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    BRIEFS BRIEFS

    MINNESOTA RURAL ELECTRIC ASSOCIATION INNESOTA URAL LECTRIC SSOCIATIONMREA

    LOSS CONTROL SERVICES OSS ONTROL ERVICESLCS

     BULLETINS REGARDING INFORMATION AND EDUCATION FOR SAFETY

    Occupational Health & Safety

    Workplace First Aid Kits

    Introduction

    First aid kits are necessary to provide first aid providers with supplies for the initial and immediate basic treatment of injuries. The Industrial First Aid Group of the International Safety Equipment Association has developed, updated and expanded ANSI Z308.1-1998 to provide guidance for minimum performance levels of first aid kits for all types of uses and situations in the work environment. The updated standard, and basis for this BRIEFS is ANSI Z308.1-2003.

    This standard establishes minimum performance requirements for first aid kits and their contents that are intended for use in various work environments. Because each work environment is unique, it is expected that the required products will be supplemented with additional products and quantities based upon the consultation and recommendation of a person competent in first aid and cognizant of the hazards found in the particular work environment.

    Classification of First Aid Kits

    All first aid kits shall incorporate a means to contain and protect kit contents while permitting easy accessibility. First aid kits shall be classified as Type I, Type II or Type III as follows:

    Type I Type I first aid kits are intended for use in stationary, indoor settings where the potential for damage of kit contents due to environmental factors and rough handling is minimal. Type I first aid kits are required to have a means for mounting in a fixed position and are generally not intended to be portable. Typical applications may include, but are not limited to, general indoor use, an office setting or a manufacturing facility. First aid cabinets would generally fall into the Type I classification.

    Type II Type II first aid kits are intended for use in portable, indoor settings where the potential for damage of kit contents due to environmental factors and rough handling is minimal. Type II containers shall have a carrying handle. Typical applications are similar to Type I, but this type should be portable. Type III Type III first aid kits are intended for portable use in the mobile industries and/or outdoor settings where the potential for damage to kit contents due to environmental factors and rough handling is significant. Type III containers shall have a carrying handle and shall provide a means to be mounted in a fixed position. Typical applications for Type III first aid kits may include, but are not limited to, the utility industry, the transportation industry, the construction industry, and the armed forces. Due to the intent for use in mobile environments the Type III containers must meet certain performance requirements including corrosion and moisture resistance and impact resistance. First aid kit selected for these applications should indicate that the kits meet the Type III performance criteria by the manufacturer.

    First Aid Kit Contents

    The ANSI standard outlines first aid content in two categories: required contents and recommended contents. Required Contents: All first aid kits shall contain the first aid items indicated in Table 1. The quantity, dimensions or volume listed for each item is the minimum for compliance with the ANSI standard. Additional quantities are to be added as needed to meet requirements of a particular work environment.

    In addition to content requirements, the ANSI standard outlines specific performance criteria for the contents. Content items purchased in labeled packages should comply with the performance criteria. However, if employees are assembling contents from bulk supplies or other sources, ANSI Z308.1-2003 Section 5.1.1 should be referenced for performance criteria compliance purposes.

    The information and suggestions contained in BRIEFS have been developed from outside sources. MREA makes no warranties and accepts no responsibility about the correctness of BRIEFS topics, any responses to inquiries relating to BRIEFS, BRIEFS’ application to compliance with specific regulations, laws or other standards, or that the use of the information contained in BRIEFS will provide for the health or safety of the workplace.

    Copyright 2005. Minnesota Rural Electric Association. All rights reserved.

    MINNESOTA RURAL ELECTRIC ASSOCIATION INNESOTA URAL LECTRIC SSOCIATIONMREA

    LOSS CONTROL SERVICES OSS ONTROL ERVICESLCS

    Table 1 Required Contents

    Minimum Item and Minimum Size or Volume Quantity

    Absorbent Compress, 32 sq. in. (206 sq. cm), with no side smaller than 4 in. (10 cm) 1

    Adhesive Bandages, 1 x 3 in. (2.5 x 7.5 cm) 16

    Adhesive Tape, 3/8 in. x 5 yd. (457.2 cm) total 1

    Antiseptic Swab, 0.14 fl. Oz. (o.5g) 10

    Burn Treatment, 1/32 oz. (0.9 g) 6

    Medical Exam Gloves 2 pair

    Sterile pad, 3 x 3 in. (7.5 x 7.5 cm) 4

    Triangular Bandage, 40 x 40 x 56 in. (101 x 101 x 142 cm) 1

    Recommended Contents: In addition to the required contents in Table 1, optional products and sizes should be included, depending on specific hazards, to augment a kit based upon the specific hazards existing in a particular work environment. Performance requirements for these items are also listed in the ANSI standards. Recommended optional contents to be used to augment a kit based on specific hazards are listed in Table 2, as well as the quantity, dimensions or volume listed for each item for minimum compliance with the ANSI standard.

    Table 2 Recommended Contents

    Minimum Item and Minimum Size or Volume Quantity

    Analgesic (Oral) Single Dose 1

    Antibiotic Treatment, 1/32 oz. (0.9 g) 6

    Antiseptic Wipe, 1 x 1 in. (2.5 x 2.5 cm) 10

    Antiseptic Towelette, 24 sq. in. (157 sq. cm.) 10

    Bandage Compress 2 in., 2 x 36 in. (5 x 91 cm) 4

    Bandage Compress 3 in., 3 x 60 in. (7.5 x 152 cm) 2

    Bandage Compress 4 in., 4 x 72 in. (10 x 183 cm) 1

    Burn Dressing, 4 x 4 (10 x 10 cm) 1

    CPR Barrier 1

    Cold Pack, 4 x 5 in. (10 x 12.5 cm) 1

    Eye Covering 2.9 sq. in. (19 sq. cm) per eye, thickness ? in. (0.64 cm) 2

    Eye Wash, 1 fl. oz. (30 ml) 1

    Roller Bandage 4 in., 4 in. x 6 yd (10 x 550 cm) 1

    Roller Bandage 2 in., 2 in. x 6 yd (5 x 550 cm) 2

    Unit First Aid Kit

    Unit First Aid Kit is defined as a system of packaging first aid materials in uniform sized packages containing one or more applications of first aid products. First aid kits should be selected based on the number of applications the organization anticipates. For example an office with 25 to 50 employees may select a kit with a unit size designation of 10. Unit kits are typically available in designated unit sizes of 10, 16, 24 or 36. NOTE: It is not the intent or requirement to provide unit size kits that correspond with the number of employees. Select a unit kit designation size adequate to provide supplies for the number of injuries that might be anticipated in a worse case scenario.

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    MINNESOTA RURAL ELECTRIC ASSOCIATION INNESOTA URAL LECTRIC SSOCIATIONMREA

    LOSS CONTROL SERVICES OSS ONTROL ERVICESLCS

    Marking and Labeling

    First Aid Contents - All first aid contents meeting the ANSI criteria shall be marked with at least the standard designation as follows: “ANSI Z308.1-2003”. First aid kits augmented with the recommended contents may be

    marked “ANSI Z308.1-2003 R”.

    First Aid Kits Each kit and/or location shall be visibly marked as a place where first aid supplies are located. Each complete first aid kit shall contain the information shown in Figure 1, written in at least 6 point font.

    Figure 1 Sample Label for First Aid Kit

    ANSI Z308.1-2003 Type I, II or III

    “Important: This kit meets ANSI Z308.1-2003 only when the minimum required fill

    is maintained, with first aid products marked “ANSI Z308.1-2003”

    Required Minimum Fill

    1 Absorbent Compress, 4 x 8 in. minimum (206 sq. cm)

    16 Adhesive Bandages, 1 x 3 in. (2.5 x 7.5 cm)

    5 yd. Adhesive Tape total (457 cm)

    10 Antiseptic applications, 0.14 fl oz. each (0.5 g)

    6 Burn Treatment applications, 1/32 oz. each (0.9g)

    4 Sterile Pads, 3 x 3 in. minimum (7.5 x 7.5 cm)

    2 pair Medical Exam Gloves

    1 Triangular Bandage, 40 x 40 x 56 in. minimum (101 x 101 x 142 cm)

    Unit Packaging

    All unit packages shall be labeled with at least the following information:

    1) The name of the item shall appear at least on the top panel and one end panel,

    2) The quantity contained,

    3) Instructions and/or illustrations for proper use of contents,

    4) Name of manufacturer, packer, and/or distributor, and place of business,

    5) All unit packages shall be labeled in accordance with the requirements of the Food, Drug & Cosmetic

    Act, and all other applicable state and federal regulations.

    Unit packages shall include the following color code on at least one top panel and one end panel:

    ; Blue Antiseptics

    ; Yellow Bandages

    ; Red Burn Treatment

    ; Orange Personal Protective Equipment (PPE)

    ; Green Miscellaneous

    Recommendations and Precautions Concerning First Aid Kit Use and Maintenance

    1. Items other than the required minimum fill contents and those recommended by a person competent in first

    aid and cognizant of the hazards in the workplace environment should not be stored in the kit. To ensure

    immediate access to first aid supplies, it is recommended that first aid kits not be locked. 2. It is recommended that the OSHA regulation 29 CFR 1910.1030 for Bloodborne Pathogens be complied

    with when rendering first aid.

    3. In addition to a first aid kit, each work location should have at least one individual available who is trained in

    first aid and CPR.

    4. Tourniquets should not be included in general first aid kits. It is acknowledged that a tourniquet performs a

    role of last resort n the event of life-threatening injuries and should be administered only by a trained person.

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    MINNESOTA RURAL ELECTRIC ASSOCIATION INNESOTA URAL LECTRIC SSOCIATIONMREA

    LOSS CONTROL SERVICES OSS ONTROL ERVICESLCS

    Selection Recommendations

    For the electric utilities there are typically 2 or 3 distinct applications requiring all three types of first aid kits. A primary Type I kit with a unit size designation of at least 10 should be available in a fixed location to serve as the office locations, and as a re-supply resource for the smaller portable Type II and Type III kits. A Type II portable kit should be available in the office or outpost locations. Type III portable kits should be in all vehicles. The Type II and Type III first aid kits would not require unit size designations as these kits are typically used for single applications.

    Due to the hazardous nature and potential injury exposure of the operations associated with the electric utilities the Minnesota Rural Electric Association suggests that all Required and Recommended contents from Table 1 and 2 be included in the first aid kits.

    Some organizations may elect to assemble first aid kits rather than purchase commercial units. In these cases it is recommended that the company obtain a copy of ANSI Z308.1-2003 for use as a guide in the first aid kit assembly if they wish to consider the kits as ANSI compliant. In addition to the content requirements, labeling and marking requirements, and other issues discussed in this BRIEFS, the standard also outlines requirements for container dimensions and construction. It is recommended that first aid kits be obtained from commercial sources to assure compliance.

    MREA Loss Control Services personnel are available to assist with first aid kit selection criteria and ANSI standard interpretation and application.

    References

    1. ANSI Z308.1-2003: Minimum Requirements for Workplace First Aid Kits. American National Standards

    Institute, Inc.

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