First aid and medical attention
Superglue and duct tape weren’t always just stored in jobsite gang boxes. Previously, many first-aid kits were stocked with them too. It was how recordable injuries were prevented. If a worker had a deep cut, it was washed, pinched shut, glued, and wrapped in duct tape. Three weeks later, the worker would either end up in the hospital with an infection or, by some miracle, the cut healed.
Section 1926.23, First aid and medical attention, generally requires the employer to ensure first aid, medical treatment, and medical facilities are readily available to manage workers’ injuries. Section 1926.50 also covers first aid and provides additional details.
A common question that OSHA clarified in a letter of interpretation dated January 6, 2007, is what “readily available” means. It explained that this means within 3-5 minutes. The Agency clarifies the reasoning behind this, saying, “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.”
The most recent trending about first aid and medical attention has been about stocking an EpiPen™ in a first-aid kit and using an automatic external defibrillator (AED) on-site. OSHA does discuss recordkeeping requirements when an EpiPen™ is used and encourages using an AED as a best practice. Still, it doesn’t have standards about its usage.
Instead, state laws provide specific standards and guidance about using an AED. This can be a challenge in the construction industry because the laws can vary significantly from state to state. Some states now allow certain entities to stock an EpiPen™ in their first-aid kit and regulate training, use, handling, and placement.
State AED laws generally provide the same information but also discuss the state’s Good Samaritan Law. We recommend researching your local and state laws if you plan to use an EpiPen™ or AED at your jobsite.