'infoHealth - Delivering Healthcare to you and your family'

After completing the questions below, please click on Submit. Alternatively, you can print out the questionnaire, fill it in and then fax it to us on our Fax number.

An invoice for £150.00 will be raised and billed to the company. A full review will be sent to you by post giving advice & on how to make sure that the company operates under HSE regulations for First Aid Provision. We will also include a recommended First Aid Kit(s) if you need one and a competitive price. You can proceed to order this from infoHealth if you so wish.

You can order any refills for the kit from us. Just contact us with what you require and we can supply. Please see our First Aid Section for a wide range of plasters and dressings.

1. Contact Name:

2. Position In Company:

3. Correspondence Address
and Telephone Number:

4. E-mail:

5. Type of Business:

6. No. of Employees:

7. Do you have employees with
disabilities or special health problems? Yes: No:

8. If so, please state number and type:

9. Is there shiftwork or out-of-hours working? Yes: No:

10. Do you have employees who work alone? Yes: No:

11. Do you have any work experience trainees or casual employees? Yes: No:

12. If so, state a maximum at any time:

13. Do members of the public visit your premises? Yes: No:

14. If so, state the potential maximum number at any given time:

15. Are the premises spread out, eg are there several buildings on the site or multi-floor buildings? Yes: No:

16. If So Please Describe the layout briefly. Please include total Sq footage:

17. If no please state the total Sq footage of the work environment:

18. Are there any specific risks you can identify in the working environment, eg working with: Hazardous substances, Hazardous tools or Dangerous machinery? Yes: No:

19. If so please state the nature of the risks and how many Sq foot they cover if possible:

20. If so where are they located in the working environment and how many employees are potentially exposed to them?

21. What is your record of accidents and cases of ill health. How many and what type of accidents & injuries?

22. Do you have First Aid Kits In the work place? Yes: No:

23. If so how many and where are they located?

24. Can you list the contents of First Aid Kits?

25. How far is the nearest hospital approximately?

26. How far is the nearest fire brigade approximately?

27. How many Appointed Persons do you have?

28. Do the Appointed Persons have a rotation system so that one is always present during working hours all round the year? Yes: No:

29. Does the appointed person check the First Aid Kits on a fixed basis to check for expired components of the First Aid Kit? Yes: No:

30. How many qualified First Aiders do you have?

31. Is there a system in place to make sure that there First Aid certificate is still valid periodically? Yes: No:

32. Do the First Aiders have a rotation system so that at least one is always present during working hours all round the year? Yes: No:

33. Is there a review system in place when new employees are taken on or the premises are expanded making sure that adequate first aid provision is always updated & in place? Yes: No:

Would you like to be added to our FREE mailing list service to be informed of changes and in the Health & Safety legislation and best practices, and be informed of any major updates to our services and our Web site.
Yes: No:

1.	Contact Name:
2.	Position In Company:
3.	Correspondence Address and Telephone Number:
4.	E-mail:
5.	Type of Business:
6.	No. of Employees:
7.	Do you have employees with disabilities or special health problems?		Yes: No:
	8.	If so, please state number and type:
9.	Is there shiftwork or out-of-hours working?		Yes: No:
10.	Do you have employees who work alone?		Yes: No:
11.	Do you have any work experience trainees or casual employees?		Yes: No:
	12.	If so, state a maximum at any time:
13.	Do members of the public visit your premises?		Yes: No:
	14.	If so, state the potential maximum number at any given time:
15.	Are the premises spread out, eg are there several buildings on the site or multi-floor buildings?		Yes: No:
	16.	If So Please Describe the layout briefly. Please include total Sq footage:
	17.	If no please state the total Sq footage of the work environment:
18.	Are there any specific risks you can identify in the working environment, eg working with: Hazardous substances, Hazardous tools or Dangerous machinery?		Yes: No:
	19.	If so please state the nature of the risks and how many Sq foot they cover if possible:
	20.	If so where are they located in the working environment and how many employees are potentially exposed to them?
21.	What is your record of accidents and cases of ill health. How many and what type of accidents & injuries?
22.	Do you have First Aid Kits In the work place?		Yes: No:
	23.	If so how many and where are they located?
	24.	Can you list the contents of First Aid Kits?
25.	How far is the nearest hospital approximately?
26.	How far is the nearest fire brigade approximately?
27.	How many Appointed Persons do you have?
28.	Do the Appointed Persons have a rotation system so that one is always present during working hours all round the year?		Yes: No:
29.	Does the appointed person check the First Aid Kits on a fixed basis to check for expired components of the First Aid Kit?		Yes: No:
30.	How many qualified First Aiders do you have?
31.	Is there a system in place to make sure that there First Aid certificate is still valid periodically?		Yes: No:
32.	Do the First Aiders have a rotation system so that at least one is always present during working hours all round the year?		Yes: No:
33.	Is there a review system in place when new employees are taken on or the premises are expanded making sure that adequate first aid provision is always updated & in place?		Yes: No:
	Would you like to be added to our FREE mailing list service to be informed of changes and in the Health & Safety legislation and best practices, and be informed of any major updates to our services and our Web site.		Yes: No: