1926.50(c): First-Aid Trained Person on Site
When no infirmary, clinic, hospital or physician is reasonably accessible in time and distance to the construction worksite, the employer must have a person at the worksite with a valid first-aid certificate. The certificate must come from the U.S. Bureau of Mines, the American Red Cross, or equivalent training that can be verified by documents.
Key takeaways
- 1926.50(c) is part of OSHA's construction standards (29 CFR Part 1926, Subpart D).
- OSHA cited it 409 times in the last 3 years, in 409 inspections, with $386,796 in current penalties.
- 25 deaths are linked to inspections that cited this rule.
- Most citations: VA (226), TN (83), KY (43).
- Free 5-minute toolbox talk for your crew below.
In this article
What this rule covers
29 CFR 1926.50(c) 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
(c) In the absence of an infirmary, clinic, hospital, or physician, that is reasonably accessible in terms of time and distance to the worksite, which is available for the treatment of injured employees, a person who has a valid certificate in first-aid training from the U.S. Bureau of Mines, the American Red Cross, or equivalent training that can be verified by documentary evidence, shall be available at the worksite to render first aid. 409 citations
Source: eCFR, text current as of 2026-10-15. Read all of 1926.50.
Injuries linked to this rule
25 deaths are linked to inspections where OSHA cited 1926.50(c).
At 1:04 p.m. on January 17, 2025, Employee #1 was working for a fencing contractor and was working with a crew onsite installing new fence post on a client farm. The employee was working with three coworkers including the owner. The crew was utilizing a…
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 | 36 |
| 2024 | 142 |
| 2025 | 145 |
| 2026 | 86 |
Top states: VA (226), TN (83), KY (43), TX (30), MS (5)
Largest penalties
| Employer | Location | Penalty for this rule |
|---|---|---|
| HURTADO CONSTRUCTION COMPANY | FULSHEAR, TX | $15,970 |
| DAN WILLIAMS COMPANY | SALT FLAT, TX | $13,394 |
| FIRST STAR CONSTRUCTION LLC | BENTONVILLE, AR | $11,585 |
| THOMAS BUILDERS OF VIRGINIA INC. | LYNCHBURG, VA | $10,000 |
| THOMAS BUILDERS OF VIRGINIA, INC. | FOREST, VA | $10,000 |
Free toolbox talk
A 5-minute crew talk on 1926.50(c), 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)
- OSHA requirements for providing training for first aid, CPR, and BBP for prompt treatment of injured employees at various workplaces. (2007-01-16)
- Emergency medical services on construction sites (2005-03-02)
- Training and designation of first aid providers in general industry and construction. (2004-05-25)
- OSHA Instruction CPL 2-2.53, Guidelines for First Aid Training Programs. (1997-08-21)
- First Aid Courses (1990-03-14)
- Accessibility of a hospital or physician in terms of distance and travel time. (1976-12-01)
Get your crew competent
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Trainers and suppliers: feature your business on this rule for $25/month.
Frequently asked questions
When is a first-aid trained person required on a construction site?
When there is no infirmary, clinic, hospital or physician reasonably accessible in time and distance to the worksite.
What first-aid training counts?
A valid certificate from the U.S. Bureau of Mines, the American Red Cross, or equivalent training verified by documentary evidence.
Where must the first-aid person be?
Available at the worksite to render first aid.
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 2026-10-19
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.