She office – erm (enterprise risk management)

SHE OFFICE – ERM (Enterprise Risk Management) RU STAFF APPLICATION for FIRST AID TRAINING COURSE

Fulltime RU staff may apply. HOD/manager/supervisor must complete Section 5. RU Health & Safety Reps have first option. Successful applicants will be notified by email, approx 2 weeks before the course commences. Send completed form to:

Safety, Health & Environmental Officer, Alumni House, Lucas Ave, Rhodes University.

1.  FIRST AID COURSE details

In line with the Occupational Health and Safety Act (1993), first aid training is provided by a recognised training institution: St John Ambulance Centre (24 Hill St, Grahamstown; tel I wish to attend: [please tick one of these options]

1.1  Level 1 (a 3-day course, 08h30-16h00 daily): Emergency scene management; shock, unconsciousness and fainting; breathing and cardiovascular emergencies; CPR (one rescuer) for adult resuscitation; severe bleeding; wound care; burns; bone and joint injuries; head and/or spinal injuries; medical conditions (diabetes, convulsions, asthma, allergies). The course culminates in an examination.

1.2 Level 1 + 3 (a 5-day course, 08h30-16h00 daily): In addition to the above, also: secondary survey; multiple casualty management; CPR (two rescuer); child and infant resuscitation; chest injuries; eye injuries; conditions related to cold and heat; poisons, bites and stings; rescue carries and stretchers; emergency childbirth; Automated External Defibrillator (AED). The course culminates in an examination.

[please insert day(s)–month–year of the course you wish to attend, below]

1.3 Dates of First Aid Course (I am available to attend)

2.  CONDITIONS OF TRAINING [please READ carefully before completing this application]

All RU staff who undertake training through the University have responsibilities in participating in any course – see “Protocol for the Use of Training and Development Opportunities” (at *****. ac. za/humanresources/policiesandinfo/policies). Note:

2.1  Any employee who receives certified first aid training through his/her workplace will be listed as RU first aiders at *****. ac. za/safety/firstaid/rufirstaiders and is required by law to provide first aid services in the case of an emergency situation in the workplace. First aiders at RU shall be responsible for:

a)  Being a custodian of a first aid box, inspecting it on a regular basis and ensuring that the contents are maintained.

b)  Treating all first aid injuries in the workplace.

c)  Entering all details into the first aid register.

d)  Ensuring that the content complies with requirements of General Safety Regulations Annexure.

e)  Ensuring that access to the first aid box is not obstructed.

f)  Ensuring that available first aiders’ names and contact details are prominently displayed.

g)  Ensuring that serious injuries are reported to the line manager and to the SHE Officer.

h)  Assisting the Emergency Coordinator in the event of an emergency.

2.2  On successful completion of the course participants are awarded a Certificate of Competency in First Aid, valid for 3 years.

2.3  RU first aiders with a valid first aid certificate are required to keep their skills up to date. The following is recommended:

a)  Apply for membership of the St John Brigade - download form at *****. ac. za/safety/firstaid/firstaidtraining

b)  Provide volunteer first aid services (at home, work, events), at least 12 hours per year.

c)  Report first aid incidents in a first aid register, kept in the first aid box - see *****. ac. za/safety/firstaid/firstaidbox

Furthermore, course participants should:

2.4  Ensure they are medically and physically fit to participate in the course, and wear appropriate clothing and non-slip shoes.

2.5  Take their identity documents to present to the course facilitator if required.

2.6  Attend all the required sessions and participate in all activities associated with the course and (i) Tell the facilitator timeously if they are not coping with the demands of the course (e. g. due to difficulty / personal issues), (ii)Tell the facilitator beforehand if they will be absent (for a valid reason) from a session, or if this is not feasible, notify the facilitator as soon as possible, and (iii) Catch up any work missed before the next session.

2.7  Complete any assignments and homework as part of the curriculum of the course.

2.8  Return to work if the course is completed before the end of a normal working day, regardless of what the course facilitator may suggest, unless other prior arrangements have been made with their HOD/supervisor/ manager.

3.  PERSONAL & WORK DETAILS *Information required for RU’s SETA and BBBEE reporting*

[please complete all blank fields below]

*Surname:		Contact info (email + tel own & manager/supervisor):
*First names (in full):		*Workplace (Dept/Div /Hall + which building):
*Age / ID number:		*Employee number:
*Job grade:		*Gender (Male/Female):
*Job title:		Job status (Fulltime/Temp/ Contract/Part-Time):
*Race (African/Indian /Coloured/White):		Previous first aid training? Yes/No, level, course dates:

4.  TRAINING AGREEMENT This section will influence whether or not this application is approved.

[please READ carefully and complete all blank fields below]

4.1  I am available to attend the training on the course dates specified (in 1.3 above), and if this application is successful, I agree to attend the course: [Yes/No]
4.2  I have read and understood the RU “Protocol for the Use of Training and Development Opportunities”, and agree to abide by the Conditions of Training (listed in 2 above): Yes/No]
4.3  I hereby sign the attached Letter of Designation for a RU First Aider (which only becomes valid on successful completion of the course), and I agree to accept the responsibilities detailed therein: [Yes/No]
4.4  I understand that (i) Rhodes University is investing resources in this course and the course cost per participant is R725 (Level 1) or R1150 (Level 1 and 3); (ii) this funding has been made available to me as a loan to cover the cost of my course participation; (iii) should I successfully complete this course, the loan will be converted into a grant and I will not be liable for any costs associated with my participation in this course: [Yes/No]
4.5  I understand that if I am accepted on this course but cancel less than 3 working days before the day the course commences, or fail to attend, or am de-registered from this course for not meeting the terms of this training agreement, then I will be liable for repaying 75% of this loan and I will be denied access to further development and training programmes for 2 years from the first day of the course or from de-registration: [Yes/No]
4.6  If I fail to attend the course or fail to meet the terms of this training agreement, I authorise RU to deduct 75% of the costs of this course (noted in 4.4 above) from my salary, over a period of no more than 10 months, unless otherwise agreed: [Yes/No]
4.7  I agree to check my email daily [or] I do not have my own email but I will make regular enquiries with my supervisor/manager, regarding the outcome of this application: [Yes/No]
4.8  I intend to continue working at Rhodes University for the foreseeable future and use my first aid knowledge and skills in the workplace, and I understand that on successful completion, my contact details will be made available for this purpose: [Yes/No]
4.9  I declare that the information supplied in this application is correct: [Yes/No]
4.10  Signature of applicant:
4.11  Date:

5.  APPROVAL of HOD or IMMEDIATE SUPERVISOR or MANAGER

This section will influence whether or not the staff member’s application is approved.

5.1 Manager / HOD motivating comments (optional):

[please complete all blank fields below]

5.2 I support this application and if it is successful, I release the staff member for the dates and times specified (in section 1 above) to complete the training, failing which my department / section agrees to pay the full amount in terms of training costs - R725 (Level 1) or R1150 (Level 1 and 3): [Yes/No]
5.2 I hereby sign the attached Letter of Designation for a RU First Aider, which will become valid on the staff member’s successful completion of the course: [Yes/No]
5.3 Full name of HOD/manager:
5.4 Signature of HOD/manager:
5.5 Date:

More info: *****. ac. za/safety/firstaid/firstaidtraining / / *****@***ac. za