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?