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First Aid Requirements

The Occupational Safety and Health Administration's (OSHA's) medical services and first aid regulation, 29 Code of Federal Regulations (CFR) 1910.151(b) states, "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."

The American National Standards Institute (ANSI) and International Safety Equipment Association (ISEA) American National Standard - Minimum Requirements for Workplace First Aid Kits and Supplies (ANSI/ISEA Z308.1-2015) establishes minimum performance requirements for first aid kits and their supplies. First aid kits are classified based on the assortment and quantity of first aid supplies intended to deal with most types of injuries and sudden illnesses that may be encountered in the workplace. These may include major and minor wounds; minor burns; sprains and strains; and eye injuries. As each work environment is unique, it is expected that the contents of each kit will be supplemented as needed based upon the recommendations of a person competent in first aid.

Classification of First Aid Kits

The newest ANSI/ISEA standard introduces two classes of first aid kits: Class A and Class B. Class A kits are designed to deal with the most common types of workplace injuries. Class B kits are designed with a broader range and quantity of supplies to deal with injuries in more complex or high-risk environments.

Below is a table listing the minimum required components for both Class A and Class B kits. The assortment and quantity of supplies included in the kits were chosen based upon reviews of workplace incidents requiring first aid treatment, similar international standards and current injury treatment practices. The quantity and size specifications given are the minimum necessary to comply with the 2015 standard.

ANSI Z308.1-2015, Table 1: Classes of First Aid Kits & Required Supplies

First Aid Supply Minimum Quantity Minimum Size or Volume
  Class A Kits Class B Kits (U.S.) (Metric)
Adhesive Bandages 16 50 1 x 3 in 2.5 x 7.5 cm
Adhesive Tape 1 2 2.5 yd 2.3 m
Antibiotic Application 10 25 0.14 fl oz 0.5 g
Antiseptic 10 50 0.14 fl oz 0.5 g
Breathing Barrier 1 1    
Burn Dressing 1 2 4 x 4 in 10 x 10 cm
Burn Treatment 10 25 1/32 oz 0.9 g
Cold Pack 1 2 4 x 5 in 10 x 12.5 cm
Eye Coverings 2 2 2.9 sq in 19 sq cm
Eye Wash 1 1 1 oz/4 oz 29.6 ml/118.3 ml
First Aid Guide 1 1    
Hand Sanitizer 6 10 1/32 oz 0.9 g
Medical Exam Gloves 4 8    
Roller Bandage (2 inch) 1 2 2 in x 4 yd 5 cm x 3.66 m
Roller Bandage (4 inch) 0 1 4 in x 4 yd 10 cm x 3.66 m
Scissors 1 1    
Splint 0 1 4 x 24 in 10.2 x 61 cm
Sterile Pads 2 4 3 x 3 in 7.5 x 7.5 cm
Tourniquet 0 1 1 in 2.5 cm
Trauma Pads 2 4 5 x 9 in 12.7 x 22.9 cm
Triangular Bandage 0 2 40 x 40 x 56 in 101 x 101 x 142 cm

The kit containers are classified by portability, ability to be mounted, resistance to water, and corrosion and impact resistance. Four types are identified:

Type I: Intended for use in stationary, indoor applications where kit contents have minimal potential for damage due to environmental factors and rough handling. These kits are not intended to be portable and should have a means for mounting in a fixed position. Some applications for Type I first aid kits are general indoor use, office use or use in a manufacturing facility. First aid cabinets would generally fall into this type.

Type II: Intended for use in portable indoor applications where the potential for damage due to environmental factors and rough handling is minimal. These kits should be equipped with a carrying handle. Some applications for Type II first aid kits are general indoor use, or use in office or manufacturing environments.

Type III: Intended for portable use in mobile indoor and/or outdoor settings where the potential for damage due to environmental factors is not probable. Kits should have the means to be mounted and have a water-resistant seal. Typical applications include general indoor use and sheltered outdoor use.

Type IV: Intended for portable use in mobile industries and/or outdoor applications where the potential for damage due to environmental factors and rough handling is significant. Typical applications include the transportation industry, utility industry, construction industry and the armed forces.

Specific requirements for unitized first aid kits have been removed from the Z308.1-2015 standard to emphasize the importance of the contents rather than the configuration. Unitized kits contain first aid supplies in uniform-sized, color-coded boxes as follows:

  • Blue - Antiseptic
  • Yellow - Bandages
  • Red - Burn Treatment
  • Orange - Personal Protective Equipment
  • Green - Miscellaneous

When deciding the class and type of kit that may be most appropriate, employers should consider the risks that are present and the potential severity and likelihood of an incident. Based on the number of employees, physical layout of the facility and the remoteness to emergency services, employers should also consider whether multiple first aid kits are needed. These considerations also come into play when determining if a kit needs to be supplemented with additional supplies. The selection of these items should be based on the recommendation of a person competent in first aid who is aware of the hazards faced and the number of employees at the worksite.

Maintenance and Inspection

To ensure the completeness and usable condition of all supplies, first aid kits should be inspected and maintained on a regular basis. Some supplies may have expiration dates; any that are beyond that marked date should be replaced.

Marking and Labeling

All labels and markings must be legible and permanent. Each kit and/or location must be visibly marked. Each kit must also have a label with the following information presented, as applicable, in at least a six-point font:

ANSI Z308.1-2015, Class A, Type I, II, III or IV First Aid Kit

This kit meets ANSI/ISEA Z308.1-2015 standard as sold. It contains first aid products which meet performance specifications detailed in the standard at the below required minimum fill. It will continue to be compliant only when maintained with products that meet the standard at specified quantities.

Required Minimum Fill
16 Adhesive Bandages, 1 x 3 in 1 Eye Wash, 1 oz
1 Adhesive Tape, 2.5 yd 1 First Aid Guide
10 Antibiotic Treatment, 0.14 fl oz 6 Hand Sanitizer, 1/32 oz
10 Antiseptic, 0.14 fl oz 4 Medical Exam Gloves
1 Breathing Barrier 1 Roller Bandage, 2 in x 4 yd
1 Burn Dressing, 4 x 4 in 1 Scissors
10 Burn Treatment, 1/32 oz 2 Sterile Pads, 3 x 3 in
1 Cold Pack, 4 x 5 in 2 Trauma Pads, 5 x 9 in
2 Eye Coverings 1 Triangular Bandage, 40 x 40 x 56 in

The described kit may be suitable for some businesses. However, the adequacy of the contents for hazards of each work environment should always be evaluated by competent personnel. Kits should be inspected frequently to ensure the completeness and usability of all first aid supplies. Any supply beyond its marked expiration date should be discarded and replaced. For a variety of operations, employers may find that additional first aid supplies and kits are needed.

ANSI Z308.1-2015, Class B, Type I, II, III or IV First Aid Kit

This kit meets ANSI/ISEA Z308.1-2015 standard as sold. It contains first aid products which meet performance specifications detailed in the standard at the below required minimum fill. It will continue to be compliant only when maintained with products that meet the standard at specified quantities.

Required Minimum Fill
50 Adhesive Bandages, 1 x 3 in 10 Hand Sanitizer, 1/32 oz
2 Adhesive Tape, 2.5 yd 4 Medical Exam Gloves
25 Antibiotic Treatment, 0.14 fl oz 2 Roller Bandage, 2 in x 4 yd
50 Antiseptic, 0.14 fl oz 1 Roller Bandage, 4 in x 4 yd
1 Breathing Barrier 1 Scissors
2 Burn Dressing, 4 x 4 in 1 Splint
25 Burn Treatment, 1/32 oz 4 Sterile Pads, 3 x 3 in
2 Cold Pack, 4 x 5 in 1 Tourniquet, 1 in
2 Eye Coverings 4 Trauma Pads, 5 x 9 in
1 Eye Wash, 1 oz 2 Triangular Bandage, 40 x 40 x 56 in
1 First Aid Guide    

The described kit may be suitable for some businesses. However, the adequacy of the contents for hazards of each work environment should always be evaluated by competent personnel. Kits should be inspected frequently to ensure the completeness and usability of all first aid supplies. Any supply beyond its marked expiration date should be discarded and replaced. For a variety of operations, employers may find that additional first aid supplies and kits are needed.

Frequently Asked Questions

Q: Is a consulting physician required to approve first aid supplies on site?

A: No. According to 29 CFR 1910.151, first aid supplies do not need to be approved by a consulting physician. They should, however, be selected by a person competent in first aid and knowledgeable of the hazards found in the specific workplace.

Q: Is it required that first aid kits be regularly inspected to ensure that contents are complete and up to date?

A: Yes. First aid kits should be regularly inspected to ensure they are full, in good condition and that contents that have expiration dates have not expired. The contents list for the first aid kits should be periodically reviewed to ensure that it meets the needs of the workplace and hazards faced at all times.

Q: Can over-the-counter medicine be put in first aid kits?

A: Over-the-counter medicine can be put in first aid kits if packaged in single-dose, tamper-evident packaging and labeled as required by Food and Drug Administration (FDA) regulations. Over-the-counter drug products should not contain ingredients known to cause drowsiness.

Sources for More Information

OSHA Medical Services and First Aid regulation, 29 CFR 1910.151

International Safety Equipment Association
1901 North Moore Street, Ste. 808,
Arlington, VA 22209-1762
Phone: 703.525.1695
www.safetyequipment.org
www.ansi.org

(Rev. 7/2015)

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