Trainer's Name *

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Venue Postal code

Start Date *

Finish Date *

Duration (hours)

Please confirm the FAIB requirements. Any of the following requirements which can not be achieved please add details in the comments section on the next page.

A First Aid Manual: to match the course being delivered: FAIB accepts First Aid publications that are in line with standards as laid down by the Resuscitation Council (UK) and backed up by empirical medical research from responsible medical bodies.

Audio Visual Equipment: to facilitate the use of PowerPoint or any other media deemed as appropriate in Lesson Plans.

Training Manikins: there should be 1 manikin available for every group of 4 students.

Bandages and Dressings: 1 per student.

Hygiene: there must be items to manage hygiene during courses eg. cleaning wipes for manikins; antibacterial soap in bathrooms and tissues.

AED: There must be 1 training AED per 4 students.

Access/Exits: should be safe, good lighting and cater for people with special needs.

Room Size: the room must be of adequate size (approximately 1.25 square meters per student) or a minimum room size of 4 meters x 4 meters for 12 students.

Floor Coverings: should be carpeted or mats provided for use during practical sessions.

Noise Level Suitable: consider whether there is any noise that may distract students from training.

Ventilation: should be adequate.

Date manikins lungs were last changed:

Date Manikin Faces were washed:

Learner 1

Full Name
Completed?

Learner 2

Full Name
Completed?

Learner 3

Full Name
Completed?

Learner 4

Full Name
Completed?

Learner 5

Full Name
Completed?

Learner 6

Full Name
Completed?

Learner 7

Full Name
Completed?

Learner 8

Full Name
Completed?

Learner 9

Full Name
Completed?

Learner 10

Full Name
Completed?

Learner 11

Full Name
Completed?

Learner 12

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Have ALL learners passed the following assessments? If not please select NO and complete a learner action plan.

Scenario 1 - First Aid Needs Assessment

Yes
No
N/A
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Scenario 2- Scene Management

Yes
No
N/A
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Scenario 3 - Be able to manage a casualty who is unresponsive and NOT breathing normally.

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No
N/A
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Scenario 4 - Be able to manage a casualty who is unresponsive and breathing normally.

Yes
No
N/A
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Scenario 5 - Recognise and assist a casualty who is choking

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No
N/A
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Scenario 6 - Anaphylaxis

Yes
No
N/A
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Please complete Learner Action Plan if Deferred

Please read in full and sign below to confirm

I have adhered to all the FAIB regulations and completed the full syllabus as detailed in the Siren Session Plan. I have verified the identity of all learners. Any reasonable adjustments given have followed the Siren Reasonable Adjustments Policy and have been documented above. Successful Learners have achieved all assessment criteria as evidence above. I have documented above any retraining, reassessment, additional oral questioning or referral.

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