OSHA requirements are set by statute, standards and regulations. Our interpretation letters explain these requirements and how they apply to particular circumstances, but they cannot create additional employer obligations. This letter constitutes OSHA's interpretation of the requirements discussed. Note that our enforcement guidance may be affected by changes to OSHA rules. Also, from time to time we update our guidance in response to new information. To keep apprised of such developments, you can consult OSHA's website at https://www.osha.gov.


March 4, 1991

Mr. Manfred F. Rotmann
Research and Regulations Branch
Ontario Ministry of Labour
400 University Avenue
Toronto, Ontario M6A 1T7

Dear Mr. Rotmann:

Thank you for your inquiry of January 24, addressed to Rolland Stroup, Chief of the Division of Safety Abatement Assistance, requesting a copy of Occupational Safety and Health Administration (OSHA) Instruction CPL 2-2.53, Guidelines for First Aid Training Programs, and any further suggestions we may have on the subject.

The enclosed Guidelines for First Aid Training Programs can be used by OSHA compliance officers to evaluate the provided first aid training in the context of workplace inspections. Through these same guidelines a competent professional is able to develop adequate first aid training and tailor it to the specific needs of the workplace.

Each of the major sections of the OSHA regulations, including general industry, construction and maritime standards, contains first aid requirements. However, all three sections are supported by OSHA Instruction CPL 2-2.53, Guidelines for First Aid Training Programs. The guidelines are based on job functions and types of injuries and/or illnesses anticipated.

Some of our States have occupational safety and health State plans which set first aid training requirements. Each State plan is required to adopt the OSHA regulations or promulgate their own. Their regulations have to be at least as effective as OSHA regulations. If you would like additional information about some of the individual OSHA-approved State plans, please contact:


[Directorate of Cooperative and State Programs
Occupational Safety and Health Administration
Directorate of Cooperative and State Programs – Room N3700
200 Constitution Avenue, N.W.
Washington, D.C. 20210
(202) 693-2200]



Thank you for your interest in occupational safety and health. If we may be of further assistance, please contact us.


Patricia K. Clark, Director
Directorate of Compliance Programs

[Corrected 4/6/2009]