This fact sheet describes the medical services and first aid requirements of subpart F - General Working Conditions in Shipyard Employment, as specified in 29 CFR 1915.87. These provisions are effective August 1, 2011.
Shipyard employment involves many workplace activities that are inherently dangerous, some of which take place on vessels operating at sea or outdoors during harsh weather conditions. Other shipyard employment activities take place at landside facilities and on vessel sections being constructed. The risk for severe or even fatal injuries is significant. Employers must ensure that emergency medical services and first aid for employees are readily accessible for response in a manner that mitigates the severity and increases survival from life-threatening injuries or illnesses.
Employers must ensure that first aid and medical services are available and located close enough to the injured/ill employee so that appropriate intervention can be provided. Factors to be considered when determining the number of first aid providers and type/amount of first aid supplies at each worksite include:
Employers may supplement trained first aid employees at each worksite, provided that (1) there is an on-site clinic or infirmary with first aid providers during each workshift; or (2) outside first aid providers (i.e., emergency medical services) can reach the worksite within 5 minutes from the report of injury or illness.
First aid service is the immediate and temporary care provided to a victim of sudden injury or illness until a trained medical professional is available to provide treatment. Examples of such immediate and temporary care include: the correct bandaging of a wound; the application of splints for fractures and dislocations; and treatment of bites and stings, burns, and heat exhaustion. In addition, first aid providers must be trained to render first aid, including cardiopulmonary resuscitation (CPR), and maintain current first aid and CPR certification. Certification must be up-to-date and issued by a reputable organization, such as the Red Cross, American Heart Association, or other equivalent organization.
Approximately 300,000 individuals die from cardiac arrest each year, with most of these events occurring outside hospitals. AEDs restore normal heart rhythm with electrical shock (defibrillation) and have been shown to significantly increase survival rates. Employers that provide AEDs at their worksites should store them so they can be used within three to five minutes. Employers should also train employees to use AEDs. AEDs should also be inspected, tested, and maintained in accordance with the manufacturer's specification.
This is one in a series of informational fact sheets highlighting OSHA programs, policies or standards. It does not impose any new compliance requirements. For a comprehensive list of compliance requirements of OSHA standards or regulation, refer to Title 29 of the Code of Federal Regulations. This information will be made available to sensory-impaired individuals upon request. The voice phone is (202) 693-1999; teletypewriter (TTY) number: (877) 889-5627.
For more complete information:
Occupational Safety and Health Administration
U.S. Department of Labor www.osha.gov (800) 321-OSHA
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