First Aid Needs Assessment: What UK Employers Must Record (2026)
There's no prescribed form — but you must do it, and you'd struggle to prove it without writing it down. What a first-aid needs assessment covers and the records worth keeping.
Quick answer: The Health and Safety (First-Aid) Regulations 1981 require every employer — even with one employee — to make adequate first-aid provision, based on an assessment of needs. No form is prescribed and the assessment doesn’t legally have to be written — but HSE guidance expects you to be able to show your reasoning, so in practice: write it down. Record the assessment, your first aiders and their certificate dates, kit checks, and treatments given.
What the needs assessment covers
- Hazards: what could realistically injure people here? (An office and a joinery answer differently.)
- Workforce: how many people, what shifts, lone workers, young workers, known medical conditions.
- Layout & location: multiple floors or buildings, distance from emergency care, travelling and remote workers.
- Provision decided: how many first aiders (FAW or EFAW trained), appointed persons for smaller/low-risk sites, kit contents and locations, eye-wash, defibrillator.
The records worth keeping
| Record | Why |
|---|---|
| The needs assessment itself, dated & signed | Your evidence of compliance; review after any significant change |
| First aiders + certificate expiry dates | FAW/EFAW certificates last 3 years — missed renewals are the classic failure |
| Monthly kit checks | Restocking proof; items expire |
| Treatments given | Feeds the accident book and flags recurring hazards |
How this connects to RIDDOR
First-aid treatment records are often the first evidence that an injury exists — and the trail that tells you when an over-3-day record or an over-7-day report is due. Keep the two systems pointing at each other.
FAQs
Is a first aider legally required?
Not always — low-risk small workplaces may need only an “appointed person” to take charge and call 999. Your assessment decides; that’s why it exists.
Do the 1981 Regulations cover the public/customers?
Strictly they cover employees — but HSE recommends including non-employees in your provision, and sectors like schools and leisure effectively must.
Related guides
- RIDDOR: what you must report, and when
- Free accident book template (PDF & Excel)
- Site accident books on construction projects
- COSHH assessment records
Sources
HSEFirst aid at work — official guidancelegislation.gov.ukHealth and Safety (First-Aid) Regulations 1981
