1926.50(d): First Aid Kit Supplies and Checks
Employers must keep first aid supplies easily accessible when needed. Kit contents must be in a weatherproof container with individual sealed packages for each type of item, and the employer must check the kit before it is sent to each job and at least weekly on each job to replace used items.
Key takeaways
- 1926.50(d) is part of OSHA's construction standards (29 CFR Part 1926, Subpart D).
- OSHA cited it 57 times in the last 3 years, in 57 inspections, with $71,331 in current penalties.
- 3 deaths are linked to inspections that cited this rule.
- Most citations: VA (31), DE (9), OR (9).
- Related part: 1926.50(d)(1) (55 citations).
- Free 5-minute toolbox talk for your crew below.
In this article
What this rule covers
29 CFR 1926.50(d) is one requirement inside 1926.50 Medical services and first aid, an OSHA construction standard (Part 1926, Subpart D). It includes 2 sub-paragraphs. 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
(d) 57 citations
(1) First aid supplies shall be easily accessible when required. Open (d)(1) 55 citations
(2) The contents of the first aid kit shall be placed in a weatherproof container with individual sealed packages for each type of item, and shall be checked by the employer before being sent out on each job and at least weekly on each job to ensure that the expended items are replaced. 2 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(d).
At 11:00 a.m. on October 26, 2024, an employee was working with his supervisor on a baker's scaffolding to attach a piece of drywall to a garage ceiling approximately 12 feet high. The employee fell from the scaffolding and sustaineda shattered skull from the fall…
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 | 4 |
| 2024 | 16 |
| 2025 | 23 |
| 2026 | 14 |
Top states: VA (31), DE (9), OR (9), HI (4), WV (1)
Largest penalties
| Employer | Location | Penalty for this rule |
|---|---|---|
| ROAD CONTRACTOR CORP | MIDDLETOWN, DE | $15,211 |
| ROAD CONTRACTOR CORP. | DOVER, DE | $15,211 |
| ROAD CONTRACTOR CORP | MIDDLETOWN, DE | $10,140 |
| CORRALES CONTRACTORS, LLC | DOVER, DE | $8,297 |
| ABG AND BROTHER CONTRACTOR LLC | NEWARK, DE | $5,531 |
Free toolbox talk
A 5-minute crew talk on 1926.50(d), plus alerts when this rule changes. Free.
OSHA interpretation letters
- First aid for bleeding control (2019-06-19)
- Emergency medical services on construction sites (2005-03-02)
Related parts of this rule
- 1926.50(d)(1) 55 citations
Get your crew competent
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Frequently asked questions
How often must a construction first aid kit be checked?
Before being sent out on each job and at least weekly on each job.
What kind of container is required?
A weatherproof container with individual sealed packages for each type of item.
Where should first aid supplies be?
Easily accessible when required.
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.