1910.151(b): First Aid Trained Person and Supplies
When there is no infirmary, clinic or hospital in near proximity to the workplace used to treat all injured employees, a person or persons must be adequately trained to give first aid. Adequate first aid supplies must be readily available.
Key takeaways
- 1910.151(b) is part of OSHA's general industry standards (29 CFR Part 1910, Subpart K).
- OSHA cited it 362 times in the last 3 years, in 362 inspections, with $1,084,650 in current penalties.
- 21 deaths are linked to inspections that cited this rule.
- Most citations: TN (100), VA (66), TX (34).
- Free 5-minute toolbox talk for your crew below.
In this article
What this rule covers
29 CFR 1910.151(b) is one requirement inside 1910.151 Medical services and first aid, an OSHA general industry standard (Part 1910, Subpart K). The official text below is copied word for word from the Electronic Code of Federal Regulations (eCFR). The numbers, injury cases and training on this page show how OSHA enforces it on real job sites.
Official text
(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. 362 citations
Source: eCFR, text current as of 2026-10-15. Read all of 1910.151.
Injuries linked to this rule
21 deaths are linked to inspections where OSHA cited 1910.151(b).
At approximately 3:56 p.m. on February 26, 2025, employees were in the process of removing a Blowout Preventer (BOP) from a wellhead using a forklift and rigging. After completing the rigging process, Employee #1 was assisting with the lift when the chain securing the BOP…
Full case list with employer, penalty, filters and download is part of OSHA Data (Purple Belt).
Unlock with Purple BeltWhere and how often it was cited
| Year | Citations |
|---|---|
| 2023 | 26 |
| 2024 | 132 |
| 2025 | 116 |
| 2026 | 88 |
Top states: TN (100), VA (66), TX (34), AK (25), KY (19)
Largest penalties
| Employer | Location | Penalty for this rule |
|---|---|---|
| UNITED PARCEL SERVICE | KILLEEN, TX | $165,514 |
| UNITED PARCEL SERVICE, INC. | MCKINNEY, TX | $165,514 |
| UNITED PARCEL SERVICE INC | MCKINNEY, TX | $62,105 |
| HASSELL CONSTRUCTION GROUP, LLC | BEASLEY, TX | $16,550 |
| SV LABS PRESCOTT CORPORATION | PRESCOTT, WI | $16,550 |
Free toolbox talk
A 5-minute crew talk on 1910.151(b), plus alerts when this rule changes. Free.
OSHA interpretation letters
- Frequency of refresher training for first aid and CPR (2023-02-23)
- First aid for bleeding control (2019-06-19)
- Clarification of "in near proximity" and OSHA's discretion in enforcing first aid requirements in particular cases. (2007-03-23)
- Clarification on providing first aid training and maintenance of medical records under OSHA's BBP standard. (2007-02-05)
- OSHA's requirement to provide first aid supplies specific to the needs of the workplace. (2007-02-02)
- Locked first aid cabinets in the workplace. (2007-01-23)
- OSHA requirements for providing training for first aid, CPR, and BBP for prompt treatment of injured employees at various workplaces. (2007-01-16)
- CPR training is a required element in some OSHA general industry standards. (2005-11-01)
- Automated External Defibrillator training is not specifically required by the Permit-Required Confined Space standard; AEDs are not required first aid supplies. (2004-06-17)
- Training and designation of first aid providers in general industry and construction. (2004-05-25)
- Clarification of 1910.151 (Medical Services and First Aid). (2002-04-18)
- OSHA guidelines for First Aid training recommend CPR training as an element. (1999-04-15)
- CPR/first aid training and "working alone" provisions of 1910.269 (1999-02-22)
- OSHA Instruction CPL 2-2.53, Guidelines for First Aid Training Programs. (1997-08-21)
- Interpretation of the First Aid standard. (1996-12-11)
- OSHA first aid standard. (1996-03-18)
- Interpretation of the term "in near proximity". (1994-02-09)
- Definitions for "near proximity" and "serious injury". (1993-09-02)
- Clarification on first aid requirements for hazardous waste sites. (1993-04-20)
- The Medic First Aid program. (1990-12-19)
- First Aid supplies required by businesses (1990-08-31)
- Review of Medic First Aid Program (1984-12-17)
- American Red Cross Standard First Aid Modular System (1984-12-17)
- First Aid Training. (1976-01-27)
- Clarification of first aid training for pharmacists. (1975-12-24)
Get your crew competent
Trainers on Black Belt Safety: Marc Harvey, Dana Reyes
Trainers and suppliers: feature your business on this rule for $25/month.
Frequently asked questions
When must someone be trained in first aid?
In the absence of an infirmary, clinic or hospital in near proximity to the workplace used for treating all injured employees.
How many people must be trained?
A person or persons must be adequately trained to render first aid.
What about first aid supplies?
Adequate first aid supplies shall be readily available.
About this page
Sources
- 29 CFR 1910.151 (eCFR), text current as of 2026-10-15
- U.S. Department of Labor enforcement data: OSHA inspections, citations and accident records, copied nightly; data as of 2026-10-20
3-year window. Federal OSHA only; state-plan rules are not counted. Plain-language text is a summary, not legal advice; the official text controls. Black Belt Safety is not part of OSHA or the Department of Labor.