Planning for the Unexpected
Michael J. Rivera
Area Director
OSHA Corpus Christi, TX
First Aid
First Aid
Emergency care provided for injury or sudden illness before emergency medical
treatment is available
First-Aid Provider
Someone who is trained in the delivery of initial medical emergency procedures
using a limited amount of equipment
perform a primary assessment and intervention while awaiting arrival of
emergency medical service (EMS) personnel
First Aid Program
Identify and assess hazards/risks
Minimize the outcomes of accidents
Sfficient, readily accessible supplies and equipment
Assign and train providers
Train all workers
Evaluation and appropriate modification
Risks
On October 7, 2010, in Webb County, TX an employee was working alone making repairs
to a pump at a field separator station. While
putting tools away in his truck, a flash fire
occurred. The employee received severe
burns to his face, shoulders and arms.
The employee traveled nearly a mile to the main road and contacted some nearby
county workers who called EMS.
Risks
On January 8, 2011, an employee in McMullen County, TX working near a
drilling rig was struck by a piece of
equipment which had fallen from the rig
floor.
Emergency response from the nearest town took almost an hour.
REQUIREMENTS
Purpose
Assure that adequate first aid is available in the critical minutes between the
occurrence of an injury and the availability
of physician or hospital care for the injured
employee
OSHA Requirements
Medical and First-Aid Services:
1910.151(b)
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.
Near Proximity
Emergency care must be available within no more than 3-4 minutes from the
workplace
Where serious accidents, such as those involving falls, suffocation, electrocution,
or amputation, stopped breathing, cardiac
arrest, or uncontrolled bleeding are
possible
OSHA Requirements
Providing for the availability of a trained first aid provider at the worksite
Ensuring that emergency treatment services are within reasonable proximity to the worksite The employer must take appropriate steps prior
to any accident (such as making arrangements with the service provider) to ascertain that emergency medical assistance will be promptly available when an injury occurs.
First-Aid Supplies
Adequate
Reflect the kinds of injuries that may occur
Stored so they are readily available
Should designate specific person(s) responsible for:
choosing types
maintaining supplies
ANSI/ISEA Z308.1
First-Aid Training
Available from
American Heart Association
Red Cross
National Safety Council
Private Organizations
First-Aid Program Issues
Prevention
Interacting with EMS
List of emergency telephone numbers
Universal Precautions
Other Standards
API RP 74 Production Section 4 Safety Program should include:
Emergency Response
Fire Prevention and Protection
First Aid
API RP 54- Drilling & Servicing (Section 4.3) An individual trained in first aid and CPR
techniques shall be available at the worksite to render aid
Appropriate first aid kits
OTHER CONSIDERATIONS
Bloodborne Pathogens
Occupational Exposure
Designated First-aid Responder
Bloodborne Pathogens
Engineering Controls
Protective Equipment
Regulated waste
Exposure Control Plan
HBV Vaccination
Required before exposure unless:
Primary job assignment is not rendering first aid
First aid rendered only as a collateral duty
Does not apply to those who render assistance on a regular basis; e.g., first aid station
HBV Vaccination
Exposure Control plan must specifically address HBV vaccination offered to all
unvaccinated responders who render
assistance
Reporting procedures
Training on specifics of reporting procedure
Report listing all incidents involving unvaccinated responders
Full HBV vaccination series no later than 24 hours to all unvaccinated responders who render
assistance involving blood or covered body fluids
Emergency Plan
Fire Prevention
Identification
Storage of Flammables
Sources of Ignition
Controls
Hazard Analysis
Fire Prevention
Fire Fighting Equipment
Placement of Equipment
Operating Condition
Employees Trained
Action Plan
Conditions for Evacuation
Chain of Command
Shut Down of Equipment
Accounting for Employees
Appropriate Respirators
OSHA Issues
Who is responsible for all this?
Producer
Driller
Other Subcontractors
Who gets cited?
Controlling Contractor
Exposing Contractor
Questions?
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