1926.50(b): Plan for Prompt Medical Attention
Construction employers must make provisions for prompt medical attention in case of serious injury before the project begins.
Key takeaways
- 1926.50(b) is part of OSHA's construction standards (29 CFR Part 1926, Subpart D).
- OSHA cited it 25 times in the last 3 years, in 25 inspections, with $98,402 in current penalties.
- 3 deaths are linked to inspections that cited this rule.
- Most citations: FL (5), TX (5), PA (3).
- Free 5-minute toolbox talk for your crew below.
In this article
What this rule covers
29 CFR 1926.50(b) is one requirement inside 1926.50 Medical services and first aid, an OSHA construction standard (Part 1926, Subpart D). 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) Provisions shall be made prior to commencement of the project for prompt medical attention in case of serious injury. 25 citations
Source: eCFR, text current as of 2026-10-15. Read all of 1926.50.
Injuries linked to this rule
3 deaths are linked to inspections where OSHA cited 1926.50(b).
At 10:45 a.m. on December 20, 2024, Employee #2 was attempting to warm a frozen hose inside the cab of a Bobcat E35i compact excavator. Employee #1 was positioned on the opposite side of the equipment. For unknown reasons, Employee #2 disengaged the console lever…
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 | 1 |
| 2024 | 4 |
| 2025 | 14 |
| 2026 | 6 |
Top states: FL (5), TX (5), PA (3), AL (2), VA (2)
Largest penalties
| Employer | Location | Penalty for this rule |
|---|---|---|
| BOWMAN ENERGY SERVICES LLC | PEARSALL, TX | $11,916 |
| HILLPOINTE CONSTRUCTION LLC | DAVENPORT, FL | $10,592 |
| 159103 - S. J. LOUIS CONSTRUCTION, INC. | ROXBORO, NC | $9,930 |
| FLOVERA CONSTRUCTION SERVICES, LLC | SAN ANTONIO, TX | $9,500 |
| CFR OPERATING, LLC | SAN ANTONIO, TX | $8,937 |
Free toolbox talk
A 5-minute crew talk on 1926.50(b), plus alerts when this rule changes. Free.
OSHA interpretation letters
- Emergency medical services on construction sites (2005-03-02)
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 medical attention plans be made?
Prior to commencement of the project.
What must be planned for?
Prompt medical attention in case of serious injury.
Who is responsible?
The employer.
About this page
Sources
- 29 CFR 1926.50 (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.