Tuesday, May 12, 2015

Fundamentals of a Workplace First-Aid Program

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 elements1:
  • 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 include:
  • 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.

Wednesday, May 6, 2015

29 CFR 1910.151(b) Directive, American Red Cross Agreement

Record Type: Instruction
• Directive Number: CPL 02-00-002
• Old Directive Number: CPL 2.2
• Title: American Red Cross Agreement
• Information Date: 10/30/1978
• Standard Number: 1910.151(b)

To: Regional Administrators, National Office Directors, Area Office Directors and District Supervisors.
Subject: American Red Cross Agreement
1. Purpose
To provide guidelines for National and Field Offices' personnel and staff regarding the American Red Cross Agreement.
2. Documentation Affected
This directive supplements the instructions in CHapter XIII and XVIII of the Compliance Operations Manual.
3. Agreement
A statement of understanding has been reached between the Secretary of Labor and the president of the American Red Cross regarding first-aid training requirements and courses. The agreement provides an immediate source of knowledgeable and qualified personnel and training capabilities in first aid through the American Red Cross.
a. The Red Cross agrees to expand first-aid training resources and will adapt courses to meet the needs of different work environments.
b. Red Cross Chapters, Divisions and Areas will assist in distributing information relating to first-aid training services available to employers and employees.
c. Additionally, the Red Cross will designate liaison personnel to work with the National Office and Regional Administrators; and will provide the Occupational Safety and Health Administration (OSHA) with pertinent information on its training courses and related review material.
4. Action
a. Policy
Persons who have a current training certificate in the American Red Cross Basic, Standard or Advanced First Aid Course shall be considered as adequately trained to render first aid in
OSHA Instruction CPL 2.2 October 30, 1978 -2-
fulfilling the requirements of the Occupational Safety and Health Standards, Subpart K., Medical and First Aid (29 CFR 1910.151(b)), The American Red Cross Standard Course is the recommended MINIMUM level of first-aid training.
b. National Offices and Regional Administrators shall:
(1) Establish appropriate liaison with national, area, division, and chapter offices of the American Red Cross; and
(2) Assure current and future State programs include appropriate recognition and implementation of this policy.
c. First-aid courses by other organizations are recognized by OSHA if found satisfactory. Regional Administrators shall evaluate such courses.
5. Effective Date.
This instruction is effective immediately and will be incorporated into the next scheduled revision of the Compliance Operations Manual.
Preston T. Farish Director Office of Program Operations
    DISTRIBUTION: National Office             Field
                   A/Sec. (3)                   Regional Administrators (3)
                   Dep. Asst./Sec.(2)           ARA Technical(2)
                   Spec. Asst. (1)              ARA Compliance (2)
                   Directors(3)                 ARA State (1)
                   SOL (1)                     Area/District Offices
                   BLS (1)                     Training Institute (4)
                   Review Commission (6)       Professional Staff(1)
                   HEW (1)                     Designated State Agencies(1)
                   Program Operations          NIOSH Regional Program
                    OCC Professional Staff(15)  Directors(1)
                    OCS Professional Staff(30) SOL Regional Attorneys(1)
                    OCS Tech. Centers(1)       Review Commission Regional
American Red Cross National Headquarters Washington, D.C.