29 CFR 1910 · General Industry · Subpart R

1910.269(b): Medical services and first aid

By Black Belt Safety Editorial Team Official text as of October 15, 2026 Data updated November 6, 2026 3 min read

Key takeaways

  • 1910.269(b) is part of OSHA's general industry standards (29 CFR Part 1910, Subpart R).
  • OSHA cited it 6 times in the last 3 years, in 6 inspections, with $27,487 in current penalties.
  • Related part: 1910.269(b)(1) First-aid training (3 citations).
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6citations, 3 years
$27,487current penalties
6inspections
0linked injury cases
In this article
  1. What this rule covers
  2. Official text
  3. Where and how often it was cited
  4. Free toolbox talk
  5. OSHA interpretation letters
  6. Related parts of this rule
  7. Get your crew competent
  8. About this page

What this rule covers

29 CFR 1910.269(b) ("Medical services and first aid") is one requirement inside 1910.269 Electric power generation, transmission, and distribution, an OSHA general industry standard (Part 1910, Subpart R). It includes 5 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

(b) Medical services and first aid. The employer shall provide medical services and first aid as required in § 1910.151. In addition to the requirements of § 1910.151, the following requirements also apply: 6 citations

(1) First-aid training. When employees are performing work on, or associated with, exposed lines or equipment energized at 50 volts or more, persons with first-aid training shall be available as follows: Open (b)(1) 3 citations

(i) For field work involving two or more employees at a work location, at least two trained persons shall be available. However, for line-clearance tree trimming performed by line-clearance tree trimmers who are not qualified employees, only one trained person need be available if all new employees are trained in first aid within 3 months of their hiring dates. Open (b)(1)(i) 1 citations

(ii) For fixed work locations such as substations, the number of trained persons available shall be sufficient to ensure that each employee exposed to electric shock can be reached within 4 minutes by a trained person. However, where the existing number of employees is insufficient to meet this requirement (at a remote substation, for example), each employee at the work location shall be a trained employee. Open (b)(1)(ii) 1 citations

(2) First-aid supplies. First-aid supplies required by § 1910.151(b) shall be placed in weatherproof containers if the supplies could be exposed to the weather.

(3) First-aid kits. The employer shall maintain each first-aid kit, shall ensure that it is readily available for use, and shall inspect it frequently enough to ensure that expended items are replaced. The employer also shall inspect each first aid kit at least once per year. 1 citations

Source: eCFR, text current as of 2026-10-15. Read all of 1910.269.

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Where and how often it was cited

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OSHA interpretation letters

None exist. OSHA has not published a letter of interpretation for 1910.269(b).

Related parts of this rule

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About this page

Sources

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.

Written and reviewed by

Black Belt Safety Editorial Team

Site Safety Officer and Safety Professional

OSHA 30 · CPR · USACE CQM

Written and reviewed by the Black Belt Safety team. Every post is checked against the OSHA standard or agency source it cites.

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