Current through Register Vol. 63, No. 12, December 1, 2024
(1) Definitions.
Emergency medical service is care by a medically trained person
such as in a hospital, clinic, ambulance or rescue vehicle.
Qualified first aid person has evidence to show valid first-aid
and CPR training within the last two years.
(2) First aid supplies.
(a) Provide first-aid supplies based on the
types of injuries that could occur at the place of employment. The first-aid
supplies must be immediately available to all workers on all shifts when
needed. Do not lock up or otherwise restrict access to first-aid
supplies.
(b) Protect first-aid
supplies from damage, deterioration, or contamination. Clearly mark containers.
First-aid containers may be sealed to protect the contents from contamination.
NOTE: Supplies such as nitrile gloves and a mouth
barrier device are personal protective equipment covered by Division 4/I,
Personal Protective Equipment.
(3) Medical treatment and services. Emergency
medical services for injured or sick employees must be available and summoned
in time to give appropriate treatment for the circumstances.
NOTE: These services can be by outside sources
such as the local 911 response system or by employees who are qualified
first-aid persons.
(4)
Emergency medical plan.
(a) Determine the
appropriate type of medical service for each place of employment. You must do a
survey and develop an emergency medical plan. You must evaluate these areas:
(A) Determine the types of injuries and
illnesses that are likely to occur at the worksite.
(B) Contact the local emergency response
system and get information about their ability to handle these types of
emergencies and their response time. Consider things such as nearness of the
responding teams, traffic, equipment, average response times, and whether the
system is staffed by volunteers or full-time people.
(C) Based on this information, decide whether
the local response system can handle your situation or whether you need your
own qualified first-aid persons.
(D) Train all employees about the medical
plan and their responsibilities during an emergency.
(b) If the local response system is adequate,
then the minimum emergency medical plan must contain the emergency phone number
and emergency action instructions for employees in case of an injury or
illness. Post this emergency medical plan where employees gather or are most
likely to read it.
(c) If the
response system is not adequate to handle your potential injuries or illnesses,
then your plan must also contain clear and specific emergency action
instructions for employees in case of injury or illness. The plan of action
must have:
(A) The names, locations, and
phone numbers of people trained and authorized to give first aid and other
treatment.
(B) Any special
instructions about communications like two-way radios, telephones or other
provisions for emergency communication to contact the emergency medical
services.
(C) A plan for
transportation to the ambulance or nearest suitable medical facility.
(5) Emergency eyewash,
shower equipment, or both.
(a) Based on the
hazard, provide employees with an emergency eyewash, shower, or both to
decontaminate themselves when one of the following applies:
(A) Employees use a chemical substance that
can cause corrosion or permanent tissue damage to the eyes or when areas of the
body may be exposed to quantities of materials that are either corrosive or
toxic by skin absorption.
(B)
Employees handle pesticide products labeled Danger or Danger/Poison, and with a
first-aid section on the label that requires rinsing for 15-20 minutes for eye
or skin exposure.
NOTE: OAR
437-004-1305(5)
does not apply to eye flushing supplies
required for early entry workers covered under 170.112(c)(8) or agriculture
field workers covered under 170.150 of the pesticide Worker Protection Standard
in Division 4, Subdivision W.
(b) Emergency eyewashes or showers, whether
plumbed potable water systems or self-contained units, must meet the following
requirements:
(A) Locate it so 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.
(B) Install the equipment
according to the manufacturer's instructions.
(C) Valves must stay open once activated,
without the use of hands.
(D)
Follow manufacturer's instructions for use and inspection.
(E) Fluid quality and temperature must be
appropriate for the anticipated types of decontamination treatment.
(F) Flow and pressure must provide the needed
treatment without risking injury to the employee.
(G) If the eyewash or shower could freeze,
take protective measures to prevent this from occurring.
(c) If the product label or material safety
data sheet requires specific decontaminaants or procedures, you must provide
them in addition to the eyewash or shower. Certain substances like acids,
chlorine and anhydrous ammonia require special treatment.
NOTE: ANSI Z358 has information about the
performance requirements for eyewashes and showers.
Stat. Auth.: ORS
654.025(2)
& 656.726(4)
Stats. Implemented: ORS
654.001 -
654.295
