16VAC25-90-1910.151. Medical services and first aid. (Repealed.)

(a) The employer shall ensure the ready availability of medical personnel for advice and consultation on matters of plant health.

(b) 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.

(c) 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.

CHAPTER 95
MEDICAL SERVICES AND FIRST AID STANDARDS FOR GENERAL INDUSTRY

16VAC25-95-10. Medical services and first aid standards for general industry.

[A. The following words and terms when used in this regulation shall have the following meanings unless the context clearly indicates otherwise:

"Serious physical harm" means impairment of the body in which part of the body is made functionally useless or is substantially reduced in efficiency on or off the job. Such impairment may be permanent or temporary, chronic or acute.  Injuries and illnesses involving such impairment would usually require treatment by a medical doctor or other licensed health care professional.  Injuries that constitute serious physical harm include, but are not limited, to amputations (loss of all or part of a bodily appendage); concussion; crushing (internal, even though skin surface may be intact); fractures (simple or compound);  burns or scalds, including electric and chemical burns; cuts, lacerations, or punctures involving significant bleeding and/or requiring suturing; sprains and strains.  Illnesses that constitute serious physical harm include, but are not limited, to cancer; respiratory illnesses; hearing impairment; central nervous system impairment; visual impairment; and poisoning.

"Serious workplace hazard" means a hazard deemed to exist in a place of employment where there is a substantial probability that death or serious physical harm could result from a condition which exists, or from one or more practices, means, methods, operations, or processes which have been adopted or are in use, in such place of employment.  The term "substantial probability" does not refer to the likelihood that illness or injury will result from the violative condition but to the likelihood that, if illness or injury does occur, death or serious physical harm will be the result.].

[A. B.] The employer shall ensure the ready availability of medical personnel for advice and consultation on matters of plant health.

[B. C.] A person or persons shall be [designated selected] by the employer and adequately trained to [render immediate administer] first aid and cardio pulmonary resuscitation (CPR) during all workshifts on worksites containing [job classifications or serious] workplace hazards that could potentially expose employees to serious physical harm or death.   The [designated] person or persons [selected] shall have a valid, current certificate in first aid and CPR training from the U. S. Bureau of Mines, the American Red Cross, the National Safety Council, [the American Heart Association,] or equivalent training that can be verified by documentary evidence, and shall be available at the worksite to [render administer] first aid and CPR to injured or ill employees. 

[C. D.]       Covered employers are permitted to make written arrangements with and reasonably rely on another contractor or employer on the same job site or establishment to provide [designated selected] employees to serve as first aid and CPR responders for employees of the covered employer.

[D. E.]       Employers of mobile work crews (i.e., crews that travel to more than one worksite per day) of two or more employees that assign employees to travel to worksites or engage in work activities that could potentially expose those employees to serious physical harm or death shall either:

1.         assure that at least one employee on the mobile crew is [designated  selected] and adequately trained to [render immediate administer] first aid and CPR during all workshifts; or

2.         comply with section [C. D.] above. 

[E. F.]        Employers of individual [employees assigned to a permanent work location; or individual] mobile employees (i.e., an employee who travels alone to more than one worksite per day) [that assign employees to travel to worksites or engage in  whose] work activities [that] could potentially expose those employees to serious physical harm or death shall either:

1.   assure that the [mobile] employee is adequately trained to self-administer first aid;

2.   comply with section [C. D.] above; or

3.   assure that their employee has access to a communication system that will allow them to immediately request medical assistance through a 911 emergency call or comparable communication system.  

[F. G.]        Sections [A. C.] through [E. F.] of this regulation do not apply to worksites that do not contain [job classifications or serious] workplace hazards that [could potentially] expose employees to serious physical harm or death.   

[G. H.]       Adequate first aid supplies shall be readily available.

[H. I.]          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.

16VAC25-175-1926.50. Medical services and first aid. (Repealed.)

(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.

(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.

CHAPTER 177
MEDICAL SERVICES AND FIRST AID STANDARDS FOR THE CONSTRUCTION INDUSTRY

16VAC25-177-10. Medical services and first aid standards for the construction industry.

[A. The following words and terms when used in this regulation shall have the following meanings unless the context clearly indicates otherwise:

"Serious physical harm" means impairment of the body in which part of the body is made functionally useless or is substantially reduced in efficiency on or off the job. Such impairment may be permanent or temporary, chronic or acute.  Injuries and illnesses involving such impairment would usually require treatment by a medical doctor or other licensed health care professional.  Injuries that constitute serious physical harm include, but are not limited, to amputations (loss of all or part of a bodily appendage); concussion; crushing (internal, even though skin surface may be intact); fractures (simple or compound);  burns or scalds, including electric and chemical burns; cuts, lacerations, or punctures involving significant bleeding and/or requiring suturing; sprains and strains.  Illnesses that constitute serious physical harm include, but are not limited, to cancer; respiratory illnesses; hearing impairment; central nervous system impairment; visual impairment; and poisoning.

"Serious workplace hazard" means a hazard deemed to exist in a place of employment where there is a substantial probability that death or serious physical harm could result from a condition which exists, or from one or more practices, means, methods, operations, or processes which have been adopted or are in use, in such place of employment.  The term "substantial probability" does not refer to the likelihood that illness or injury will result from the violative condition but to the likelihood that, if illness or injury does occur, death or serious physical harm will be the result.].

[A. B.]        The employer shall insure the availability of medical personnel for advice and consultation on matters of occupational health.

[B. C.]       Provisions shall be made prior to commencement of the project for prompt medical attention in case of serious injury.

[C. D.]       A person or persons shall be [designated selected] by the employer and adequately trained to [render  immediate administer] first aid and cardio pulmonary resuscitation (CPR) during all workshifts  on worksites containing [job classifications or serious] workplace hazards that could potentially expose employees to serious physical harm or death.   The [designated] person or persons [selected] shall have a valid, current certificate in first aid and CPR training from the U. S. Bureau of Mines, the American Red Cross, the National Safety Council, [the American Heart Association,] or equivalent training that can be verified by documentary evidence, and shall be available at the worksite to [render administer] first aid and CPR to injured or ill employees.

[D. E.]       Covered employers are permitted to make written arrangements with and reasonably rely on another contractor or employer on the same job site or establishment to provide [designated selected] employees to serve as first aid and CPR responders for employees of the covered employer.

[E. F.]        Employers of mobile work crews (i.e., crews that travel to more than one worksite per day) of two or more employees that assign employees to travel to worksites or engage in work activities that could potentially expose those employees to serious physical harm or death shall either:

1.         assure that at least one employee on the mobile crew is [designated selected] and adequately trained to [render immediate administer] first aid and CPR during all workshifts; or

2.         comply with section [D. E.] above. 

[F. G.]        Employers of individual [employees assigned to a permanent work location; or individual] mobile employees (i.e., an employee who travels alone to more than one worksite per day) [that assign employees to travel to worksites or engage in whose] work activities [that] could potentially expose those employees to serious physical harm or death shall either:

1.         assure that the [mobile] employee is adequately trained to self-administer first aid;

2.         comply with section [D. E.] above; or

3.         assure that their employee has access to a communication system that will allow them to immediately request medical assistance through a 911 emergency call or comparable communication system. 

[G. H.]       Sections [A. C.] through [F. G.] of this regulation do not apply to worksites that do not contain [job classifications or serious] workplace hazards that [could potentially] expose employees to serious physical harm or death.   

[H. I.]          Adequate first aid supplies shall be readily available.

[I. J.]          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.

[J. K.]        A communication system for contacting necessary ambulance service, shall be provided.

[K. L.]        In areas where 911 is not available, the telephone numbers of the physicians, hospitals, or ambulances shall be conspicuously posted.

[L. M.]        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.