POWDER EXTINGUISHER ---BLUE

 WET CHEMICAL FIRE EXTINGUISHERS …. YELLOW

WATER TYPE EXTINGUISHER

 Label colour – Red

 Used for Extinguishing fire of
organic material such as
 Paper and cardboard
 Fabrics and textiles
 Wood and coal
 Do not use for fires
involving kitchen fires,
electrical fires and
flammable gas and liquids.
FOAM TYPE EXTINGUISHERS

 Label colour –cream

 Used for organic material

plus flammable liquids
 Do not use for
Kitchen fires
Fires involving in electrical
equipment
Flammable metals
CARBON DIOXIDE EXTINGUISHERS

 Label colour – Black

 Used for
 Electrical fires
 Do not use for
 Kitchen fires
 Combustion materials
 Flammable metals
DRY CHEMICAL POWDER EXTINGUISHERS

 Label colour – Blue

 used for organic materials
 Paint and petrol diesel etc.
 Flammable gas LPG
 Fires involving electrical
equipment
 Do not use for
 Fires involving cooking oil
 Enclosed spaces such as
offices ,rooms etc..
WET CHEMICAL TYPE OF EXTINGUISHERS

Label colour – yellow

Used for
1.Cooking oil fires/fat fires
2.Organic materials (paper
/cardboard/fabric/wood and coal
DO Not use for
1. Flammable liquid or gas fires
2. Electrical fire
3. Flammable metals
How does it works
Create a layer of foam on the surface of
burning oil / Fat preventing oxygen from
fuelling the fire also has the cooling
effect
FIRE EXTINGUISHERS COLOUR CODES
FIRE EXTINGUISHERS COLOUR CODES
CHECKING OF FIRE EXTINGUISHERS

TYPES OF FIRE PRESSURE HOW TO CHECK

EXTINGUISHERS GAUGE

WATER YES GREEN

FOAM YES GREEN

POWDER GREEN
YES

CO2 WEIGHT
NO

WET CHEMICAL GREEN

YES
TYPICAL INSIDE VIEW OF FIRE EXTINGUISHER
FIRE EXTINGUISHER DEMONSTATION - VIDEO
EMERGENCY EVACUATION PROCEDURES
 What is an Emergency

 Unplanned situation or event that may lead to loss of life or damage to property / environment and
require the involvement of emergency services (e.g. fire, paramedic, emergency response team, etc.)

 Types of emergencies

 Fires in Office buildings & camps

 Incidents resulting in injuries &Traffic Incidents

 Gas leaks

 Adverse weather conditions.

 Natural disasters such as earth quake

EMERGENCY NOS

Kuwait oil company KUWAIT

YOU SHOULD KNOW

 The location of the nearest stair well

 The location of the nearest Emergency exit
 The location of pre designated assembly points
EMERGENCY EXIT DOORS
EMERGENCY EVACUATION PROCEDURES

 If you hear the emergency alarm.

 Remain Calm
 Leave your office or work area
 Close windows and doors behind you
 avoid taking personnel belongings (slows the evacuation)
 turn off air conditioning
 If you are not on the ground floor of the building:
 use the closest stairway to reach ground level: DO NOT USE THE ELEVATOR
 assist anyone having difficulties walking down the stairs
 give right-of-way to Fire Team or other emergency services personnel
 .Exit the building through the closest emergency exit
 Proceed to the pre-designated assembly point
 Move away from the building (minimum of 50 meters)
 Do not re-enter the building until advised that it is safe to do so
ELECTRICAL SAFETY

 ELECTRICITY
 Most of the services we enjoy is facilitated by electricity
 It is the most convenient form of energy
 If abused can be a killer
 BASICS OF ELECTRICITY
 Electricity flows through conductors
 water, metal, the human body
 Insulators are non-conductors
 The human body is a conductor.
Fundamentals of Electricity
 Voltage
 electrical pressure (water pressure)

 Amperage
 electrical flow rate (gallons/min)

 Impedance/Resistance
 Restriction to electrical flow (pipe friction)
FUNDAMENTALS OF ELECTRICITY

 Circuit
 path of flow of electricity
 Circuit Element
 objects which are part of a circuit and
through which current flows.
 Fault
 current flow through an unintended path.
HOW SHOCK OCCURS
EFFECTS OF CURRENT ON HUMAN BODY
 More than 3 ma
 painful shock
  More than 10 ma
 muscle contraction “no-let-go” danger
  More than 30 ma
 lung paralysis- usually temporary
  More than 50 ma
 possible ventricular fib. (heart dysfunction, usually fatal)
  100 ma to 4 amps
 certain ventricular fibrillation, fatal
  Over 4 amps
 heart paralysis; severe burns. Usually caused by >600 volts
HAZARDS AND CAUSES

 Electrocution/Shock/Burns/Death

 CAUSES
1. Damaged wires/ cut, broken wires /old wiring /sub standard quality
2. grounding point missing/
3. Loose connectors.
4. Flammable materials kept near exposed electrical wiring
5. Over loading the sockets /power points
Protection against Electric shocks

 EARTHING
 GROUND FAULT CIRCUIT INTERUPTER(GFCI) - FOR HUMAN PROTECTION
 OVER LOADPROTECTION ( MCB)- FOR ELECTRICAL APPLIANCES
ELECTRICAL SHOCK AND ITS EFFECTS
ELECTRIC SHOCK AND ITS EFFECTS
ELECTRICAL SHOCK AND ITS EFFECTS
ELECTRICAL SHOCK AND ITS EFFECTS
ELECTRICAL SHOCK AND ITS EFFECTS
ELECTRICALSHOCK AND ITS EFFECTS
FATALITY DUE TO ELECTROCUTION
ELECTRICAL SAFETY VIDEO
JOB SAFETY ANALYSIS
 WHAT IS JSA

 JSA is carried out in jobs to identify the potential hazards and to take necessary
corrective ?preventive action.
 The steps include
 Break down the job in sequence of steps
 Identify hazards in each step
 Take corrective /precautions against each steps
 JSA EXAMPLES
RECOMMENDED SAFE
POTENTIAL PRACTICES/CORRECTIV
JOB STEPS HAZARDS E MEASURES

For Example
Handling of chemicals in labs Exposure and inhalation to
/hospitals chemicals
Fall on hand and body parts
Slips /trips/Falls
Trained and experienced people
handle chemicals fully aware of the
hazards .Availablity of safety data
sheets
Use of appropriate PPE such as
gloves and Apron
Provision of spill kis and trained
personnel to handle chemical spills
JSA Examples

RECOMMENDED SAFE
POTENTIAL PRACTICES/CORRECTIVE
JOB STEPS HAZARDS MEASURES

Slips ,Trips ,and Falls Caution board of wet floor

Cleaning of the hospital floor
displayed
The area is barricaded to prevent
people coming inside the wet
floor area
NEAR MISS
DEFINITION OF AN ACCIDENT

 An accident is commonly defined as :

 An unplanned event or undesired event which may result in injury ,property

damage, environmental damage and reputation of name ,business etc.

 An incident is an unplanned event or undesired event which has the potential

to cause harm to people, property damage , environmental loses and
reputation for name and business
CAUSES OF ACCIDENTS
 88% of all accidents are caused by human error. 10% are caused by
mechanical failures and the other 2% are considered outside human control,
e.g. earthquakes, cyclones etc.

 The likely cause of accidents should be identified in advance and appropriate

actions taken to ensure that the accident never takes place

 The most important and effective accident prevention technique is the

training of the actions and attitudes of all personnel
BASIC THEORY OF ACCIDENT OCCURRENCE

A personal injury occurs only as the result of an accident

1. An accident occurs only as a result of an unsafe action or exposure to an

unsafe mechanical or physical condition or both
2. Unsafe actions or unsafe conditions exists only because of faults of persons
3. Faults of persons are inherited or acquired from the environment and the
reasons or causes for the faults are;
a) - Improper attitude
b) - Lack of knowledge & skill
c) - Physical unsuitability
d) - Improper physical or mechanical environment
DOMINOS THEORY

DOMINO THEORY

HUMAN FAULT OF USA & ACCIDENT INJURY

BEHAVIOR PERSONS USC
DOMINOS THEORY

 The occurrence of an injury is the natural culmination of a series of events or

circumstances which invariably occur in a fixed sequence
 One is dependent on another and one follows because of another, thus
constituting a sequence
 If the series is interrupted by elimination of even one of the several factors
that comprise it, the injury can not possibly occur
 USA and USC are the most practicable of determination and eliminating
 They are the immediate causes (Bulls eye)
REMEDY

 If the series is interrupted by elimination of even one of the several factors that
comprise it, the injury cannot possibly occur
 USA and USC are the most practicable of determination and eliminating
 They are the immediate causes (Bulls eye)

DOMINO THEORY

HUMAN FAULT OF USA & ACCIDENT INJURY

BEHAVIOR PERSONS USC
ACCIDENT RATIO STUDY

ACCIDENT RATIO STUDY

SERIOUS OR
DIABLING
1 INJURIES

MINOR INJURIES
ANY REPORTED
10 INJURY LESS
THAN SERIOUS

PROPERTY
30 DAMAGE
ACCIDENT
(ALL TYPES)

INCIDENTS WITH NO
600 VISIBLE INJURY OR
DAMAGE
(NEAR MISS ACCIDENTS)
NEAR MISSES

 A near miss is an incident, but could have resulted in injury or damage under slightly
different circumstances and should be regarded as a warning that a problem exists
which needs immediate corrective action. A near miss should be given the same
importance as that of a serious accident.
 –No Damage (Loss) to PEAR (People, Environment, Asset or Reputation
 –But HAD a POTENTIAL for Damage (Loss)
NEAR MISSES EXAMPLES

 EXAMPLES OF NEAR MISS

 A barrel falls down when an

employee is moving near stacked
barrels

 Neither personal injury nor

property damage occurred.
NEAR MISS EXAMPLES

 EXAMPLES OF NEAR MISS

 A person tripping, skidding or

falling; but no personal injury is
observed
NEAR MISS EXAMPLES

 EXAMPLES OF NEAR MISS

 A scaffold collapsed without

Causing injury or damage
NEAR MISS EXAMPLES
NEAR MISS EXAMPLES
SUBSTANDARD ACTS & CONDITIONS

SUBSTANDARD ACT

 Behaviour and human errors

which may contribute to the
occurrence of an incident
SUBSTANDARD ACTS &CONDITIONS

SUB STANDARD CONDITION

 Conditions which may contribute

to the occurrence of an incident
VECHILE SAFETY
GENERAL VECHILE SAFETY REQUIREMNTS
 Having driving licence appropriate to the vehicle driven
 360 degree inspection is required before driving the vehicle ( checking condition of tyres, lights,
wipers, coolants ,fuel ,Oil lubricants etc…)
 While driving use of seat belts is mandatory to prevent accidents and adherence to the law.
 Authorized people should only drive the vehicle
 People have medical condition which affects their driving skills should refrain from driving e.g.
diabetes ,blood pressure etc….
 Practice Defensive driving techniques
 Defensive driving skills is driving to save lives ,time and money in spite of the conditions around you and
the action of others
 Tail gaters
 If you are being tail gated try changing lanes .Let off the accelerator very gradually to entice the tail
gater to pass
 Vehicle changing lanes or reducing the speed will take off the potentials hazard
TAIL GATING CONT…
 Never be intimidated
 Change the lane /lower the speed .allow him to pass
 You cannot control how other people drive through
 Studies reveal about tail gater you can never please them
 If you increase the speed by 50r 10KM/HR they still tail gate you .It is not going to work
 Maintain a safe distance so that the vehicle in front applies sudden brake of you will be
able to stop the vehicle in a controlled manner
TRAFFIC REGULATIONS IN KUWAIT
 As per Kuwait Traffic law Total penalty clauses is 297
 The penalty includes fines, reconciliation and penalty points
 The maximum fine is 500KD for driving a vehicle under the influence of alcohol /drugs
/narcotic substance
 Crossing of red signal is 100 KD now increased to 200 KD
 Fines vary from 15,25,75,100,300 & 500
 Among the most important amendments to the new traffic law is imprisonment for a period
not exceeding three months and a fine not exceeding 500 dinars, and no less than 200 dinars
for anyone who commits one of the following acts – crossing the red traffic light, reckless
driving that endangers lives or damages the property of others, racing on roads, speeding or
driving buggies outside the designated places, driving against the flow of traffic on highways
or roundabouts, speaking with hand-held phones while driving, driving a vehicle without
the licence plates, changing licence plate numbers, using a private car to transport
passengers without permit.
TRAFFIC REGULATIONS IN KUWAIT

 The penalty calls for imprisonment of 3 months and a fine of not more than
300 dinars and not less than 150 dinars for anyone who commits one of the
following acts – driving a vehicle without a driving license or driving when a
license has been withdrawn or suspended; refusing to give way for
government vehicles (ambulances, police patrols chasing suspects) and
official motorcades and driving on the shoulder of the road.
DEFENSIVE DRIVING –BETTER USE OF MIRRORS

 AVOID ACCIDENTS WHEN CHANGING

 LANES … KEEP SIDE MIRRORS AT 90º TO REDUCE

 BLIND AREAS

 GOOD VISIBILITY = ZERO ACCIDENTS

 OVER 600,000 ACCIDENTS OCCUR IN THE UNITED STATES WHEN PEOPLE ARE CHANGING
LANES
 More than 200 people are killed every year due to these accidents
 60% of the drivers who caused the accident say they didn’t see the other vehicle
TAIL GATING VIDEO
WASTE MANAGEMENT
 WASTE MINIMIZATION PROGRAM
 Waste is reduced or minimized by following three R formula
 Reduction
 Process of reducing the quantity of waste produced through the review of operational practices,
better inventory control and optimal use of raw materials
 Reuse
 The reuse of a material on more than one occasion
 Re-cycle
 The reprocessing of waste into the same or a different product. Typical recyclable wastes
include oils, glass, paper, plastics
WASTE DISPOSAL CONTAINERS

 The basic black (non-haz.) & red

(haz.) colour philosophy given in
KOC.EV.008 can be followed with
further colour segregation for
recyclables
 Blue – Plastic & cardboards
 Green- plastics
 Brown- Glass
 Black- Metals
WASTE DISPOSAL CONTAINERS

Paper
 Glass
 Battery
 Paper
 Toxic
 Chemicals / Oil
 Wood
 Electrical & Electronics (E-waste)
Medical
RECYCLABE WASTE BINS
CORONA VIRUS -Covid-19
CORONA VIRUS – SAFETY TIPS

 WHAT SHOULD I DO TO PREVENT SPREAD OF CORONA VIRUS

CORONA VIRUS – SAFETY TIPS
CORONA VIRUS – SAFETY TIPS
CORONA VIRUS – SAFETY TIPS
CORONA VIRUS – SAFETY TIPS
CORONA VIRUS – SAFETY TIPS
CORONA VIRUS – SAFETY TIPS
CORONA VIRUS – SAFETY TIPS
CORONA VIRUS – SAFETY TIPS
CORONA VIRUS – SAFETY TIPS
CORONA VIRUS – SAFETY TIPS