Subchapter 4. Construction Safety Orders
Article 3. General

§1512. Emergency Medical Services.

Workplace postings

(a) Provision of Services. Where more than one employer is involved in a single construction project on a given construction site, each employer is responsible to ensure the availability of emergency medical services for its employees. The employers on the project may agree to ensure employee access to emergency medical services for the combined work force present at the job site. Such an emergency medical service program shall be adequate to service the combined work force present, but only one emergency medical program need be established at such site.

(b) Appropriately Trained Person. Each employer shall ensure the availability of a suitable number of appropriately trained persons to render first aid. Where more than one employer is involved in a single construction project on a given construction site, the employers may form a pool of appropriately trained persons. However, such pool shall be large enough to service the combined work forces of such employers.

Exception: Engineering contractors or service providers on a job site not engaged in construction activity (e.g., operation of tools, equipment or machinery directly associated with construction) that are in compliance with the requirements of Section 3400(b) of the General Industry Safety Orders.

(c) First-Aid Kit.

(1) Every employer working on or furnishing personnel on a construction project, on line crews and on other short duration or transient jobs shall provide at least one first-aid kit in a weatherproof container. The contents of the first-aid kit shall be inspected regularly to ensure that the expended items are promptly replaced. The contents of the first-aid kit shall be arranged to be quickly found and remain sanitary. First-aid dressings shall be sterile in individually sealed packages for each item. The minimum first-aid supplies shall be determined by an employer-authorized, licensed physician or in accordance with the following Table:

	Type of Supply Required by Number of Employees
Supplies for First Aid
Dressings in adequate quantities consisting of:	1-5	6-15	16-200	over 200
1. Adhesive dressings	X	X	X	X
2. Adhesive tape rolls, 1-inch wide	X	X	X	X
3. Eye dressing packet	X	X	X	X
4. 1-inch gauze bandage roll or compress		X	X	X
5. 2-inch gauze bandage roll or compress	X	X	X	X
6. 4-inch gauze bandage roll or compress		X	X	X
7. Sterile gauze pads, 2-inch square	X	X	X	X
8. Sterile gauze pads, 4-inch square	X	X	X	X
9. Sterile surgical pads suitable for
pressure dressings			X	X
10. Triangular bandages	X	X	X	X
11. Safety pins	X	X	X	X
12. Tweezers and scissors	X	X	X	X
* Additional equipment in adequate
quantities consisting of:
13. Cotton-tipped applicators			X	X
14. Forceps			X	X
15. Emesis basin			X	X
16. Flashlight			X	X
17. Magnifying glass			X	X
18. Portable oxygen and its
breathing equipment				X
19. Tongue depressors				X
Appropriate record forms	X	X	X	X
Up-to-date ‘standard’ or ‘advanced’
first-aid textbook, manual or
equivalent	X	X	X	X

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*To be readily available but not necessarily within the first-aid kit.

(2) Other supplies and equipment, when provided, shall be in accordance with the documented recommendations of an employer-authorized, licensed physician upon consideration of the extent and type of emergency care to be given based upon the anticipated incidence and nature of injuries and illnesses and availability of transportation to medical care.

(3) Drugs, antiseptics, eye irrigation solutions, inhalants, medicines, or proprietary preparations shall not be included in first-aid kits unless specifically approved, in writing, by an employer-authorized, licensed physician.

(d) Informing Employees of Emergency Procedures. Each employer shall inform all of its employees of the procedure to follow in case of injury or illness.

(e) Provision for Obtaining Emergency Medical Services. Proper equipment for the prompt transportation of the injured or ill person to a physician or hospital where emergency care is provided, or an effective communication system for contacting hospitals or other emergency medical facilities, physicians, ambulance and fire services, shall be provided. The telephone numbers of the following emergency services in the area shall be posted near the job telephone, telephone switchboard, or otherwise made available to the employees where no job site telephone exists:

(1) A physician and at least one alternate if available.

(2) Hospitals.

(3) Ambulance services.

(4) Fire-protection services.

(f) Emergency Washing Facilities. Where the eyes or body of any person may be exposed to injurious or corrosive materials, suitable facilities for drenching the body or flushing the eyes with clean water shall be conspicuously and readily accessible.

(g) Emergency Call Systems. A two-way voice emergency communication system shall be installed, for buildings and structures five or more floors or 48 feet or more above or below ground level, to notify persons designated in the emergency medical services plan. The location and condition of the employee shall be able to be communicated over the system. The use of the construction passenger elevators for medical emergencies shall take precedence over all other use.

Exception: Where jobsite conditions prevent or impair the communication of the required information over the system, an alternative system acceptable to the Division shall be used.

(h) Basket Litter. At least one basket or equally appropriate litter equipped with straps and two blankets, or other similar warm covering, shall be provided for each building or structure five or more floors or 48 feet or more either above or below ground level.

(i) Written Plan. The employer shall have a written plan to provide emergency medical services. The plan shall specify the means of implementing all applicable requirements in this section. When employers form a combined emergency medical services program with appropriately trained persons, one written plan will be considered acceptable to comply with the intent of this subsection. N

Note:

The provisions of Section 1512 are not intended to exclude immediate treatment of minor injuries which do not require the services of a physician.

Note: Authority cited: Section 142.3, Labor Code. Reference: Section 142.3, Labor Code.

HISTORY

1. Repealer and new section filed 11-1-73; effective thirtieth day thereafter (Register 73, No. 44).

2. Repealer and new section filed 11-12-75; effective thirtieth day thereafter (Register 75, No. 46).

3. Amendment filed 5-3-78; effective thirtieth day thereafter (Register 78, No. 18).

4. Amendment of subsection (a)(1) NOTE filed 4-27-79; effective thirtieth day thereafter (Register 79, No. 17).

5. Amendment filed 9-27-85; effective thirtieth day thereafter (Register 85, No. 40).

6. Amendment of subsection (g) filed 11-30-92; operative 12-30-92 (Register 92, No. 49).

7. Amendment of subsection (b) filed 4-13-2000; operative 5-13-2000 (Register 2000, No. 15).

8. Change without regulatory effect amending subsection (d) filed 9-17-2008 pursuant to section 100, title 1, California Code of Regulations (Register 2008, No. 38).

9. New subsection (i) - Note 2. filed 10-27-2011; operative 10-27-2011. Submitted to OAL for printing only pursuant to Labor Code section 142.3 (Register 2011, No. 43).

10. Amendment of subsection (i) Note filed 9-5-2012; operative 10-5-2012 (Register 2012, No. 36).