Thursday, September 26, 2013

Introduction and Purpose

First aid is emergency care provided for injury or sudden illness before emergency medical treatment is available. The first-aid provider in the workplace is someone who is trained in the delivery of initial medical emergency procedures, using a limited amount of equipment to perform a primary assessment and intervention while awaiting arrival of emergency medical service (EMS) personnel.

A workplace first-aid program is part of a comprehensive safety and health management system that includes the following four essential elements:
  • Management Leadership and Employee Involvement
  • Worksite Analysis
  • Hazard Prevention and Control
  • Safety and Health Training
The purpose of this guide is to present a summary of the basic
elements for a first-aid program at the workplace. Those elements
  • Identifying and assessing the workplace risks that have potential to cause worker injury or illness.
  • Designing and implementing a workplace first-aid program that:
    • Aims to minimize the outcome of accidents or exposures
    • Complies with OSHA requirements relating to first aid
    • Includes sufficient quantities of appropriate and readily accessible first-aid supplies and first-aid equipment, such as bandages and automated external defibrillators.
    • Assigns and trains first-aid providers who:
      • receive first-aid training suitable to the specific workplace
      • receive periodic refresher courses on first-aid skills and knowledge.
  • Instructing all workers about the first-aid program, including what workers should do if a coworker is injured or ill. Putting the policies and program in writing is recommended to implement this and other program elements.
  • Providing for scheduled evaluation and changing of the first-aid program to keep the program current and applicable to emerging risks in the workplace, including regular assessment of the adequacy of the first-aid training course.
This guide also includes an outline of the essential elements of safe and effective first-aid training for the workplace as guidance to institutions teaching first-aid courses and to the consumers of these courses.

Tuesday, September 24, 2013

Guidelines for first aid training programs.

March 4, 1991

Mr. R***

Dear Mr. R***:

Thank you for your inquiry of January 24, addressed to Rolland Stroup, Chief of the Division of Safety Abatement Assistance, requesting a copy of Occupational Safety and Health Administration (OSHA) Instruction CPL 2-2.53, Guidelines for First Aid Training Programs, and any further suggestions we may have on the subject.

The enclosed Guidelines for First Aid Training Programs can be used by OSHA compliance officers to evaluate the provided first aid training in the context of workplace inspections. Through these same guidelines a competent professional is able to develop adequate first aid training and tailor it to the specific needs of the workplace.

Each of the major sections of the OSHA regulations, including general industry, construction and maritime standards, contains first aid requirements. However, all three sections are supported by OSHA Instruction CPL 2-2.53, Guidelines for First Aid Training Programs. The guidelines are based on job functions and types of injuries and/or illnesses anticipated.

Some of our States have occupational safety and health State plans which set first aid training requirements. Each State plan is required to adopt the OSHA regulations or promulgate their own. Their regulations have to be at least as effective as OSHA regulations. If you would like additional information about some of the individual OSHA-approved State plans, please contact:

[Directorate of Cooperative and State Programs
Occupational Safety and Health Administration
Directorate of Cooperative and State Programs – Room N3700
200 Constitution Avenue, N.W.
Washington, D.C. 20210
(202) 693-2200]
Thank you for your interest in occupational safety and health. If we may be of further assistance, please contact us.


Patricia K. Clark, Director
Directorate of Compliance Programs

Tuesday, September 10, 2013

1910.151(a) Clarification

October [5], 1992

Mr. David C***

Dear Mr. C***:

Thank you for your inquiry of July 24, addressed to the Office of Information and Consumer Affairs, Occupational Safety and Health Administration, requesting all available public information about 29 CFR 1910.151, First Aid Programs, and answers to some specific questions.

Copies of pertinent interpretations are enclosed for your information.

Your specific questions and our responses are as follows:

Question 1. Does 29 CFR 1910.151 apply to all employers? If not, to whom does it apply?

Response: Yes, it applies to all employers in general industry, regardless of size, except for state and local government entities and employers that fall under the jurisdiction of other Federal Agencies.

Question 2. What is meant by "plant health" in 29 CFR 1910.151[(a)]?

Response: "Plant health" in 29 CFR 1910.151[(a)] means the overall safety and health condition of the employees in the plant. 

Question 3. What if an employer has 27 locations or offices and only one (the headquarters) has a health unit?

Response: The employer may seek assistance from outside first aid professionals that can meet the required response times, or the employer may provide his own adequately staffed and trained first aid staff that can meet the required response times for all locations.

Question 4. Does 29 CFR 1910.151 apply to small employers?

Response: The response to this question is the same as the response to question #1.

Question 5. Does it apply to offices?

Response: Yes, 29 CFR 1910.151 does apply to offices.

Question 6. Please explain the reference to sources of standards in [1910.151], specifically 41 CFR 50-204.6.

Response: 41 CFR 50-204.6 is a source standard from Title 41, Subtitle B, and it requires the availability of first aid to employees of employers granted public contracts from the Department of Labor. The language, for 29 CFR 1910.151 was derived from 40 CFR 50-204.6.