Regulations (Standards - 29 CFR)
Medical services and first aid. - 1910.151
Medical Services and First Aid
The employer shall ensure the ready availability of medical personnel for
and consultation on matters of plant health.
In the absence of an infirmary, clinic, or hospital in near proximity to the
which is used for the treatment of all injured employees, a person or persons
adequately trained to render first aid. Adequate first aid supplies shall
be readily available.
Where the eyes or body of any person may be exposed to injurious corrosive
materials, suitable facilities for quick drenching or flushing of the eyes
and body shall be
provided within the work area for immediate emergency use. [63 FR 33450, June
Appendix A to § 1910.151 - First aid kits (Non-Mandatory)
First aid supplies are required to be readily available under paragraph §
example of the minimal contents of a generic first aid kit is described in
Standard (ANSI) Z308.1-1998 "Minimum Requirements for Workplace First-aid
" The contents of the kit listed in the ANSI standard should be adequate for
When larger operations or multiple operations are being conducted at the same
employers should determine the need for additional first aid kits at the worksite,
types of first aid equipment and supplies and additional quantities and types
of supplies and
equipment in the first aid kits.
In a similar fashion, employers who have unique or changing first-aid needs
in their workplace
may need to enhance their first-aid kits. The employer can use the OSHA 200
101's or other reports to identify these unique problems. Consultation from
the local fire/rescue
department, appropriate medical professional, or local emergency room may
be helpful to
employers in these circumstances. By assessing the specific needs of their
employers can ensure that reasonably anticipated supplies are available. Employers
assess the specific needs of their worksite periodically and augment the first
aid kit appropriately.
If it is reasonably anticipated that employees will be exposed to blood or
infectious materials while using first aid supplies, employers are required
to provide appropriate
personal protective equipment (PPE) in compliance with the provisions of the
Exposure to Blood borne Pathogens standard, § 1910.1030(d)(3) (56 FR 64175).
standard lists appropriate PPE for this type of exposure, such as gloves,
gowns, face shields,
masks, and eye protection. [63 FR 33450, June 18, 1998; 70 FR 1141, Jan. 5,
Application. An employer must have an emergency action plan whenever an OSHA
in this part requires one. The requirements in this section apply to each
such emergency action plan.
Written and oral emergency action plans. An emergency action plan must be
in writing, kept in
the workplace, and available to employees for review. However, an employer
with 10 or fewer
employees may communicate the plan orally to employees.
Minimum elements of an emergency action plan. An emergency action plan must
include at a minimum:
Procedures for reporting a fire or other emergency;
Procedures for emergency evacuation, including type of evacuation and exit
Procedures to be followed by employees who remain to operate critical plant
Procedures to account for all employees after evacuation;
Procedures to be followed by employees performing rescue or medical duties;
The name or job title of every employee who may be contacted by employees
who need more
information about the plan or an explanation of their duties under the plan.
Employee alarm system. An employer must have and maintain an employee alarm
The employee alarm system must use a distinctive signal for each purpose and
the requirements in § 1910.165.
Training. An employer must designate and train employees to assist in a safe
evacuation of other employees.
Review of emergency action plan. An employer must review the emergency action
each employee covered by the plan:
When the plan is developed or the employee is assigned initially to a job;
When the employee's responsibilities under the plan change; and