First Aid Risk Levels Explained (Low, Medium and High Risk – UK)

  • 5 min reading time

In the UK, first aid requirements are based on risk rather than fixed rules. This means workplaces and environments are not treated equally, and first aid provision should increase as risk increases.

However, many employers and responsible persons are unsure how to define “low”, “medium” or “high” risk, and what those labels mean in practical terms.

This guide explains first aid risk levels clearly, using UK legal principles and HSE guidance, to help organisations understand how risk affects first aid provision.

What does “risk level” mean in UK first aid?

Risk level refers to the likelihood and severity of injury or illness occurring in a particular environment.

UK law does not formally define low, medium or high risk workplaces. Instead, these terms are commonly used in guidance and best practice to describe how hazards and activities influence first aid needs.

Risk level is determined through a risk assessment. If you need a structured approach, see Workplace First Aid Risk Assessment (UK).

Low-risk environments

Low-risk environments are places where activities are unlikely to cause serious injury.

Typical examples include:

  • Offices and administrative workplaces
  • Professional services
  • Small retail premises with minimal hazards

In low-risk environments, first aid provision usually focuses on minor injuries such as cuts, grazes, minor burns or feeling unwell.

Provision should still be accessible, maintained and reviewed. Low risk does not mean no risk. For smaller organisations, see First Aid Requirements for Small Business (UK).

Medium-risk environments

Medium-risk environments involve activities where injuries are more likely, or where multiple types of risk are present.

Examples include:

  • Warehouses and distribution centres
  • Schools and childcare settings
  • Hospitality venues and food preparation areas

These environments often involve:

  • Manual handling
  • Slips, trips and falls
  • Use of equipment or sharp tools
  • Higher footfall or public interaction

First aid provision at this level may require more than one kit, clearer signage, or trained first aiders depending on the specific risks present.

Sector-based examples are covered in Restaurant, Café & Takeaway First Aid Requirements and School First Aid Kits (UK).

High-risk environments

High-risk environments involve activities where serious injury is more likely.

Examples include:

  • Construction sites
  • Manufacturing and industrial workplaces
  • Work involving hazardous substances or machinery

In high-risk environments, first aid provision must be robust and closely aligned with the risks present. This often includes:

  • Multiple first aid kits located near hazard areas
  • Trained first aiders available during working hours
  • Frequent inspection and restocking

A practical example is explained in Construction Site First Aid Kits (UK).

Comparing first aid risk levels

Risk level Typical environments First aid implications
Low Offices, admin workplaces Basic kits, clear access, regular checks
Medium Schools, hospitality, warehouses Multiple kits, wider coverage, clearer procedures
High Construction, industrial sites Trained first aiders, robust provision, frequent review

How risk level affects first aid decisions

As risk level increases, first aid arrangements usually need to change. This may affect:

  • The number and location of first aid kits
  • Whether trained first aiders are required
  • How often equipment is checked and replaced
  • How first aid is included in policies and procedures

This is why risk level links directly to decisions such as how many kits are needed. For further explanation, see How Many First Aid Kits Are Needed in a UK Workplace?.

Why risk level can change over time

Risk level is not fixed. It can change when:

  • Work activities change
  • New equipment or substances are introduced
  • Staff numbers increase
  • Premises are altered or expanded

This is why first aid provision should be reviewed regularly and after significant changes.

Common mistakes when judging risk level

  • Assuming office environments are risk-free
  • Using kit size alone to judge compliance
  • Ignoring visitors or members of the public
  • Failing to review provision after changes

Understanding risk levels helps organisations apply proportionate and defensible first aid arrangements.

First Aid Risk Levels — FAQ

Are risk levels defined in law?
No. Risk levels are not defined in law but are widely used in guidance and best practice.
Is a low-risk workplace exempt from first aid?
No. Low risk still requires suitable first aid provision.
Does risk level decide kit size?
Risk level influences provision, but kit size alone does not determine compliance.
Can risk level change?
Yes. Risk levels should be reviewed when activities, staff or environments change.
Do visitors affect risk level?
Yes. Visitors and the public should be considered when assessing risk.

 


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