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OPITO APPROVED STANDARD ERRV Crew Initial Training Shipboard Operations

OPITO Approved Standard ERRV Crew Initial Training Shipboard Operations

© OPITO

REV. 2 12-Aug 2002 AMEND. 6 11-Dec 2008

This standard was developed by an Industry Work Group co-ordinated by OPITO. The following organisations were represented on the Work Group:UK Offshore Operators Association (UKOOA) Standby Ship Operators Association (SSOA) Inter Union Offshore Oil Committee (IUOOC) Training Providers Guidance was also given by the Health & Safety Executive (HSE) and the Marine Safety Agency (MSA) Guidance and advice on this Standard is available by contacting; OPITO Minerva House Bruntland Road Portlethen, Aberdeen AB12 4QL Tel: 01224 787800 Fax: 01224 787830 E-mail: industry.standards@opito.net

© OPITO is the trading brand of CSSL, a member of the Cogent SSC Ltd group of companies.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval or information storage system, or transmitted, in any form or by any means, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.

© OPITO

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OPITO Approved Standard ERRV Crew Initial Training Shipboard Operations

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AMENDMENTS AMENDMENT & DATE

1 2

PAGES CHANGES MADE BY

Various 4 I. Emslie I. Emslie

CHECKED BY

G. Clark G. Clark

APPROVED BY

I. Emslie

02/06 ­ Change Cogent to OPITO and SBV to ERRV 01/01/07 ­ Taken out section relating to OPITO sending Training Records

27-12-07 ­ Changed to new OPITO logo; updated header, title page & numbering scheme Simplified assessor qualifications 17-11-08 Moved Amendments List to new page ­ now 36 pages in document 11-Dec 2008 Changed header to reflect amendment numbering scheme 11-Dec 2008

3

All

T. Wilson

P. Crowther

P. Crowther

4

14, 25

T. Wilson

J. Cameron

J. Cameron

5

2, 3

T. Wilson

J. Cameron J. Cameron

M. Duncan

6

All except title page

T. Wilson

M. Duncan

Any amendments made to this standard by OPITO will be recorded above.

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OPITO Approved Standard ERRV Crew Initial Training Shipboard Operations

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CONTENTS

SECTION A INTRODUCTION Development of Standard Performance Assessment Certification & Recording SECTION B FUNCTIONAL MAP COMPETENCE STATEMENTS Overview The Statements GUIDANCE FOR ASSESSORS Assessing Candidates Checklists SECTION C TRAINING PROGRAMME Initial Training SECTION D RESOURCES Staff Facilities Equipment SECTION E GENERAL REQUIREMENTS

PAGE

5 6 6

7

8 9 - 14

15- 17 18 - 21

22 - 25

26 - 27 28 29 - 35

36

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A

Introduction

This document introduces and describes the competence statements and safety training for all prospective ERRV crew members. It explains how competence shall be assessed and certificated. The industry recognises that a major objective is to prevent incidents occurring and if they do occur to control and minimise their effect. The purpose of this document is to set out the initial Emergency Response training requirements for all prospective ERRV crew members, which will be conducted at an onshore training establishment. Training establishments should recognise that this is only part of a broader training programme, which includes ongoing onboard training and assessment.

A.1

Development of Standard

The Standard has been developed using a national competence model. This involved the analysis of functions required to handle an emergency offshore from which Statements of Competence were developed. These Statements specify what personnel are required to do in an emergency. A Functional Map and the Competence Statements are part of this document (Section 2.0). Using this competence based process, the following were identified and developed: · · What crew members were expected to do. The knowledge and skills they would require to enable them to do what was expected of them. How they could demonstrate what was expected of them. How their performance would be assessed.

· ·

Using the identified knowledge and skills, the content of the training programme was developed. This competence approach has ensured the content is relevant with the benefits being focussed and effective training. OPITO, as custodian has a responsibility to industry to maintain, develop and update these standards.

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A.2

Performance Assessment

Delegates attending this training and assessment programme (referred to as candidates during assessment) will be given a series of explanations and demonstrations which will identify what they are expected to know and do. This will be followed by practical exercises which will allow delegates to demonstrate their skills, knowledge and understanding of their emergency response role. Assessment of the delegates' performance will be against the stated training outcomes. A specimen Assessor's Checklist with guidance is provided (Section B). Assessors should use this, or other suitable document, to record the candidate's performance. If required, further time and opportunity for coaching will be given to delegates to enable them to reach the standard leading to the award of a certificate. However, the time available for this during a programme is limited and it should be recognised there may be occasions where other arrangements need to be made.

A.3

Certification & Recording

It is envisaged that on completion of the Initial Training programme delegates will become part of an operational ERRV Crew. Delegates failing to do so within 12 months of completing this course shall repeat the Initial Training Programme. Following satisfactory completion of the total training programme, which may include for some individuals additional coaching, the training provider will register the candidate with the OPITO's Central Register.

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FUNCTIONAL MAP

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Key Role:

Respond to Emergencies on Location (ERRV Shipboard Operations)

Unit 1:

Control the rescue and recovery from the Sea of Personnel and Care for Casualties

Element 1.1: Element 1.2: Element 1.3:

Prepare for Rescue and Recovery Rescue/Recover Casualties Contribute to the Care of Casualties

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Unit 1:

Control the rescue and recovery from the Sea of Personnel and Care for Casualties Prepare for Rescue and Recovery

Element 1.1

Performance Criteria

1.1.1 1.1.2 1.1.3 1.1.4 Incidents are detected using appropriate methods. Alarms are sounded in accordance with procedures. Alarms are responded to in accordance with procedures. Rescue data is established promptly and communicated to appropriate persons in accordance with procedures. Equipment is made ready and deployed in accordance with procedures.

1.1.5

Range

Procedures: Watch and Station Bill, alarms, rescue equipment, emergency, location, rescue Collision, fire, leakage, spillage, breakaway, blowout, MOB, structural collapse, capsize, helicopter ditching, sinking, diving accident Bells, klaxons, lights, whistle, siren, vocal Location, personnel, casualties (numbers and dress), weather conditions, priorities, set and drift, local current, timescales, forecasts, installation type, special considerations PPE, FRC, casualty recovery communications equipment devices, casualty handling devices,

Incidents:

Alarms: Rescue Data:

Equipment:

Deployment: All but exceptional weather and sea states both day and night

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Incident Detection:

Emergency and other radio channels, telecommunications, pyrotechnics, visual, audible

Appropriate Persons:

Master, Mate, FRC Crew, AMA, other crew members

Knowledge:

Alarm response routines Procedures Choice and use of rescue and recovery equipment Rescue data requirements and application Use of internal communications equipment

Forms of Evidence

Evidence will be provided by demonstration of performance over a period of time, supplemented as required by realistic simulation, oral/written questioning and/or written assignment. These methods may also contribute to coverage of the range and knowledge specifications.

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Unit 1:

Control the rescue and recovery from the Sea of Personnel and Care for Casualties Rescue/Recover Casualties

Element 1.2:

Performance Criteria

1.2.1 Rescue/recovery data is established in accordance with procedures and conveyed to the appropriate persons. Directions/instructions are responded to in accordance with procedures and task allocation. Equipment is deployed in an appropriate manner and in accordance with procedures. Rescue/recovery site is located using appropriate means. Action is taken to rescue/recover casualties using appropriate equipment in accordance with procedures. Casualties are assessed and appropriate action taken in accordance with procedures.

1.2.2

1.2.3

1.2.4 1.2.5

1.2.6

Range

Procedures: Recovery site location, task allocation, equipment deployment, communications, casualty assessment, rescue/recovery, crew transfer, emergency PPE, FRC, casualty recovery devices, casualty handling devices and communications

Equipment:

Recovery Data:

Location, type of craft, casualties (numbers, dress and condition), weather conditions, priorities, timescales, strategy, special considerations Conscious, unconscious, injured, un-injured, fatalities, varying numbers

Casualties: Recovery Locations:

Survival craft, installation, other vessels, helicopters, sea

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Knowledge

Procedures Alarm response routines Recovery data requirements Choice and use of equipment Casualty assessment and action

Forms of Evidence

Evidence will be provided by demonstration of performance over a period of time supplemented as required by realistic simulation, oral/written questioning and/or written assignment. These methods may also contribute to coverage of the range and knowledge specifications.

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Unit 1:

Control the rescue and recovery from the Sea of Personnel and Care for Casualties Contribute to the Care of Casualties

Element 1.3

Performance Criteria

1.3.1 1.3.2 Alarms are responded to in accordance with procedures. Directions to undertake tasks are responded to in accordance with priorities and procedures. Preparations are made to receive casualties in accordance with procedures. Casualties are received onboard, their condition assessed and onboard transfers made in accordance with procedures. Details of casualties are recorded. Casualties receive medical treatment in accordance with priorities. Assistance is given in the preparation of casualties for transfer from ERRV in accordance with procedures. Assistance is given where appropriate to transfer casualties from ERRV.

1.3.3 1.3.4

1.3.5 1.3.6 1.3.7

1.3.8

Range

Alarms: Casualties: Bells, klaxons, whistles, siren, vocal Conscious, unconscious - injured, un-injured, fatalities, varying numbers

Preparations: Medical & non medical equipment - in accordance with Industry Guidelines, Triage and recording documentation, decontamination showers, survivor accommodation facilities Details of Casualties: Transfer methods:

Identification, nature of injuries, treatment, triage category

By helicopter, FRC/other craft, basket transfer, port call

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Procedures: Medical Treatment:

Watch and Station Bill, equipment preparation, care (preparations, reception, assessment, triage, treatment), transfer (onboard and from vessel) Resuscitation, Management of:cold and immersion injuries, unconsciousness, blood loss, burns/scalds, fractures/dislocation, pain, eye injuries, contamination, sea sickness

Knowledge

Watch and Station Bill, equipment preparation, care (preparations, reception, assessment, triage, treatment), transfer (onboard and from vessel) Relevant methods of communication - intercom, telephone, hand held VHF, written/documentary, face to face Casualty handling methods Preparation and use of medical and non medical equipment Preparation of casualties for transfer

Theoretical Knowledge

Principles and Priorities of First Aid Anatomy and Physiology

Applied Medical Knowledge

Cold and Immersion injuries (hypothermia, drowning, near drowning, secondary drowning, frostbite, contamination) Resuscitation (EAR, CPR, recovery position, airway protection, oxygen administration, choking) Unconsciousness (causes, levels) Blood loss (types, shock, crush) Burns and scalds Fractures, dislocations and soft tissue injuries Control of pain Eye injuries Seasickness Casualty recording procedures

Forms of Evidence

Evidence will be provided by demonstration of performance over a period of time supplemented as required by realistic simulation oral/written questioning and/or written assignment. These methods may also contribute to coverage of the range and knowledge specifications.

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GUIDANCE TO THE ASSESSOR

The Industry competence standard for ERRV Crew Initial Programme describes competent performance and lays down the criteria by which competence should be demonstrated. It is essential that you read and understand this Section "Guidance to the Assessor" before you use this checklist.

·

What is in this document?

This assessor's checklist describes the evidence which an assessor should seek in order to make a judgement on each candidate's competence and also includes a Candidate Record.

·

Where and how will candidates be assessed?

Candidates will normally be assessed during simulated exercises which will be conducted at a suitable location. The assessment will take the form of observation of the tasks being performed supported where necessary by oral and/or written questions.

·

Who can be an Assessor?

Assessors must be: · Discipline experts trained and qualified in assessment techniques. Assessors may be assisted by other assessors and competent instructors when gathering evidence on individual performance.

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·

How does an Assessor use this Checklist and Candidate Record?

(a) Check candidate's name and enter the candidates name and company on the checklist and candidate record. Prior to the assessment taking place you (the assessor) must:· make the candidate(s) aware that they are to be assessed. · ensure that the candidate(s) understands the standard which they will be assessed against. · ensure that the assessment site and conditions for assessment are suitable. Having ensured (a) and (b) you (the assessor) should clearly detail to the candidate(s) the task(s) to be performed indicating also how you intend to gather evidence (e.g. observation of simulated exercises, oral or written questions, witness statements). Allow an opportunity for feedback from the candidate prior to the assessment. Start the assessment, allow the candidates to continue with the tasks unless there is a breach of safety at which point the assessment should be stopped. The exercise may continue when safety has been restored in order to identify any future training or development needs. Candidates should not be guided or prompted during the assessment, however it may be necessary by using an appropriate questioning technique to ensure the candidates have the necessary underpinning knowledge and understanding to perform the tasks effectively and safely. In order to keep your own record when you are satisfied that the Candidates have demonstrated competence in each task place a ( ) in the appropriate 'onshore' box on the checklist and indicate the source of evidence by entering the code O, S, Q or W alongside the ( ). The codes are shown at the bottom of each page of the checklist. Boxes which are shaded do not require to be assessed and therefore do not require any mark. Tasks where a candidate cannot yet demonstrate competence should be identified in the 'Remarks' space by their allocated number (from the Candidate Record) and the appropriate task reference number. These reference numbers relate directly to the ERRV Crew Initial Programme Competence Standard.

(b)

(c)

(d)

(e)

(f)

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The 'Remark' may later be superseded by a 'now competent' statement if, following further coaching and/or practice, the candidate is able to demonstrate competence. However, there may be instances where a candidate does not demonstrate competence during the period of this programme. In such cases the details of any training and development needs which have been identified should be entered in the appropriate place on the Candidate Record. (g) Assessors should be aware that an assessment of competence is a judgement to be made by the assessor and is not necessarily dependent on a 'tick in every box' since some tasks are obviously of critical importance and some are not. In making a judgement it may be necessary for you (the assessor) to consult with other assessors who may also have witnessed the candidate's performance. The Assessor's Checklist is an aid to the assessor in making this judgement. (h) When candidates have been assessed for competence the result of the assessment of each candidate must then be transferred to the Candidate Record either in the 'Competent' column as ( ) or as NYC (Not yet Competent). An NYC result requires training/development needs to be identified in the appropriate space. On completion of the programme you should sign-off the Candidate Record. Following the assessment, you (the assessor) should comment to the Candidate on the positive aspects of the candidate's performance and identify if appropriate the areas where competence has not been demonstrated and further training and development is required. These training/development requirements should also be communicated to the candidate's employer.

(i)

(j)

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SPECIMEN CHECKLIST

Respond to Emergencies on Location (ERRV Shipboard Operations)

Ref: 1 1.1 1.1.1 1.1.2 1.1.3 1.1.4 1.1.5

Task Control the rescue and recovery from the sea of personnel and care for casualties Prepare for rescue and recovery Detect incidents Sound the alarm Respond to alarm Establish and communicate rescue data Make ready and deploy equipment Procedures: Call out, alarms, rescue equipment, emergency, location, rescue. Incidents: Collision, fire, leakage, spillage, breakaway, blowout, MOB, structural collapse, capsize, helicopter ditching, sinking, diving accidents. Alarms: Bells, klaxons, lights, whistle, siren, vocal Rescue Data: Location, personnel, casualties (numbers and dress), weather conditions, priorities, set and drift, local current, timescales, forecasts, installation type, special considerations. Equipment: PPE, FRC, casualty recovery devices, casualty handling devices, communications equipment. Deployment: All but exceptional weather and sea states both day and night. Incident Detection: Emergency and other radio channels, telecommunications, pyrotechnics, visual, audible. Appropriate Persons: Master, Mate, FRC Crew, AMA, other crew members.

Onshore

Onboard

Source of Evidence

Remarks:

Source of Evidence

O - Observation

S - Simulation

Q - Questioning

W - Witness

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Respond to Emergencies on Location (ERRV Shipboard Operations)

Ref: 1.2 1.2.1 1.2.2 1.2.3 1.2.4 1.2.5 1.2.6

Task Rescue/Recover Casualties Establish rescue/recovery data Respond to directions/instructions Deploy equipment as directed Locate rescue/recovery site Rescue/recover casualties using appropriate equipment Assess casualties and take appropriate action Procedures: Recovery site location, task allocation, equipment deployment, communications, casualty assessment, rescue/recovery, crew transfer, emergency. Equipment: PPE, FRC, casualty recovery devices, casualty handling devices and communications. Recovery Data: Location, type of craft, casualties (numbers, dress and condition), weather conditions, priorities, timescales, strategy, special considerations. Casualties: Conscious injured, un-injured Unconscious injured, uninjured Fatalities Recovery Locations: Survival craft, installation, other vessels, helicopters, sea.

Onshore

Onboard

Source of Evidence

Remarks:

Source of Evidence

O - Observation

S - Simulation

Q - Questioning

W - Witness

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Respond to Emergencies on Location (ERRV Shipboard Operations)

Ref: 1.3 1.3.1 1.3.2 1.3.3 1.3.4 1.3.5 1.3.6 1.3.7 1.3.8

Task Contribute to the Care of Casualties Respond to alarms Respond to directions to undertake tasks Prepare to receive casualties Receive and assess casualties and make onboard transfers Record casualties details Treat casualties Assist in the preparation of casualties for transfer Assist in transferring casualties from ERRV Alarms: Bells, klaxons, whistles, siren, vocal. Casualties: Conscious, unconscious - injured, uninjured, fatalities, varying numbers. Preparations: Medical & non medical equipment - in accordance with Industry Guidelines, triage and recording documentation, decontamination showers, survivor accommodation facilities. Details of Casualties: Identification, nature of injuries, treatment, triage category. Transfer methods: By helicopter, FRC/other craft, basket transfer, port call. Procedures: Watch and Station Bill, equipment preparation, care (preparations, reception, assessment, triage, treatment), transfer (onboard and from vessel). Medical Treatment: Resuscitation, Management of:- cold immersion injuries, unconsciousness, blood loss, burns/scalds, fractures/dislocation, pain, eye injuries, contamination, sea sickness.

Onshore

Onboard

Source of Evidence

Remarks:

Source of Evidence

O - Observation

S - Simulation

Q - Questioning

W - Witness

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SPECIMEN CANDIDATE RECORD

RESPOND TO EMERGENCIES ON LOCATION (ERRV SHIPBOARD OPERATIONS)

No. 1 2 3 4 5

Candidate Name

Competent

No. 9 10 11 12 13 14 15 16

Candidate Name

Competent

6

7 8

Note:

Only where a candidate has been assessed as competent should the "competent" box be ticked ( )

Training and Development Needs:

Declaration: The person named was assessed by me against the criteria and range indicated and in accordance with the assessment guidance. I consider the above person *has/*has not achieved a level of competence to enable him/her to join an Offshore ERRV as a Crew Member * I consider the above person requires further training and development as identified above. Assessor's Name Signature Date

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C

TRAINING PROGRAMME

The information in this section is for trainers. Firstly, it provides the requirements for initial training which includes a programme to enable candidates to acquire the necessary knowledge and skills which underpin the tasks to be performed.

C.1

Target Group This programme is designed to meet the initial training and assessment requirements for all prospective ERRV crew members.

C.2

Training Outcomes

Delegates following a series of explanations, demonstrations and opportunities to practise, will as candidates be assessed against the standards relating to the following training outcomes:

C.2.1 C.2.2

Using and donning PPE. Assisting in the preparing, deploying and re-stowing of FRC, casualty recovery devices, casualty handling devices, communications equipment. Assisting in the use of casualty recovering devices, casualty handling devices, communications equipment. Assisting with the receiving, assessing, treating, caring and transferring of casualties.

C.2.3

C.2.4

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C.3

Training Programme

In order to make efficient use of the time and ensure effective learning there should, whenever practicable, be an integration of the three phases of explanation, demonstration and practice. The training programme outlined below will assist delegates to meet the stated outcomes.

C.3.1

Overview of ERRV operations including:a) b) c) d) e) f) legislation and industry guidelines the role and function of a ERRV manning and chain of command crew roles in emergency situations equipment types of incidents

C.3.2

Explanation and demonstration of the preparation for and execution of rescue, recovery, treatment and care of casualties including:a) b) c) d) e) f) g) h) i) incident detection and alarms individuals initial response (including the use and donning of PPE) preparation of equipment relevant to the emergency deployment of equipment reception of casualties use of equipment assessment, treatment and care of casualties transfer of casualties re-stowing of equipment

C.3.3

Delegates to practise:a) b) c) d) e) f) g) h) i) responding to alarms using and donning PPE preparing equipment deploying equipment receiving casualties using equipment assessing, treating, and caring of casualties transferring of casualties re-stowing of equipment

Note:

Team working to be used where appropriate.

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C.4

Assessment

Assessment of delegates will be a summation of the following components:a) b) continuous assessment final assessment by an assessor

The purpose of the continuous assessment is to ensure delegates are acquiring the necessary skills, knowledge and understanding of the subject matter being covered. This will be achieved by direct observation of practical work and by oral/written questioning. The final assessment, will be conducted by an assessor not involved in the delivery of the training programme assisted by the course instructional staff. It will take the form of direct observation of scenario based exercises supplemented by oral questioning. Documentary evidence of the continuous assessment will be provided for the final assessment.

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C.5

Duration of Training and Assessment

The optimum 'contact time' for the training is seen as 35 hours. It is suggested that a ratio of 40% theory to 60% practical is appropriate. Contact time does not include course administration, lunch and refreshment breaks. The total contact time per day shall not exceed 8 hours. The total training day shall not exceed 10 hours (the total training day includes contact time, coffee and meal breaks and travel between training sites where applicable.

C.6

Course Handouts to Delegates

Delegates should be issued with course notes covering the Care Element of this programme. These notes should be suitable for use as a reference manual during and following the course.

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D

RESOURCES

In order that a competence programme may be delivered successfully it is essential that the right people are there to support the programme and that the appropriate facilities and equipment are in place.

D.1

Qualifications & Experience Instructional Staff

All instructional staff must be, (a) Trained in instructional/lecture techniques and/or have proven instructing/teaching experience with a knowledge and experience of offshore ERRV crew working conditions. Included in an ongoing staff training programme, which includes visits to operational ERRVs, to enable them to maintain and update skills and knowledge.

(b)

Care

All Care instructional staff must be, Either a Medical Practitioner, Registered General Nurse, Emergency Medical Technicians (EMT) or Services equivalent. * Emergency Medical Technicians must hold The British Association of Emergency Medical Technician Qualification (BAEMT) (a)

Assessors

All Assessors must be: (a) Discipline experts trained and qualified in assessment techniques.

All Staff

(a) All staff must have the appropriate competencies to conduct/assist the element of training being conducted.

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D.2

Instructor/Delegate Ratio

(a) It is recommended that the maximum number of delegates attending this programme is 16. The following ratios indicate the maximum number of delegates to be supervised by one Instructor at any one time during each activity. Theory Demonstration & Practical Assessment 1 : 16 1:8 1:1

(b)

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D.3

Facilities

Different facilities may be required and it is important to make sure that these are available. Administration arrangements to support registration and assessment to certification. delegates from booking through

Theory training area(s) so designed to enable each delegate to participate fully in the subject matter being taught. Demonstration & Practical training areas must be either on an offshore ERRV or simulate the layout, equipment and conditions found on a vessel. Delegates must also be able to participate fully in the activities identified in the training programme. Assessment areas suitable for any individual assessment of candidates required.

All facilities must be maintained, and where appropriate, inspected and tested in accordance with current standards/legislation.

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D.4

Equipment

The following equipment, which must be of a type currently prescribed for offshore ERRVs, must be available for use and maintained to ensure effective operation/use during training sessions. a) b) c) d) e) f) g) PPE FRC FRC launch and recovery system Casualty recovery devices Casualty handling devices Communications Medical and non medical - in accordance with Industry Guidelines

Medical Equipment For Training and Demonstration Purposes T D (1) = = = Delegate to use Delegate to be shown Number required T Buprenorphine - 0.2mg tablets - injection 0.3mg (as hydrochloride) per ml, 1ml ampoule Hyoscine Hydrobromide - 0.3mg tablets - injection 0.6mg in 1ml Liquid Paraffin Eyedrops - 5ml dropper bottle or sterile plastic sachets. (Caster Oil single dose sachets with dropper acceptable in lieu) Modified Gelatine Infusion Solution - 500ml container for plasma substitution Paracetamol Tablets Sterile Eye Irrigation Fluid - 500ml Airways - Laerdal Pocket Mask, Model 82 00 11 - Laryngeal Mask Airway, Size 4 D ( )

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T - Airway Trainer - Guedal airway Back-board - Ferno KED or equivalent Defibrillator - automated external defibrillator approved by the supplier for use by personnel with minimum CPR and basic resuscitation skills in a ERRV at sea. Fluid Giving Sets - intravenous entry set for fluids Oxygen/Nitrous Oxide Set - O2/N2O Analgesic apparatus consisting of regulator, long hose, demand valve, standard size face mask and fully charged cylinder with key plus spare fully charged cylinder Oxygen-Giving Equipment - oxygen cylinders size F - pressure regulators for oxygen cylinders with adjustable flowmeter - 2m lengths oxygen tubing - cylinder keys - oxygen disposable face masks - 35% - 50% Manual Resuscitator - hand operated manual adult bag resuscitator (bag to be of silicone rubber) complete with oxygen reservoir of 2600ml capacity and face mask Size 5 Scissors/Shears - stainless steel scissors BS 3646 - tough-cut shears for cutting clothing Sphygmomanometer - fully automatic, battery operated type operating on oscillometric principle with automatic inflation and deflation providing digital read-out. Complete with spare set of batteries. Splints - Listons thigh splint, 140cm

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T - inflatable, set of 4 comprising half-leg, full-leg, half-arm and full-arm. - set of common splints (fracstraps acceptable in lieu) - Skeleton (slides and OHP acceptable) Stethoscope Suction Pumps - electric suction pump complete with Yankauer suction catheter and flexible catheter size FG14 - manual suction pump Surgical Collars - Stifneck pattern or equivalent - short - regular - tall NB. Adjustable collars able to achieve all three sizes will be accepted in lieu. Syringes - disposable syringe and needle in sterile sealed pack to BS 5081. Capacity 2ml with 21g, 4cm needle. Thermometers - normal range (35 - 42 C.) digital, battery operated, 3 digit display. Complete with spare battery and plastic sleeve with pocket clip. - sub-normal range, low body temperature, BS691 in durable case marked with contents Stretchers - basket type with patient straps and webbing lifting strops. - Dummies Surgical Gloves - latex, disposable - medium size - large size Survivor Packs - plastic carrier bag containing blanket (single size), disposable boiler suit, woollen socks and bath towel.

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OPITO Approved Standard ERRV Crew Initial Training Shipboard Operations

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T Swabs - medical spirit type packed in foil sachets. Transfer Bags - insulated, for personnel transfer to helicopter or ship Triage Priority Cards - Cruciform, National Standard, triage card in waterproof plastic bag Urine Bottles - disposable Vomit Bags Waste Disposal Bags - for the disposal of clinical waste, self sealing, S.A.F.A. or equivalent, size Large Wound Cleansing Fluid - sterile solution of Cetrimide 0.15% and Chlorhexidine Gluconate 0.015% in 25ml sachets. Wristbands - durable plastic survivor identification Bandages - elastic, adhesive, 7.5cm x 4m - triangular calico, BP, with sides approx. 90cm and 127 cm - tubular gauze bandage, finger dressing, 20m with applicator - conforming, BP, individual wrapped - 5cm x 3m -7.5 cm x 3m Cotton Wool - hospital quality, 500gm packs Dressings - clingfilm, rolls, approx. 30cm x 5m - porous paper type adhesive tape, rolls 2.5cm x 5m - elastic adhesive medicated dressings, mixed sizes - wound dressings, standard BPC. - medium plain, 14 BPC - large plain, 15 BPC - extra large, 28cm x 17cm Gauze Swabs - gauze cotton, absorbent, BP, type 13. 8ply, 7.5cm x 7.5cm, sterile packets of 100

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OPITO Approved Standard ERRV Crew Initial Training Shipboard Operations

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T Zinc Oxide Tape - 2.5cm x 5m spools Apron - plastic, disposable Bed-Pan - disposable type - shelves for above Blankets - wool, single size Body Bags - 7ft, opaque, plastic with zip closure Instrument Trolley Lubricating Jelly - for endotracheal intubation, 42g tubes Pens - fine point with water-resistant ink for survivor record. Pillows - with plastic covers Resuscitation Manikin - suitable for cardio-pulmonary resuscitation - Anatomical Torso Safety pins - 5cm, rustless Sharps Disposal Box - BS7320, capacity 5 litre Sleeping Bags - acrylic filled, washable, zip closure RESUSCITATION/IV PACK Bandages - elastic, adhesive, 7.5cm x 4m - conforming, BP, individually wrapped, 7.5cm x 3m Fluid giving sets - intravenous entry set for fluids Guedal Airway, BS292 - size 3 - size 4 Intravenous infusion canula - with Luer-lok injection port in sterile pack (Venflon) - size 14g

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OPITO Approved Standard ERRV Crew Initial Training Shipboard Operations

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REV. 2 12-Aug 2002 AMEND. 6 11-Dec 2008

T - size 16g - size 18g Pens - fine point with water resistant ink for survivor record Plain Blood Tube - size 10ml Scissors/Shears - stainless steel scissors, BS 3646 - tough-cut shears for cutting clothing Sodium Chloride - for intravenous infusion, 0.9% in 500ml container Tourniquets - Velcro, for setting up intravenous drips Triage Priority Cards - Cruciform, National Standard, triage card in waterproof plastic bag Wound Cleansing Fluid - sterile solution of Cetrimide 0.15% and Chlorhexidine 0.015% in 25ml sachets Zinc oxide tape - 1.25 cm x 5m AIRWAY MANAGEMENT PACK Bandage - gauze ribbon, BP, 2.5cm x 10m Catheter Mount - size 3.5in Endotracheal Flexible Introducer Endotracheal Tube - cuffed, disposable size 7 - " " size 8 - " " size 9 Gauze Swabs - gauze cotton, absorbent BP, type 13, 8 ply, 7.5cm, sterile packets of 100 Guedal Airway - size 3 - size 4 Laryngoscope - Macintosh type with adult blade, 4 sets long-life batteries and spare bulb Lubricating Jelly - for endotracheal intubation, 42g tubes

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OPITO Approved Standard ERRV Crew Initial Training Shipboard Operations

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REV. 2 12-Aug 2002 AMEND. 6 11-Dec 2008

T Magill's Forceps Pens - fine point with water resistant ink for survivor record Syringe - disposable, 10ml Triage Priority Cards - Cruciform, National Standard, triage card in waterproof plastic bag Zinc Oxide Tape - 1.25cm x 5m spool - 2.5cm x 5m spool The wrapping or container for each pack is to be transparent and re-sealable such that the contents may be either verified without removal or renewed. Each pack is to be clearly labelled with its purpose and contents. FRC MEDICAL EQUIPMENT Airway - complete with flexible junction between casualty's mouth and person providing resuscitation, e.g.Canada Mask and Tube First Aid Box - as per "M" Notice 1607 Hypothermia Blankets - lightweight foil pattern Surgical Collar - stifneck pattern or equivalent in short, regular and tall sizes NB. Adjustable types able to achieve all three sizes will be accepted but the total of three must still be met.

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The FRC Medical equipment noted is to be kept in watertight containers and placed in each FRC before launching.

E.

GENERAL REQUIREMENTS

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REV. 2 12-Aug 2002 AMEND. 6 11-Dec 2008

Training Establishments are responsible for the following; (a) Each individual attending any OPITO accredited course completing a Central Register (CR) registration form. This form must be returned by the training establishment to the OPITO on a weekly basis. All Joining Instructions containing information which indicates that certain aspects of the course are of a physical nature. Also the responsibility for the individual completing the course without any adverse effects to their present state of health lies with the individual and/or company sponsoring the delegate. Delegates signing a declaration indicating they have read and understood a written statement regarding the physical nature of the training and the need for persons to be in good health prior to each course commencing. Instructional staff should also read out the above statement at this time. Consideration being given to the likelihood that for some delegates there may be an increased risk from a compromised cardiovascular system. Training Establishments should be particularly watchful that delegates over the age of 45 years are not forced into arduous or stressful activities.

(b)

(c)

(d)

Where doubt exists regarding the medical fitness of any delegate the establishment should seek the advice of a medical officer.

(e) (f) Appropriate medical facilities. Written statements of organisation for all lessons being provided, which clearly define responsibilities and relationships for all staff either directly or indirectly involved. Ensuring all training and supporting activities are carried out in accordance with current legislation.

(g)

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