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General Industry & Construction
Risk Assessment and Safety Plan Consulting

What if.....

  • Sudden Cardiac Arrest - your employee collapses

  • Asthma - your employee can't breathe and panics

  • Bleeding - your employee slices their finger - do you have the proper supplies?

  • Heat - your employee appears "out of it" and collapses

  • Collision - your employee collides with another athlete or is thrown and is not moving

  • Bee Sting - your employee starts wheezing and his/her skin breaks out in hives

  • Seizure - your employee starts jerking uncontrollably

  • Fire - a fire erupts

  • Tornado - hazardous weather rolls in quickly

Read a Case Study here

OSHA First Aid Standard 1910.151: 

  • OSHA's standard for first aid training in general industry, 29 CFR 1910.151(b)​, provides:

    • In the absence of an infirmary, clinic, or hospital in near proximity to the workplace which is used for the treatment of all injured employees, a person or persons shall be adequately trained to render first aid. Adequate first aid supplies shall be readily available.
  • OSHA's standard for first aid training in the construction industry, 29 CFR 1926.50(c) provides:

    • In the absence of an infirmary clinic, hospital, or physician, that is reasonably accessible in terms of time and distance to the worksite, which is available for the treatment of injured employees, a person who has a valid certificate in first-aid training from the U.S. Bureau of Mines, the American Red Cross, or equivalent training that can be verified by documentary evidence, shall be available at the worksite to render first aid.


The employer shall ensure the ready availability of medical personnel for advice and consultation on matters of plant health (the overall safety and health condition of the employees in the plant).

  • Clarification: "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."


In the absence of an infirmary, clinic, or hospital in near proximity to the workplace which is used for the treatment of all injured employees, a person or persons shall be adequately trained to render first aid. Adequate first aid supplies shall be readily available.

  • Clarification: "The primary requirement addressed by this standard is that an employer must ensure prompt first aid for injured employees, either by providing for the availability of a trained first aid provider at the worksite, or by ensuring that emergency treatment services are within reasonable proximity to the worksite. The basic purpose of this standard is to assure that adequate first aid is available in the critical minutes between the occurrence of an injury and the availability of physician or hospital care for the injured employee."

  • "Medical literature establishes that for serious injuries, such as those involving stopped breathing, cardiac arrest, or uncontrolled bleeding, first aid treatment must be provided within the first few minutes to avoid permanent medical impairment or death. Accordingly, in workplaces where serious accidents, such as those involving falls, suffocation, electrocution, or amputation are possible, emergency medical services must be available within 3-4 minutes if there is no employee on the site who is trained to render first aid. Since your facility is an average of 4 minutes from the fire department and thus possibly more than 4 minutes away from the fire station in reality, you may not rely on its emergency service providers to fulfill your obligation under the standard if such serious injuries are possible at your workplace. As a matter of enforcement discretion, OSHA recognizes that a somewhat longer response time of up to 15 minutes may be reasonable in workplaces, such as offices, where the possibility of such serious work-related injuries is more remote. If that is the case in your workplace, you are allowed to rely on the fire department, which is an average of 4 minutes away from your workplace."


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.

  • Clarification: "When splashes, sprays, splatters, or droplets of blood or OPIM pose a hazard to the eyes, nose, or mouth, personal protective equipment, such as goggles or glasses with solid side shields for eye protection, or chin-length face shields or face masks for coverage of the nose and mouth, must be worn (29 CFR § 1910.1030(d)(3)(x))2. In this regard, the standard prioritizes methods to prevent blood or OPIM from contacting eyes or mucous membranes, but also requires the rapid flushing of mucous membranes with water3. Although the requirements in the BBP standard do not specify a minimum volume of eyewash solution for treating employees whose eyes have been exposed to blood or OPIM, the obvious intent of the standard is that blood or OPIM be removed from the eyes. Therefore, sufficient water must be used to accomplish this goal. Although ANSI standards not incorporated in OSHA standards are not binding, they do provide technical information to help determine sufficiency here. ANSI Z358.1 states that eyewash facilities should deliver flushing fluid to the eyes for not less than 1.5 liters per minute (0.4 gpm), for fifteen minutes4. In light of this guidance, four-ounce bottles are insufficient to meet the requirement that blood or OPIM be flushed from the eyes. The sixteen-ounce bottles you note in your letter may still not be enough to sufficiently flush the eyes for 15 minutes. A one-liter bag of saline or ringers lactate may be more appropriate in areas where an eyewash facility is unavailable, and can be used until there is access to an eyewash facility capable of flushing the eyes for the recommended 15-minute period. Flooding the eye, including under upper and lower eyelids, simply requires more fluids."

OSHA First Aid Standard 1926.23 for Construction:

"First aid services and provisions for medical care shall be made available by the employer for every employee covered by these regulations. Regulations prescribing specific requirements for first aid, medical attention, and emergency facilities are contained in Subpart D of this part."

OSHA Emergency Action Plan Standard 29 CRF ​1910.38: Required emergency action plan.

Did you know that you risk significant liability if you do not meet the required safety standards for your organization?

According to OSHA, "a person or persons shall be adequately trained to render first aid. Adequate first aid supplies shall be readily available."


According to OSHA, "An emergency action plan must be in writing, kept in the workplace, and available to employees for review." All employers with 10 or more employees must:

  • Have a written emergency action preparedness program that describes what actions organizations must take to ensure both member and employee safety from fire and other emergency.

  • Designate and train a sufficient number of staff to assist in a safe and orderly evacuation of other employees.

OSHA Forms For Recording Work-Place Injuries and Illnesses

OSHA Standards for CPR and First Aid Training

  • "Online training alone would not meet the requirements of these training standards."

  • OSHA "states that a first-aid training program should have trainees develop hands-on skills through the use of mannequins and partner practice" with "verification of competent skill performance."

  • OSHA states:

    • "OSHA does not certify first aid training programs, instructors, or trainees."

    • “We recognize any nationally accepted and medically sound first aid program that covers the fundamentals of first aid as meeting the requirements stated in 29 CFR 1910.151. The specific content of first aid programs must be consistent with the work environment in question, and with the type of work being done.”

  • Training topics: Appendix B to § 1910.266 - First-aid and CPR Training (Mandatory)

    • The following is deemed to be the minimal acceptable first-aid and CPR training program for employees engaged in logging activities.

    • First-aid and CPR training shall be conducted using the conventional methods of training such as lecture, demonstration, practical exercise and examination (both written and practical). The length of training must be sufficient to assure that trainees understand the concepts of first aid and can demonstrate their ability to perform the various procedures contained in the outline below.

      • At a minimum, first-aid and CPR training shall consist of the following:

      • The definition of first aid.

      • Legal issues of applying first aid (Good Samaritan Laws).

      • Basic anatomy.

      • Patient assessment and first aid for the following:

        • Respiratory arrest.

        • Cardiac arrest.

        • Hemorrhage.

        • Lacerations/abrasions.

        • Amputations.

        • Musculoskeletal injuries.

        • Shock.

        • Eye injuries.

        • Burns.

        • Loss of consciousness.

        • Extreme temperature exposure (hypothermia/hyperthermia)

        • Paralysis

        • Poisoning.

        • Loss of mental functioning (psychosis/hallucinations, etc.). Artificial ventilation.

        • Drug overdose.

        • CPR.

        • Application of dressings and slings.

        • Treatment of strains, sprains, and fractures.

        • Immobilization of injured persons.

        • Handling and transporting injured persons.

        • Treatment of bites, stings, or contact with poisonous plants or animals.

The RockwallCPR First Aid and CPR certification course meets all OSHA First Aid and Emergency Action Plan standards!

OSHA Standards for First Aid Kits: Appendix A to § 1910.266 - First-Aid Kits (Mandatory)

The following list sets forth the minimally acceptable number and type of first-aid supplies for first-aid kits required under paragraph (d)(2) of the logging standard. The contents of the first-aid kit listed should be adequate for small work sites, consisting of approximately two to three employees. When larger operations or multiple operations are being conducted at the same location, additional first-aid kits should be provided at the work site or additional quantities of supplies should be included in the first-aid kits:

  1. Gauze pads (at least 4 x 4 inches).

  2. Two large gauze pads (at least 8 x 10 inches).

  3. Box adhesive bandages (band-aids).

  4. One package gauze roller bandage at least 2 inches wide.

  5. Two triangular bandages.

  6. Wound cleaning agent such as sealed moistened towelettes.

  7. Scissors.

  8. At least one blanket.

  9. Tweezers.

  10. Adhesive tape.

  11. Latex gloves.

  12. Resuscitation equipment such as resuscitation bag, airway, or pocket mask.

  13. Two elastic wraps.

  14. Splint.

  15. Directions for requesting emergency assistance.

How does the ANSI standard Z308.1-1998 relate to 29 CFR 1910.151(b)?

  • ANSI (American National Standards Institute) is a private non-profit organization that creates voluntary consensus standards. Their primary mission is to set standards that create a level of safety across an entire industry.

  • "ANSI Z308.1, Minimum Requirements for Workplace First Aid Kits, was not adopted by OSHA. However, ANSI Z308.1 provides detailed information regarding the requirements for first aid kits; OSHA has often referred employers to ANSI Z308.1 as a source of guidance for the minimum requirements for first aid kits."

  • A revision of the ANSI/ISEA standard, Z308.1-2015, took effect in June 2016 and introduced two classes of first aid kits. Identified as “Class A” and “Class B,” the kits are based on the quantity and assortment of supplies.

  • Class A kits generally are suitable for all wounds, minor burns and eye injuries. Class B kits are designed to treat injuries more often found in densely populated workplaces with complex and/or high-risk environments, such as warehouses, factories and outdoor areas.

ANSI standard Z308.1 - 2021 First Aid Kit Contents (These standards went into effect on October 15th, 2022)

Kits are also organized based on the work environment:

  • Type I: Containers are mountable and intended for stationary, indoor settings.

  • Type II: Portable and intended for indoor use.

  • Type III: Must be portable, mountable and have a water-resistant seal.

  • Type IV: Must be portable, mountable and waterproof.


Class A Required Minimum Fill

  • 16 Adhesive Bandage 1″ x 3″ (2.5 x 7.5 cm)

  • 1 Adhesive Tape 2.5 yd (2.3 m) total

  • 10 Antibiotic Application 1/57 oz (0.5 g)

  • 10 Antiseptic 1/57 oz (0.5 g)

  • 1 Burn Dressing (gel soaked)

  • 4″ x 4″ (10 x 10 cm)

  • 10 Burn Treatment 1/32 oz (0.9 g)

  • 1 Cold Pack 4″ x 5″ (10 x 12.5 cm)

  • 1 CPR Breathing Barrier

  • 2 Eye Covering w/means of attachment 2.9″ sq (19 sq cm)

  • 1 Eye/Skin Wash 1 fl oz total (29.6 ml)

  • 1 First Aid Guide

  • 1 Foil Blanket 52″ x 84″ (132 x 213 cm)

  • 10 Hand Sanitizer 1/32 oz (0.9 g)

  • 4 Medical Exam Gloves

  • 1 Roller Bandage 2″ x 4 yd (5 cm x 3.66 m)

  • 1 Scissors

  • 2 Sterile pad 3″ x 3″ (7.5 x 7.5 cm)

  • 2 Trauma pad 5″ x 9″ (12.7 x 22.9 cm)

  • 1 Triangular Bandage 40″ x 40″ x 56″ (101 x 101 x 142 cm)


Class B Required Minimum Fill

  • 50 Adhesive Bandage 1″ x 3″ (2.5 x 7.5 cm)

  • 2 Adhesive Tape 2.5 yd (2.3 m) total

  • 25 Antibiotic Application 1/57 oz (0.5 g)

  • 50 Antiseptic 1/57 oz (0.5 g)

  • 2 Burn Dressing (gel soaked)

  • 4″ x 4″ (10 x 10 cm)

  • 25 Burn Treatment 1/32 oz (0.9 g)

  • 2 Cold Pack 4″ x 5″ (10 x 12.5 cm)

  • 1 CPR Breathing Barrier

  • 2 Eye Covering w/means of attachment 2.9″ sq (19 sq cm)

  • 1 Eye/Skin Wash 4 fl oz total (118.3 ml)

  • 1 First Aid Guide

  • 1 Foil Blanket 52″ x 84″ (132 x 213 cm)

  • 20 Hand Sanitizer 1/32 oz (0.9 g)

  • 8 Medical Exam Gloves

  • 2 Roller Bandage 2″ x 4 yd (5 cm x 3.66 m)

  • 1 Roller Bandage 4″ x 4 yd (10 cm x 3.66 m)

  • 1 Scissors

  • 1 Splint 4″ x 24″ (10.2 x 61 cm)

  • 4 Sterile pad 3″ x 3″ (7.5 x 7.5 cm)

  • 1 Tourniquet

  • 4 Trauma pad 5″ x 9″ (12.7 x 22.9 cm)

  • 2 Triangular Bandage 40″ x 40″ x 56″ (101 x 101 x 142 cm)

We have taught CPR and First Aid at General Dynamics in Garland, Smurfit Kappa, Bimbo Bakery in Rockwall, Architecture Demarest in Dallas, Sapphire Bay Marina in Rowlett, Barrett Distribution in Garland, Stewart Systems in Plano, Klumb Forest Products in Winona, Aramark in Tyler, CenterWell Home Health in Texarkana, Gentiva in Greenville, Ammo Depot in Caddo Mills, Heavens South Firearms in Trenton.


Training Requirements in OSHA Standards

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