Preparing for a First Aid Inspection or HSE Visit

  • 5 min reading time

An inspection or visit from the Health and Safety Executive (HSE) or a local authority can be stressful, particularly if organisations are unsure what inspectors expect to see regarding first aid.

First aid is rarely inspected in isolation. Instead, it is reviewed as part of wider health and safety management. Understanding how inspections work helps organisations prepare confidently and avoid common issues.

This guide explains how to prepare for a first aid inspection or HSE visit in the UK, what inspectors typically look for, and how first aid fits into overall compliance.

Why first aid is checked during inspections

Inspectors assess first aid because it reflects how well risks are understood and managed.

First aid provision helps demonstrate whether an organisation:

  • Has identified foreseeable risks
  • Has put proportionate controls in place
  • Reviews arrangements when circumstances change

For inspectors, first aid is often a practical indicator of wider safety culture.

Is there a specific first aid inspection checklist?

There is no single mandatory checklist used by inspectors.

Instead, inspectors usually assess whether first aid arrangements are suitable for the risks present. This approach aligns with risk-based duties explained in UK First Aid Law Explained.

Having documentation and evidence readily available makes this assessment easier.

What inspectors typically look at

During an inspection or visit, inspectors may review:

  • Risk assessments that consider first aid needs
  • The availability and accessibility of first aid equipment
  • How first aid roles are assigned and communicated
  • Whether provision is reviewed and maintained

They may also speak to staff to assess awareness of first aid arrangements.

Risk assessment as the starting point

Risk assessment is central to inspection outcomes.

Inspectors often begin by asking:

  • What risks exist in this workplace?
  • How were those risks identified?
  • How does first aid provision reflect those risks?

Clear, up-to-date assessments help demonstrate that first aid decisions are reasoned and proportionate. A structured approach is explained in Workplace First Aid Risk Assessment (UK).

Comparing prepared vs unprepared first aid provision

Area reviewed Well-prepared organisation Common inspection concern
Risk assessment Current and site-specific Missing or outdated
First aid kits Accessible and maintained Blocked, incomplete or unclear
Roles and responsibilities Clearly assigned Unclear or informal
Review process Documented and regular No evidence of review

First aid equipment and accessibility

Inspectors may physically check first aid equipment.

They often consider whether:

  • Kits are easy to locate
  • Access routes are unobstructed
  • Contents appear suitable for the environment

Accessibility is as important as kit contents, particularly in larger or changing workplaces.

First aiders, appointed persons and staff awareness

Inspectors may ask:

  • Who is responsible for first aid?
  • How do staff know who to contact?
  • What happens if a first aider is absent?

Clear role definitions support consistent answers. Role distinctions are explained in Appointed First Aiders: Roles & Duties (UK).

Documentation inspectors may request

Inspectors do not usually expect excessive paperwork.

However, they may reasonably ask to see:

  • Risk assessments referencing first aid
  • Inspection or maintenance records
  • Accident or incident records

Keeping basic documentation organised helps demonstrate oversight. Record keeping is explained in Accident Reporting & First Aid Records (UK).

Leadership and management involvement

Inspectors may assess whether first aid is supported at management level.

This can include:

  • Evidence of review or audit
  • Clear reporting lines
  • Resources allocated where needed

First aid is often viewed as part of wider governance rather than a standalone task.

Common inspection mistakes

  • Assuming inspectors only check kit contents
  • Relying on outdated risk assessments
  • Unclear first aid roles
  • No evidence of review after changes

A proactive approach reduces the risk of issues being raised.

Preparing in advance for an inspection

Organisations can prepare by:

  • Reviewing risk assessments regularly
  • Checking kit access and condition
  • Ensuring staff know first aid arrangements
  • Keeping basic records organised

This approach supports confidence during inspections and demonstrates reasonable management.

First Aid Inspections & HSE Visits — FAQ

Do inspectors always check first aid?
Often yes, as part of wider health and safety management.
Is there a fixed first aid checklist?
No. Inspectors assess suitability based on risk.
Can poor first aid lead to enforcement?
Yes, particularly where provision does not match risk.
Do inspectors expect detailed records?
No, but basic evidence of assessment and review is important.
Who should speak to inspectors?
Someone familiar with risk assessment and first aid arrangements.

 


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