Original Notice.

Preproposal statement of inquiry was filed as WSR 99-06-040, on February 26, 1999.

Title of Rule: Standards updates for first-aid (chapters 296-36, 296-59, 296-78, 296-155, and 296-301 WAC).

Purpose: The Department of Labor and Industries is proposing state-initiated amendments to first-aid requirements in industry-specific standards. These standards address the first-aid requirements unique to some industries across the state. On March 2, 1998, first-aid rules were adopted in chapter 296-24 WAC. Those rules provided employers with greater flexibility in meeting first-aid requirements as performance-based rather than specification-based rules. These proposed rules would ensure that first-aid requirements in industry-specific standards relating to first-aid are consistent with the previously adopted general industry requirements in chapter 296-24 WAC. The changes proposed would add references to chapter 296-24 WAC in the industry-specific standards, or ensure that the industry-specific requirements are consistent with the general requirements in chapter 296-24 WAC. No new requirements are proposed.

WAC 296-78-555 First-aid room, this section is proposed to be repealed and will not be replaced by a new section. First-aid rooms are no longer required in the general safety and health standards.

WAC 296-155-135 First-aid room, this section is proposed to be repealed and will not be replaced by a new section. First-aid rooms are no longer required in the General Safety and Health Standards.

•	Clarify language.
•	Add a reference to the first-aid requirements located in chapter 296-24 WAC, General safety and health standards, Part A-1.

Chapter 296-301 WAC, Safety standards for the textile industry: WAC 296-301-215 First aid, state-initiated proposed amendments are made to add a reference to the first-aid requirements located in chapter 296-24 WAC, General Safety and Health Standards, Part A-1.

Chapter 296-59 WAC, Safety standards for ski area facilities and operations: WAC 296-59-035 First-aid, state-initiated proposed amendments are made to add a reference to the first-aid requirements located in chapter 296-24 WAC, General safety and health standards, Part A-1.

Chapter 296-78 WAC, Safety standards for sawmills and woodworking operations: WAC 296-78-540 First-aid training and certification, state-initiated proposed amendments are made to add a reference to the first-aid requirements located in chapter 296-24 WAC, General safety and health standards, Part A-1.

WAC 296-78-545 First-aid supplies, state-initiated proposed amendments are made to remove outdated language relating to WAC 296-24-070 and to add a reference to the first-aid requirements located in chapter 296-24 WAC, General safety and health standards, Part A-1.

WAC 296-78-550 First-aid station, state-initiated proposed amendments are made to add a reference to the first-aid requirements located in chapter 296-24 WAC, General safety and health standards, Part A-1.

Chapter 296-155 WAC, Safety standards for construction work: WAC 296-155-120 First-Aid training and certification, state-initiated proposed amendments are made to:

•	Clarify language.
•	Add a reference to the first-aid requirements located in chapter 296-24 WAC, General safety and health standards, Part A-1.

WAC 296-155-125 First-aid supplies, state-initiated proposed amendments are made to:

•	Add a reference to the first-aid supply requirements located in chapter 296-24 WAC, General safety and health standards, Part A-1.
•	Clarify the requirement that vehicles used for transporting work crews must have first-aid supplies.
•	Clarify that, if practical, a poster with phone numbers of emergency medical responders will be maintained in each first-aid kit and at or near all phones.
•	Clarify that requirements of WAC 296-62-130 Emergency washing facilities, apply within the scope of chapter 296-155 WAC.
•	Clarify and renumber subsections.
•	Delete specific requirements for having wool blankets and a stretcher in addition to first-aid kits.

WAC 296-155-130 First-aid station, state-initiated proposed amendments are made to:

•	Add a reference to the first-aid station requirements located in chapter 296-24 WAC, General safety and health standards, Part A-1.
•	Delete specific requirements for having wool blankets and a stretcher in addition to first-aid kits.

Statutory Authority for Adoption: RCW 49.17.010, [49.17].040 and [49.17].050.

Statute Being Implemented: Chapter 49.17 RCW.

Summary: See Purpose above.

Reasons Supporting Proposal: See Purpose above.

Name of Agency Personnel Responsible for Drafting: Tracy Spencer, Tumwater, (360) 902-5530; Implementation and Enforcement: Michael A. Silverstein, Tumwater, (360) 902-5495.

Name of Proponent: Department of Labor and Industries, governmental.

Rule is not necessitated by federal law, federal or state court decision.

Explanation of Rule, its Purpose, and Anticipated Effects: See Purpose above.

Proposal Changes the Following Existing Rules: See Purpose above.

No small business economic impact statement has been prepared under chapter 19.85 RCW. The department has determined that the proposed rule will not place more than a minor economic impact on business.

RCW 34.05.328 does not apply to this rule adoption. Since the proposed rule only corrects typographical errors, makes address or name changes, or clarifies language of the rule without changing its effect, in accordance with RCW 34.05.328 (5)(b)(iii) and (iv), RCW 34.05.328 does not apply.

Hearing Location: Department of Labor and Industries Building, Auditorium, 7273 Linderson Way S.W., Tumwater, WA, on August 24, 1999, at 9:30 a.m.

Assistance for Persons with Disabilities: Contact Josh Swanson by August 17, 1999, at (360) 902-5484.

Submit Written Comments to: Tracy Spencer, Standards Manager, WISHA Services Division, P.O. Box 44620, Olympia, WA 98504-4620, by 5:00 p.m. on August 31, 1999. In addition to written comments, the department will accept comments submitted to fax (360) 902-5529. Comments submitted by fax must be ten pages or less.

Date of Intended Adoption: September 30, 1999.

July 15, 1999

Gary Moore

Director

OTS-3177.2

AMENDATORY SECTION(Amending Order 74-19, filed 5/6/74)

WAC 296-301-215
First aid.

The first-aid provisions of ((WAC 296-24-015 through 296-24-070,)) chapter 296-24 WAC, Part A-1 of the general safety and health standards, ((shall)) apply ((to the textile industry)) within the scope of chapter 296-301 WAC.

[Order 74-19, § 296-301-215, filed 5/6/74.]

OTS-3176.2

AMENDATORY SECTION(Amending Order 94-07, filed 7/20/94, effective 9/20/94)

WAC 296-155-120
First-aid training and certification.

This section is designed to assure that all employees in this state are afforded quick and effective first-aid attention in the event of an on the job injury.  To achieve this purpose the presence of personnel trained in first-aid procedures at or near those places where employees are working is required.  Compliance with the provisions of this section may require the presence of more than one first-aid trained person.

(1) The first-aid training requirements of the general safety and health standards, chapter 296-24 WAC, Part A-1 apply within the scope of chapter 296-155 WAC.

(2) Each employer ((shall)) must have available at all worksites, at all times, a person or persons holding a valid certificate of first-aid training ((from the department of labor and industries or other organization, association or agency that has been approved by the department)).

(((a) A valid first-aid certificate is one which is less than three years old.

(b))) (3) All crew leaders, supervisors or persons in direct charge of crews ((shall)) must have a valid first-aid certificate.

(((c))) (4) For the purposes of this section, a crew ((shall)) means a group of two or more employees working at any worksite.

Note:

In emergencies, crew leaders will be permitted to work up to thirty days without having the required certificate, providing an employee in the crew or another crew leaders in the immediate work area has the necessary certificate.

(((2) Valid certification shall be achieved by passing a course of first-aid instruction and participation in practical application of the following subject matter:

Bleeding control and bandaging.

Cardio-pulmonary resuscitation "C.P.R."

Poisons.

Shock, unconsciousness, stroke.

Burns, scalds.

Sunstroke, heat exhaustion.

Frostbite, freezing, hypothermia.

Strains, sprains, hernias.

Fractures, dislocation.

Proper transportation of the injured.

Bites, stings.))

[Statutory Authority: Chapter 49.17 RCW.  94-15-096 (Order 94-07), § 296-155-120, filed 7/20/94, effective 9/20/94.  Statutory Authority: RCW 49.17.040 and 49.17.050.  86-03-074 (Order 86-14), § 296-155-120, filed 1/21/86; Order 74-26, § 296-155-120, filed 5/7/74, effective 6/6/74.]

(1) ((All employers who employ men and women covered by the act shall furnish first-aid kits as required by the department of labor and industries, (RCW 51.36.030).

(2) First-aid supplies shall be readily accessible when required by this section.

(3) In the absence of readily accessible first-aid supplies such as first-aid kits, first-aid stations, first-aid rooms or their equivalent, all crew trucks, power shovels, cranes, locomotives, loaders, dozers, logging trucks, speeders, freight trucks and similar equipment shall be equipped with not less than a ten package weather-proof first-aid kit.

(4) All crew vehicles used for transporting workers shall be equipped with not less than a ten package weather-proof first-aid kit.  When more than five employees are being transported on any one trip, the kit shall be increased in size to comply with a

16-, 24-, or 36-package kit depending upon the number of personnel normally being transported.

(5) At least one weather-proof first-aid kit shall be available on construction jobs, line crews, and other transient or short duration jobs.

(6) The size and quantity of first-aid kits, required to be located at any site, shall be determined by the number of personnel normally dependent upon each kit as outlined in the following table:

((Number of Personnel Normally Assigned To Worksite				Minimum First Aid Supplies Required At Worksite
1 - 50 persons				First-aid kit
1	-	5		10 package kit
6	-	15		16 package kit
16	-	30		24 package kit
31	-	50		36 package kit
51 - 200				First-aid station
51	-	75		One 36 and one 10 package kit
76	-	100		One 36 and one 16 package kit
101	-	150		One 36 and one 24 package kit
151	-	200		Two 36 package kits
Over 200 persons				First-aid room
				Refer to WAC 296-24-070))

(7) Employers shall establish a procedure to ensure that first-aid kits and required contents are maintained in a serviceable condition.

(8) First-aid kits shall contain at least the following items, in a weatherproof container with individual sealed packages for each type of item:

10 package kit

1 Pkg. adhesive bandages, 1" (16 per pkg.)

1 Pkg. bandage compress, 4" (1 per pkg.)

1 Pkg. scissors* and tweezers (1 each per pkg.)

1 Pkg. triangular bandage, 40" (1 per pkg.)

1 Pkg. antiseptic soap or pads (3 per pkg.)

5 Pkgs. of consulting physician's choice**

16 package kit

1 Pkg. absorbent gauze, 24" x 72" (1 per pkg.)

1 Pkg. adhesive bandages, 1" (16 per pkg.)

2 Pkgs. bandage compresses, 4" (1 per pkg.)

1 Pkg. eye dressing (1 per pkg.)

1 Pkg. scissors* and tweezers (1 each per pkg.)

2 Pkgs. triangular bandages, 40" (1 per pkg.)

1 Pkg. antiseptic soap or pads (3 per pkg.)

7 Pkgs, of consulting physician's choice**

24 package kit

2 Pkgs. absorbent gauze, 24" x 72" (1 per pkg.)

2 Pkgs. adhesive bandages, 1" (16 per pkg.)

2 Pkgs. bandage compresses, 4" (1 per pkg.)

1 Pkg. eye dressing (1 per pkg.)

1 Pkg. scissors* and tweezers (1 each per pkg.)

6 Pkgs. triangular bandages, 40" (1 per pkg.)

1 Pkg. antiseptic soap or pads (3 per pkg.)

9 Pkgs. of consulting physician's choice**

36 package kit

4 Pkgs. absorbent gauze, 24" x 72" (1 per pkg.)

2 Pkgs. adhesive bandages, 1" (16 per pkg.)

5 Pkgs. bandage compresses, 4" (1 per pkg.)

2 Pkgs. eye dressing (1 per pkg.)

1 Pkg. scissors* and tweezers (1 each per pkg.)

8 Pkgs. triangular bandages, 40" (1 per pkg.)

1 Pkg. antiseptic soap or pads (3 per pkg.)

13 Pkgs. of consulting physicians choice**

*	Scissors shall be capable of cutting 2 layers of 15 oz. cotton cloth or its equivalent.
**	First-aid kits shall be maintained at the ten, sixteen, twenty-four or thirty-six package level.  In the event the consulting physician chooses not to recommend items, the department shall be contacted for recommended items to complete the kit.

(9) When practical, a poster shall be fastened and maintained either on or in the cover of each first-aid kit and at or near all phones plainly stating worksite address or location, the phone numbers of available doctors, hospitals, and ambulance services within the district of the worksite.

Note:

Preprinted Form No. FSPO 900-001-1 is available from all department offices. First-aid kit Form No. FSPI -005-000 is also available.

(10) Where the eyes or body of any person may be exposed to injurious chemicals and/or materials, suitable facilities for quick drenching or flushing of the eyes and body shall be provided, within the work area, for immediate emergency use.

(11) When required by the department, two wool blankets or two fire retardant blankets, capable of supporting 250 pounds each, and a stretcher shall be available in addition to first-aid kits.)) The first-aid kits and supplies requirements of the general safety and health standards, chapter 296-24 WAC, Part A-1 apply within the scope of chapter 296-155 WAC.

(2) All vehicles used to transport work crews must be equipped with first-aid supplies.

(3) When practical, a poster must be fastened and maintained either on or in the cover of each first-aid kit and at or near all phones plainly stating the worksite address or location, and the phone numbers of emergency medical responders for the worksite.

(4) Requirements of WAC 296-62-130, Emergency washing facilities, apply within the scope of chapter 296-155 WAC.

[Statutory Authority: Chapter 49.17 RCW.  94-15-096 (Order 94-07), § 296-155-125, filed 7/20/94, effective 9/20/94.  Statutory Authority: RCW 49.17.040 and 49.17.050.  86-03-074 (Order 86-14), § 296-155-125, filed 1/21/86; Order 74-26, § 296-155-125, filed 5/7/74, effective 6/6/74.]

(((1) First-aid stations shall be well marked and located as close as practical to the highest concentration of employees.

(2) One person holding a valid first-aid certificate shall be responsible for the proper use and maintenance of the first-aid station.

(3) First-aid stations shall be equipped with a minimum of two first-aid kits, the size of which shall be dependent upon the number of personnel normally employed at the worksite.  One first-aid kit may be a permanent wall-mounted kit, but in all cases the station shall be equipped with at least one portable first-aid kit.

(4) The first-aid station shall be equipped with two wool blankets, or two fire retardent blankets capable of supporting 250 pounds each, and a stretcher in addition to first-aid kits.

(5) A roster, denoting the telephone numbers and addresses of doctors, hospitals and ambulance services available to the worksite, shall be posted at each first-aid station.)) Employers with fifty or more employees per shift at one location must establish a first-aid station in accordance with the requirements in chapter 296-24 WAC, Part A-1.

[Statutory Authority: RCW 49.17.040 and 49.17.050.  86-03-074 (Order 86-14), § 296-155-130, filed 1/21/86; Order 74-26, § 296-155-130, filed 5/7/74, effective 6/6/74.]

     The following section of the Washington Administrative Code is repealed:

WAC 296-155-135

First-aid room.

OTS-3174.2

AMENDATORY SECTION(Amending Order 88-11, filed 7/6/88)

WAC 296-59-035
First-aid ((training and certification)).

((The "first-aid training and certification" requirements of the general safety and health standards, WAC 296-24-060, shall be applicable within the scope of chapter 296-59 WAC.)) The first-aid provisions of chapter 296-24 WAC, Part A-1 of the general safety and health standards apply within the scope of chapter 296-59 WAC.

[Statutory Authority: Chapter 49.17 RCW.  88-14-108 (Order 88-11), § 296-59-035, filed 7/6/88.]

     The following section of the Washington Administrative Code is repealed:

WAC 296-59-040

First-aid kits and supplies.

OTS-3175.2

AMENDATORY SECTION(Amending Order 81-21, filed 8/27/81)

WAC 296-78-540
First-aid training and certification.

((The purpose of this section is to assure that all employees of this state can be afforded quick, and effective first-aid attention in the event that an injury occurs on the job.  The means of achieving this purpose is to assure the presence of personnel trained in first-aid procedures at or near those places where employees are working.  Compliance with the provisions of this section may require the presence of more than one first-aid trained person.

(1) In addition to RCW 51.36.030, every employer shall comply with the department's requirements for first-aid training and certification.

(2) There shall be present or available at all times, a person or persons holding a valid certificate of first-aid training.  (A valid first-aid certificate is one which is less than three years old.)

(3) Compliance with the requirements of subsection (2) of this section may be achieved as follows:

(a) All foremen, supervisors, or persons in direct charge of crews working in physically dispersed operations, shall have a valid first-aid certificate: Provided, That if the duties or work of the foreman, supervisor or person in direct charge of a crew, is absent from the crew, another person holding a valid first-aid certificate shall be present.  For the purpose of this section, a crew shall mean a group of two or more employees working at a work site separate and remote from the main office or fixed work place (such as occurs in construction, logging, etc.).  In emergencies, foremen will be permitted to work up to thirty days without having the required certificate, providing an employee in the crew or another foreman in the immediate work area has the necessary certificate.

(b) In fixed establishments, all foremen, supervisors, or persons in direct charge if a group or groups of employees shall have a valid first-aid certificate: Provided, That in fixed establishments where the foreman, supervisor, or person in charge has duties which require his absence from the work site of the group, another person holding a valid first-aid certificate shall be present or available to the groups.  Foremen, supervisors or persons in direct charge of a group or groups of employees will be permitted to work up to thirty days without having the required certificate, providing an employee in the crew or another foreman in the immediate work area has the necessary certificate.

(c) In fixed establishments organized into distinct departments or equivalent organizational units such as department stores, large company offices, etc., a person or persons holding a valid first-aid certificate shall be present or available at all times employees are working within that department or organizational unit.

(d) In small businesses, offices or similar types of fixed workplaces, compliance may be achieved by having a number of such small businesses, offices, etc., combined into a single unit for the purpose of assuring the continued presence or availability of a person or persons holding a valid first-aid training certificate.  A plan for combining a number of small businesses, etc., into such a group shall be submitted to the division of industrial safety and health, safety education section, for approval.  That section is also available to assist employers who wish to develop such a plan.  Criteria for approval by the division shall include:

(i) The businesses within the group must not be widely dispersed;

(ii) The name(s) of the person or persons holding the first-aid certificate, their usual places of work, their work phone numbers, and other appropriate information shall be posted in each establishment which is a member of the group, in a place which can reasonably be expected to give notice to employees of that establishment;

(iii) First-aid kits shall be available and maintained as required by WAC 296-24-065.

(e) Valid certification shall be achieved by passing a course of first-aid instruction and participation in practical application of the following subject matter:

Bleeding control and bandaging.

Practical methods of artificial respiration including mouth to mouth to nose resuscitation.

Closed chest heart massage.

Poisons.

Shock, unconsciousness, stroke.

Burns, scalds.

Sunstroke, heat exhaustion.

Frostbite, freezing, hypothermia.

Strains, sprains, hernias.

Fractures, dislocations.

Proper transportation of the injured.

Bites, stings.

Subjects covering specific health hazards likely to be encountered by co-workers of first-aid students enrolled in the course.

(4) Industrial first-aid course instructors will, upon request, be furnished by the division of industrial safety and health, department of labor and industries, either directly or through a program with the community colleges or vocational education.

(5) Employers of employees working in fixed establishments, meeting the following criteria, are exempt from the requirements of this section: Provided

(a) They can submit written evidence to the department upon request, that the worksite of their employees is within a two minute time frame of response by an aid car, medic unit or established ambulance service with first-aid trained attendants.

(b) There is a back-up aid car, medic unit or established ambulance service within the two minute response time; or that a first-aid trained person with readily available transportation is on the site of the posted emergency phone number for immediate dispatch in the event the primary unit is not available.

(c) There are no traffic impediments, such as draw bridges, railroad tracks, etc., along the normal route of travel of the aid car, medic unit or established ambulance service that would delay arrival beyond the required two minute time frame.

(d) Emergency telephone numbers are posted on all first-aid kits and at all telephones on the worksite.

(e) The above services are available or exist at all times when more than one employee is on the worksite.

((Note:

A construction site that will be of more than six months duration, such as a large building, shall be considered a fixed establishment for the purposes of this section.  Doctor's offices and clinics are not to be considered as alternates due to the fact that very often doctor's schedules require them to be away from their offices.))

The employer must ensure that first-aid trained personnel are available to help employees who are injured or who become acutely ill on the job. The employer must meet this requirement by maintaining first-aid trained staff on the job site. The employer must ensure that:

(1) Each person in charge of employees has first-aid training; or another person with first-aid training is present or available to the employees. Such training must be successfully completed every two years as required in chapter 296-24 WAC, Part A-1;

(2) Documentation of first-aid training is kept as required in chapter 296-24 WAC, Part A-1;

(3) Emergency telephone numbers are adequately posted;

(4) First-aid training includes the core elements contained in chapter 296-24 WAC, Part A-1.

[Statutory Authority: RCW 49.17.040, 49.17.050 and 49.17.240.  81-18-029 (Order 81-21), § 296-78-540, filed 8/27/81.]

(((1) All employers who employ men and women covered by the Industrial Safety and Health Act shall furnish first-aid kits as required by the division of industrial safety and health, department of labor and industries, (RCW 51.36.030).

(2) First-aid supplies shall be readily accessible when required.

(3) In the absence of readily accessible first-aid supplies such as first-aid kits, first-aid stations, first-aid rooms or their equivalent, all crew trucks, power shovels, cranes, locomotives, loaders, dozers, logging trucks, speeders, freight trucks and similar equipment shall be equipped with not less than a ten package first-aid kit.

(4) All crew vehicles used for transporting workers shall be equipped with not less than a ten package first-aid kit.  When more than five employees are being transported on any one trip, the kit shall be increased in size to comply with a 16, 24, or 36 package kit depending upon the number of personnel normally being transported.

(5) At least one first-aid kit shall be available on construction jobs, line crews, and other transient or short duration jobs.  The size and quantity of first-aid kits, required to be located at any site, shall be determined by the number of personnel normally dependent upon each kit as outlined in the following table:

NUMBER OF PERSONNEL NORMALLY ASSIGNED TO WORKSITE			MINIMUM FIRST-AID SUPPLIES REQUIRED AT WORKSITE
((1 - 1 - 6 - 16 - 31 -	50 5 15 30 50	persons	First-Aid Kit 10 package kit 16 package kit 24 package kit 36 package kit
51 - 51 - 76 - 101 - 151 -	200 75 100 150 200	persons	First-Aid Station One 36 and one 10 package kit One 36 and one 16 package kit One 36 and one 24 package kit Two 36 package kits))
((Over 200 persons			First-Aid Room Refer to WAC 296-24-070))

(6) Employers shall establish a procedure to assure that first-aid kits and required contents are maintained in a serviceable condition.

(7) First-aid kits shall contain at least the following items:

((10 Package Kit))
1 Pkg. adhesive bandages, 1" (16 per pkg.)
1 Pkg. bandage compress, 4" (1 per pkg.)
1 Pkg. scissors* and tweezers (1 each per pkg.)
1 Pkg. triangular bandage, 40" (1 per pkg.)
1 Pkg. antiseptic soap or pads (3 per pkg.)
5 Pkgs. of consulting physician's choice**
16 Package Kit
1 Pkg. absorbent gauze, 24" x 72" (1 per pkg.)
1 Pkg. adhesive bandages, 1" (16 per pkg.)
2 Pkgs. bandage compresses, 4" (1 per pkg.)
1 Pkg. eye dressing (1 per pkg.)
1 Pkg. scissors* and tweezers (1 each per pkg.)
2 Pkgs. triangular bandages, 40" (1 per pkg.)
1 Pkg. antiseptic soap or pads (3 per pkg.)
7 Pkgs. of consulting physician's choice**
24 Package Kit
2 Pkgs. absorbent gauze, 24" x 72" (1 per pkg.)
2 Pkgs. adhesive bandages, 1" (16 per pkg.)
2 Pkgs. bandage compresses, 4" (1 per pkg.)
1 Pkg. eye dressing (1 per pkg.)
1 Pkg. scissors* and tweezers (1 each per pkg.)
6 Pkgs. triangular bandages (1 per pkg.)
1 Pkg. antiseptic soap or pads (3 per pkg.)
9 Pkgs. of consulting physician's choice**
36 Package Kit
4 Pkgs. absorbent gauze, 24" x 72" (1 per pkg.)
2 Pkgs. adhesive bandages, 1" (16 per pkg.)
5 Pkgs. bandage compresses, 4" (1 per pkg.)
2 Pkgs. eye dressing (1 per pkg.)
1 Pkg. scissors* and tweezers (1 each per pkg.)
8 Pkgs. triangular bandages, 40" (1 per pkg.)
1 Pkg. antiseptic soap or pads (3 per pkg.)
13 Pkgs. of consulting physician's choice**
*	Scissors shall be capable of cutting 2 layers of 15 oz. cotton cloth or its equivalent.
**	First-aid kits shall be maintained at the ten, sixteen, twenty-four or thirty-six package level. In the event the consulting physician chooses not to recommend items, the department of labor and industries shall be contacted for recommended items to complete the kit.

(8) Where the eyes or body of any person may be exposed to injurious chemicals and/or materials, suitable facilities for quick drenching or flushing of the eyes and body shall be provided, within the work area, for immediate emergency use.

(9) When practical, a poster shall be fastened and maintained either on or in the cover of each first-aid kit and at or near all phones plainly stating, the phone numbers of available doctors, hospitals, and ambulance services within the district of the worksite.

(10) When required by the department, in addition to the first-aid kit which must be kept on the equipment or at the place of work, there shall be available within the closest practicable distance from the operations (not to exceed one-half mile) the following items:

1 set of arm and leg splints.

2 all wool blankets or blankets equal in strength and fire resistant (properly protected and marked).

1 stretcher.))

The first-aid kits and supplies requirements of the general safety and health standards, chapter 296-24 WAC, Part A-1 apply within the scope of chapter 296-78 WAC.

[Statutory Authority: RCW 49.17.040, 49.17.050 and 49.17.240.  81-18-029 (Order 81-21), § 296-78-545, filed 8/27/81.]

(((1) First-aid stations shall be located as close as practicable to the highest concentration of personnel.

(2) First-aid stations shall be well marked and available to personnel during all working hours.

(3) One person holding a valid first-aid certificate shall be responsible for the proper use and maintenance of the first-aid station.

(4) First-aid stations shall be equipped with a minimum of two first-aid kits, the size of which shall be dependent upon the number of personnel normally employed at the worksite.  One first-aid kit may be a permanent wall-mounted kit, but in all cases the station shall be equipped with at least one portable first-aid kit.

(5) When required by the department, the station shall be equipped with two wool blankets and a stretcher in addition to first-aid kits.

(6) A roster, denoting the telephone numbers and addresses of doctors, hospitals and ambulance services available to the worksite, shall be posted at each first-aid station.)) Employers with fifty or more employees per shift at one location must establish a first-aid station in accordance with the requirements in chapter 296-24 WAC, Part A-1.

[Statutory Authority: RCW 49.17.040, 49.17.050 and 49.17.240.  81-18-029 (Order 81-21), § 296-78-550, filed 8/27/81.]

     The following section of the Washington Administrative Code is repealed:

WAC 296-78-555

First-aid room.

OTS-3170.1

AMENDATORY SECTION(Amending Order 90-10, filed 8/13/90, effective 9/24/90)

WAC 296-36-210
Medical supervision and medical and first-aid facilities--Medical supervision.

(1) Appointed physician.  Where workmen are employed in compressed air, their employer shall make arrangements for their medical supervision by one or more licensed physicians trained in the physical requirements and the medical aspects of compressed air work and the treatment of decompression illness.  The employer shall arrange for medical examination of all workmen employed in compressed air at a suitable place or places by the appointed physician in accordance with these regulations.  The appointed physician or physicians shall be immediately available in case of emergency or accident.  Each appointed physician shall be physically qualified to subject himself to a compressed air environment.

(2) Appointed physician's duties and responsibilities.

(a) General.  All matters on the job pertaining to the health of employees, treatment on the job of illness and injuries, special first-aid and nursing personnel or assistants, lock attendants, and medical and first-aid equipment shall be under the supervision of the appointed physician.

(b) He shall make all required physical examinations.

(c) He shall make and sign all required reports of such examinations using the forms provided by the department of labor and industries.

(d) He shall make at least one inspection on the job every day of all treatment records and the required decompression record and he shall inspect or inquire into conditions which may constitute a potential hazard to the health of any employee.

(3) Certified medical attendant.  There shall be on every job a certified medical attendant trained to the satisfaction of the appointed physician in administering first aid on compressed air jobs, and who shall be in attendance in the first-aid room while work in compressed air is going on and at such other times as the physician may direct.  The medical attendant shall be in personal charge of the administration of first aid and such other duties as physician may direct.  Under no circumstances shall female medical attendants be subjected to a compressed air environment.

(4) First-aid personnel.

(a) The superintendent and every foreman and at least one additional designated person on each shift below ground shall be trained to the satisfaction of the appointed physician in administering first aid.

(b) Where more than 10 but less than 50 men are employed per shift underground, there shall be at least 2 such additional designated trained persons on the job and available on call.

(c) Where more than 50 men are employed per shift underground, the designated trained personnel shall include all shift bosses and time keepers in addition to those required in subsection (b) above.

(d) All designated first-aid personnel ((shall)) must have in their possession current first-aid certificates ((acceptable to the department of labor and industries)) that meet certificate requirements stated in chapter 296-24 WAC, Part A-1.

(5) First-aid meetings.  All designated first-aid personnel shall meet at least once in each 3 months or oftener if directed by the physician for further first-aid instruction by the physician.

(6) First-aid room and equipment.  The employer ((shall)) must provide a first-aid room properly heated and maintained within 100 yards of the principal entrance to the underground work.  It ((shall)) must be equipped with a first-aid kit, medical supplies and equipment consisting of not less than the minimum requirements listed in chapter ((296-155 WAC, Part B-1)) 296-24 WAC, Part A-1.

(7) First-aid equipment underground.  All the equipment and supplies which the appointed physician may deem necessary for first-aid underground shall be provided and maintained readily available in a suitable cabinet or cabinets.  A list of the contents signed by the appointed physician shall be permanently attached to the inside of the cabinet door or cover.  The cabinet shall be plainly marked with a red cross and the words "first aid."

In caissons, one such cabinet shall be conveniently located in the working chamber.

In tunnels where a bulkhead is installed, one such cabinet shall be located on each side of the bulkhead near the entrance to the man lock.

In tunnels having no bulkhead, one such cabinet shall be located within 100 yards of the working face.

[Statutory Authority: Chapter 49.17 RCW.  90-17-051 (Order 90-10), § 296-36-210, filed 8/13/90, effective 9/24/90; Rules (Part XIX A), filed 12/28/62; § 23, filed 3/23/60.]

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