Medical Services and First Aid (29 CFR 1926.50)

§ 1926.35

29 CFR Ch. XVII (7–1–04 Edition)

or way to reach it is not immediately
visible to the occupants.
(c) Maintenance and workmanship.
Means of egress shall be continually
maintained free of all obstructions or
impediments to full instant use in the
case of fire or other emergency.

(2) The employer shall review the
plan with each employee covered by
the plan at the following times:
(i) Initially when the plan is developed,
(ii) Whenever the employee’s responsibilities or designated actions under
the plan change, and
(iii) Whenever the plan is changed.
(3) The employer shall review with
each employee upon initial assignment
those parts of the plan which the employee must know to protect the employee in the event of an emergency.
The written plan shall be kept at the
workplace and made available for employee review. For those employers
with 10 or fewer employees the plan
may be communicated orally to employees and the employer need not
maintain a written plan.

[58 FR 35083, June 30, 1993]

§ 1926.35 Employee emergency action
plans.
(a) Scope and application. This section
applies to all emergency action plans
required by a particular OSHA standard. The emergency action plan shall
be in writing (except as provided in the
last sentence of paragraph (e)(3) of this
section) and shall cover those designated actions employers and employees must take to ensure employee safety from fire and other emergencies.
(b) Elements. The following elements,
at a minimum, shall be included in the
plan:
(1) Emergency escape procedures and
emergency escape route assignments;
(2) Procedures to be followed by employees who remain to operate critical
plant operations before they evacuate;
(3) Procedures to account for all employees after emergency evacuation
has been completed;
(4) Rescue and medical duties for
those employees who are to perform
them;
(5) The preferred means of reporting
fires and other emergencies; and
(6) Names or regular job titles of persons or departments who can be contacted for further information or explanation of duties under the plan.
(c) Alarm system. (1) The employer
shall establish an employee alarm system which complies with §1926.159.
(2) If the employee alarm system is
used for alerting fire brigade members,
or for other purposes, a distinctive signal for each purpose shall be used.
(d) Evacuation. The employer shall
establish in the emergency action plan
the types of evacuation to be used in
emergency circumstances.
(e) Training. (1) Before implementing
the emergency action plan, the employer shall designate and train a sufficient number of persons to assist in the
safe and orderly emergency evacuation
of employees.

[58 FR 35083, June 30, 1993]

Subpart D—Occupational Health
and Environmental Controls
AUTHORITY: Sec. 107, Contract Work Hours
and Safety Standards Act (40 U.S.C. 333);
secs. 4, 6, and 8, Occupational Safety and
Health Act of 1970 (29 U.S.C. 653, 655, 657);
Secretary of Labor’s Order No. 12–71 (36 FR
8754), 8–76 (41 FR 25059), 9–83 (48 FR 35736), or
6–96 (62 FR 111), as applicable; and 29 CFR
part 1911.

§ 1926.50 Medical services and first
aid.
(a) The employer shall insure the
availability of medical personnel for
advice and consultation on matters of
occupational health.
(b) Provisions shall be made prior to
commencement of the project for
prompt medical attention in case of serious injury.
(c) 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.
(d)(1) First aid supplies shall be easily accessible when required.

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Occupational Safety and Health Admin., Labor

§ 1926.51

protective equipment (PPE). Appropriate
PPE includes gloves, gowns, face shields,
masks and eye protection (see ‘‘Occupational
Exposure to Blood borne Pathogens’’, 29 CFR
1910.1030(d)(3)) (56 FR 64175).

(2) The contents of the first aid kit
shall be placed in a weatherproof container with individual sealed packages
for each type of item, and shall be
checked by the employer before being
sent out on each job and at least weekly on each job to ensure that the expended items are replaced.
(e) Proper equipment for prompt
transportation of the injured person to
a physician or hospital, or a communication system for contacting necessary ambulance service, shall be provided.
(f) In areas where 911 is not available,
the telephone numbers of the physicians, hospitals, or ambulances shall be
conspicuously posted.
(g) 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.

[44 FR 8577, Feb. 9, 1979; 44 FR 20940, Apr. 6,
1979, as amended at 49 FR 18295, Apr. 30, 1984;
58 FR 35084, June 30, 1993; 61 FR 5510, Feb. 13,
1996; 63 FR 33469, June 18, 1998]

§ 1926.51

Sanitation.

(a) Potable water. (1) An adequate supply of potable water shall be provided
in all places of employment.
(2) Portable containers used to dispense drinking water shall be capable
of being tightly closed, and equipped
with a tap. Water shall not be dipped
from containers.
(3) Any container used to distribute
drinking water shall be clearly marked
as to the nature of its contents and not
used for any other purpose.
(4) The common drinking cup is prohibited.
(5) Where single service cups (to be
used but once) are supplied, both a sanitary container for the unused cups and
a receptacle for disposing of the used
cups shall be provided.
(6) Potable water means water which
meets the quality standards prescribed
in the U.S. Public Health Service
Drinking Water Standards, published
in 42 CFR part 72, or water which is approved for drinking purposes by the
State or local authority having jurisdiction.
(b) Nonpotable water. (1) Outlets for
nonpotable water, such as water for industrial or firefighting purposes only,
shall be identified by signs meeting the
requirements of subpart G of this part,
to indicate clearly that the water is
unsafe and is not to be used for drinking, washing, or cooking purposes.
(2) There shall be no cross-connection, open or potential, between a system furnishing potable water and a
system furnishing nonpotable water.
(c) Toilets at construction jobsites. (1)
Toilets shall be provided for employees
according to the following table:

APPENDIX A TO § 1926.50—FIRST AID KITS
(NON-MANDATORY)
First aid supplies are required to be easily
accessible under paragraph § 1926.50(d)(1). An
example of the minimal contents of a generic
first aid kit is described in American National Standard (ANSI) Z308.1–1978 ‘‘Minimum Requirements for Industrial Unit-Type
First-aid Kits’’. The contents of the kit listed
in the ANSI standard should be adequate for
small work sites. When larger operations or
multiple operations are being conducted at
the same location, employers should determine the need for additional first aid kits at
the worksite, additional types of first aid
equipment and supplies and additional quantities and types of supplies and equipment in
the first aid kits.
In a similar fashion, employers who have
unique or changing first-aid needs in their
workplace, may need to enhance their firstaid kits. The employer can use the OSHA 200
log, OSHA 101’s or other reports to identify
these unique problems. Consultation from
the local Fire/Rescue Department, appropriate medical professional, or local emergency room may be helpful to employers in
these circumstances. By assessing the specific needs of their workplace, employers can
ensure that reasonably anticipated supplies
are available. Employers should assess the
specific needs of their worksite periodically
and augment the first aid kit appropriately.
If it is reasonably anticipated employees
will be exposed to blood or other potentially
infectious materials while using first-aid
supplies, employers should provide personal

TABLE D–1
Number of employees
20 or less ..........
20 or more .........

Minimum number of facilities
1.
1 toilet seat and 1 urinal per 40 workers.

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