OAR 437-002-0161
Medical Services and First Aid

(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 (Personal Protective Equipment) 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 (Oregon Rules for Reinforced Plastics Manufacturing), 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 (First Aid Requirements), 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 (Medical Services and First Aid)(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.
[ED. NOTE: Appendices referenced are available from the agency.]

Source: Rule 437-002-0161 — Medical Services and First Aid, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=437-002-0161.

437‑002‑0005
Adoption by Reference 437‑002‑0006
General Oregon Definitions 437‑002‑0007
Testing and Certification 437‑002‑0010
Adoption by Reference 437‑002‑0015
Adoption by Reference 437‑002‑0020
Adoption by Reference 437‑002‑0022
Additional Oregon General Requirements 437‑002‑0026
Portable Ladders 437‑002‑0032
Ramps and Runways 437‑002‑0033
Piers and Wharves 437‑002‑0040
Adoption by Reference 437‑002‑0041
Exits and Exit Routes 437‑002‑0042
Emergency Action Plan 437‑002‑0043
Fire Prevention Plan 437‑002‑0047
Working Near Overhead High Voltage Lines and Equipment 437‑002‑0060
Adoption by Reference 437‑002‑0080
Adoption by Reference 437‑002‑0081
Oregon Ventilation Regulations 437‑002‑0095
Audiometric Testing in Oregon 437‑002‑0098
Additional Applicability 437‑002‑0100
Adoption by Reference 437‑002‑0101
Oregon Start-Up Dates 437‑002‑0107
Spray Finishing 437‑002‑0109
Explosives and Blasting Agents 437‑002‑0118
Oregon Rules for Reinforced Plastics Manufacturing 437‑002‑0119
Oregon Effective Dates 437‑002‑0120
Adoption by Reference 437‑002‑0122
Dipping and Coating 437‑002‑0134
Personal Protective Equipment 437‑002‑0139
Working Underway on Water. 437‑002‑0140
Adoption by Reference 437‑002‑0141
Additional Oregon Sanitation Requirements 437‑002‑0142
Labor Camps 437‑002‑0144
Additional Oregon Rules for General Environmental Controls 437‑002‑0145
Additional Oregon Rules for Accident Prevention and Tags 437‑002‑0146
Confined Spaces 437‑002‑0154
Individual Locks 437‑002‑0161
Medical Services and First Aid 437‑002‑0170
Worker Protection Standard 437‑002‑0180
Adoption by Reference 437‑002‑0182
Oregon Rules for Fire Fighters 437‑002‑0187
Portable Fire Extinguishers 437‑002‑0200
Adoption by Reference 437‑002‑0210
Additional Oregon Rules for Compressed Air and Compressed Gas Equipment 437‑002‑0220
Adoption by Reference 437‑002‑0221
Additional Oregon Rules for Handling Materials 437‑002‑0223
Oregon Rules for Commercial and Industrial Vehicles 437‑002‑0227
Additional Oregon Rules for Powered Industrial Trucks 437‑002‑0228
Oregon General Requirements for Cranes 437‑002‑0229
Additional Oregon Rules for Overhead and Gantry Cranes 437‑002‑0230
Additional Oregon Rule for Crawler, Locomotive and Truck Cranes 437‑002‑0232
Additional Oregon Rule for Derricks 437‑002‑0233
Oregon Rules for Hammerhead Cranes 437‑002‑0235
Additional Oregon Rule for Slings 437‑002‑0240
Adoption by Reference 437‑002‑0242
Oregon Rules for Machinery and Machine Guarding 437‑002‑0256
Stationary Compactors, Self-Contained Compactors, and Balers 437‑002‑0260
Adoption by Reference 437‑002‑0262
Additional Definitions in Oregon 437‑002‑0264
Additional General Requirements for Hand Tools 437‑002‑0266
Additional Oregon Rules for Guarding Portable Powered Tools 437‑002‑0268
Oregon Rules for Hand-Powered Equipment 437‑002‑0280
Adoption by Reference 437‑002‑0282
Job Planning and Layout 437‑002‑0283
Eye Protection and Protective Clothing 437‑002‑0284
Specifications for Protectors 437‑002‑0285
Special Precautions 437‑002‑0286
Preservative Coatings 437‑002‑0287
Toxic Preservative Coatings 437‑002‑0288
Health Protection and Ventilation — General 437‑002‑0297
Welding or Cutting Containers 437‑002‑0298
Self-Contained Units 437‑002‑0300
Adoption by Reference 437‑002‑0301
Scope and Application 437‑002‑0302
Definitions 437‑002‑0303
Training and Work Planning 437‑002‑0304
First Aid Requirements 437‑002‑0305
Traffic Control 437‑002‑0306
Electrical Hazards 437‑002‑0307
Personal Protective Equipment 437‑002‑0308
Portable Power Tools 437‑002‑0309
Hand Tools 437‑002‑0310
Work Procedures 437‑002‑0311
Mobile Equipment 437‑002‑0312
Oregon Rules for Pulp, Paper and Paperboard Mills 437‑002‑0313
Additional Oregon Rules for Sawmills 437‑002‑0314
Veneer and Plywood Machinery 437‑002‑0315
Shake and Shingle Machinery 437‑002‑0316
Oregon Rules for Telecommunications 437‑002‑0320
Adoption by Reference. 437‑002‑0340
Adoption by Reference 437‑002‑0342
Additional Oregon Definition 437‑002‑0345
Inland Emergency Aid 437‑002‑0355
Air Supply Systems (Compressed Gases and Air) 437‑002‑0360
Adoption by Reference 437‑002‑0363
Oregon Amendment 437‑002‑0364
Oregon Rules for MOCA (4,4’-Methylene Bis (2-chloroaniline)) 437‑002‑0368
Deterioration 437‑002‑0371
Scope and Application 437‑002‑0373
Oregon Rules for Thiram 437‑002‑0377
Additional Oregon Rules for Hazard Communication 437‑002‑0378
Oregon Rules for Pipe Labelling 437‑002‑0382
Oregon Rules for Air Contaminants 437‑002‑0390
Oregon Effective Dates 437‑002‑0391
Additional Oregon Rules for Carcinogens in Laboratories 437‑002‑1001
Asbestos Respiratory Protection Program 437‑002‑1017
Vinyl Chloride Respiratory Protection Program 437‑002‑1018
Inorganic Arsenic Respiratory Protection Program 437‑002‑1025
Lead Respiratory Protection Program 437‑002‑1027
Cadmium Respiratory Protection Program 437‑002‑1028
Benzene Respiratory Protection Program 437‑002‑1029
Coke Oven Emissions Respiratory Protection Program 437‑002‑1030
Additional Oregon Rules for Bloodborne Pathogens 437‑002‑1035
Oregon Rule for Sharps Injury Log 437‑002‑1043
Cotton Dust Respiratory Protection Program 437‑002‑1044
1,2-Dibromo-3-Chloropropane Respiratory Protection Program 437‑002‑1045
Acrylonitrile Respiratory Protection Program 437‑002‑1047
Ethylene Oxide Respiratory Protection Program 437‑002‑1048
Formaldehyde Respiratory Protection Program 437‑002‑1050
Methylenedianiline Respiratory Protection Program 437‑002‑1051
1,3-Butadiene Respiratory Protection Program 437‑002‑1052
Methylene Chloride Respiratory Protection Program 437‑002‑1053
Scope and Application 437‑002‑1054
Definitions 437‑002‑1055
Permissible Exposure Limit (PEL) 437‑002‑1056
Exposure Assessment 437‑002‑1057
Specified exposure control methods 437‑002‑1058
Regulated and Restricted Access Areas 437‑002‑1059
Methods of Compliance 437‑002‑1060
Respiratory Protection 437‑002‑1061
Housekeeping 437‑002‑1062
Medical Surveillance 437‑002‑1063
Communication of Respirable Crystalline Silica Hazards to Employees 437‑002‑1064
Recordkeeping 437‑002‑1065
Dates 437‑002‑1139
Working Over or In Water 437‑002‑2021
Additional Oregon Definitions 437‑002‑2022
Additional Oregon Rules for Powered Platforms 437‑002‑2024
Scope and Application 437‑002‑2025
Definitions 437‑002‑2026
Permissible Exposure Limit (PEL) 437‑002‑2027
Rope Descent & Rope Access Systems 437‑002‑2028
Regulated and Restricted Access Areas 437‑002‑2029
Methods of Compliance 437‑002‑2030
Respiratory Protection 437‑002‑2031
Delayed Effective Dates for Walking-Working Surfaces 437‑002‑2032
Hygiene Areas and Practices 437‑002‑2033
Housekeeping 437‑002‑2034
Medical Surveillance 437‑002‑2035
Medical Removal 437‑002‑2036
Communication of Beryllium Hazards to Employees 437‑002‑2037
Recordkeeping 437‑002‑2038
Dates 437‑002‑2040
Exposure Assessment 437‑002‑2045
Personal Protective Clothing and Equipment 437‑002‑2101
Compressed Gases (General Requirements) 437‑002‑2102
Acetylene 437‑002‑2224
Vehicle Drivers and Riders 437‑002‑2225
Vehicles for Highway and Road Operation Characteristics and Maintenance 437‑002‑2226
Vehicles for Use on Property Other Than Public Roads and Highways Operation, Characteristics and Maintenance 437‑002‑2253
Oxygen-fuel Gas Welding and Cutting 437‑002‑2300
General 437‑002‑2301
Medical Services and First Aid 437‑002‑2302
Job Briefing 437‑002‑2303
Hazardous Energy Control Procedures 437‑002‑2304
Enclosed Spaces 437‑002‑2305
Excavations 437‑002‑2306
Personal Protective Equipment 437‑002‑2307
Portable Ladders and Platforms 437‑002‑2308
Hand and Portable Power Equipment 437‑002‑2309
Live-line Tools 437‑002‑2310
Materials Handling and Storage 437‑002‑2311
Working On or Near Exposed Energized Parts 437‑002‑2312
Deenergizing Lines and Equipment for Employee Protection 437‑002‑2313
Grounding for the Protection of Employees 437‑002‑2314
Testing and Test Facilities 437‑002‑2315
Mechanical Equipment 437‑002‑2316
Overhead Lines 437‑002‑2317
Line-clearance Tree Trimming 437‑002‑2318
Communication Facilities 437‑002‑2319
Underground Electrical Installations 437‑002‑2320
Substations 437‑002‑2321
Power Generation Installations 437‑002‑2322
Special Conditions 437‑002‑2323
Helicopters 437‑002‑2324
Definitions
Last Updated

Jun. 8, 2021

Rule 437-002-0161’s source at or​.us