(1) Definitions.
(a) "Emergency medical service" is the
provision of care by a medically trained person, whether this service is
provided by a hospital, clinic, ambulance, disaster car, or rescue vehicle.
(b) "In proximity" is defined as
that which is available nearby to ensure prompt treatment in the event of need.
(c) "Qualified first aid person"
means a person with evidence to show valid (current) first aid training by the
American Red Cross or equivalent.
(2) First Aid Supplies.
(a) The employer shall provide first aid
supplies based upon the intended use and types of injuries that could occur at
the place of employment. The first aid supplies shall be available in close
proximity to all employees. Either bulk pack or unit pack supplies are
acceptable.
(b) First aid supplies
must be stored in containers adequate to protect the contents from damage,
deterioration, or contamination. The container shall be clearly marked,
available when needed and must not be locked, but may be sealed.
(c) The employer shall ensure that the first
aid supplies are available for each shift.
NOTE: Supplies such as gloves and a mouth barrier
device are considered personal protective equipment, and are regulated by OAR
437-002-0134 in Division 2/I,
Personal Protective Equipment.
NOTE: The Safety Code for Motor Vehicle
Transportation of Workers (Rule 735 120 000) adopted by the Motor Vehicles
Division of the Department of Transportation contains requirements for the
first aid kit which is required when school buses are used to transport
workers. In addition, the Public Utilities Commission has adopted Federal Motor
Carrier Safety Regulations which apply to for hire buses.
(3) Personnel.
(a) The employer shall ensure the ready
availability of emergency medical services for the treatment of all injured
employees.
(b) Where emergency
medical services are not in proximity to the place of employment, a qualified
first aid person shall be available.
NOTE: More specific requirements for first aid
training are found in: 1910.94, Ventilation, in Division 2/G; OAR
437-002-0118, Reinforced
Plastics, in Division 2/H; 1910.120, Hazardous Waste Operations and Emergency
Response, in Division 2/H; 1910.252 in Division 2/Q, Welding, Cutting and
Brazing; OAR 437-002-0304, Ornamental Tree
& Shrub Services, in Division 2/R; 1910.268, Telecommunications, in
Division 2/R; Division 2/T, Commercial Diving Operations.
(4) Emergency Medical Plan.
(a) An emergency medical plan to ensure the
rapid provision of medical services to employees with major illnesses and
injuries shall be developed. In such cases, the employer shall determine that
the service will be available in an emergency.
(b) If a physician or an ambulance with
Emergency Medical Technicians is readily accessible to the place of employment,
then the minimum emergency medical plan must contain the emergency telephone
number of the ambulance service. The emergency telephone number shall be posted
conspicuously at the place of employment.
(c) Employers in areas with a designated 911
telephone number may utilize the 911 service in lieu of posting the specific
ambulance telephone number.
(d) If
the place of employment is not in proximity to emergency medical services, then
the employer shall have, in addition to the information required in
437-002-0161(4)(a),
a definite plan of action to be followed in the event of serious injury to an
employee. The plan of action shall consist of the arrangements for:
(A) Communication. Two-way radio, telephone,
or provision for emergency communication to contact the emergency medical
services.
(B) Transportation.
Availability of transportation to a point where an ambulance can be met or to
the nearest suitable medical facility. Vehicles provided for this purpose shall
be available at all times, shall have right of way over all vehicles or
equipment under the control of the employer, and shall be equipped so that due
consideration can be given to the proper care and comfort of the injured
employee.
(C) Qualified medical
personnel at destination.
(D) All
employees shall be knowledgeable concerning the qualified first aid person(s),
the first aid requirements, and emergency medical plan.
(5) Emergency Eyewash and Shower
Facilities.
(a) Where employees handle
substances that could injure them by getting into their eyes or onto their
bodies, provide them with an eyewash, or shower, or both based on the hazard.
(A) Emergency eyewash and showers must meet
the following:
(i) Locate it so that exposed
employees can reach it and begin treatment in 10 seconds or less. The path must
be unobstructed and cannot require the opening of doors or passage through
obstacles unless other employees are always present to help the exposed
employee.
(ii) Water must flow for
at least 15 minutes.
(iii) Install
the equipment according to the manufacturer's instructions.
(iv) The eyewash must have valves that stay
open without the use of the hands. The shower must not be subject to
unauthorized shut-off.
(v) Follow
the system manufacturer's criteria for water pressure, flow rate and testing to
assure proper operation of the system.
(vi) Emergency shower and eyewash facilities
must be clean, sanitary and operating correctly.
(vii) In self-contained systems, do not use
solutions or products past their expiration date.
NOTE: If the employer can demonstrate, with the
support of a physician board certified in ophthalmology, toxicology or
occupational medicine, that an alternative eyewash solution is adequate for
their specific hazard, OR-OSHA will accept that solution. An example would be a
buffered isotonic solution preserved with a suitable antibacterial agent, that
may be less irritating when used in a 15-minute flush.
(b) If the
product label, MSDS or other information about the expected contaminant gives
treatment instructions different from those required in this section, follow
the most protective of those instructions.
(c) If the contaminant manufacturer requires
specific decontaminants or procedures, you must provide them in addition to the
eyewash or shower. The employer must assure this treatment is available.
(d) If eyewash facilities or
showers can freeze, take protective measures to prevent freezing.
Notes
Or. Admin. Code
§
437-002-0161
WCB 13-1979, f. & ef.
7-7-75; WCB 4-1975, f. 10-6-75, ef. 11-1-75; WCB 4-1976, f. 4-5-76, ef.
4-15-76; OSHA 2-1993, f. & cert. ef. 2-3-93; OSHA 1-2000, f. & cert.
ef. 1-28-00; OSHA 1-2005, f. & cert. ef. 4-12-05; OSHA 1-2012, f. &
cert .ef. 4-10-12
Appendices referenced are available from the
agency.
Stat. Auth.: ORS
654.025(2)
& 757.726(4)
Stats. Implemented: ORS
654.001 -
654.295
