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First aid (OSHA recordkeeping)

The complete list of treatments in 1904.7(b)(5)(ii). A case treated only with these isn't recordable on treatment alone.

Definition, in the source's words

29 CFR 1904.7(b)(5)(ii)(opens ecfr.gov in a new tab)
“For the purposes of part 1904, “first aid” means the following: (A) Using a non-prescription medication at nonprescription strength (for medications available in both prescription and non-prescription form, a recommendation by a physician or other licensed health care professional to use a non-prescription medication at prescription strength is considered medical treatment for recordkeeping purposes);”

What it means

The rest of the list: tetanus immunizations; cleaning, flushing or soaking surface wounds; wound coverings such as bandages, gauze pads, butterfly bandages or Steri-Strips; hot or cold therapy; non-rigid means of support such as elastic bandages and wraps; temporary immobilization devices used to transport accident victims; drilling a fingernail or toenail, or draining a blister; eye patches; removing foreign bodies from the eye by irrigation or a cotton swab; removing splinters or foreign material from areas other than the eye by irrigation, tweezers, cotton swabs or other simple means; finger guards; massages; and drinking fluids for relief of heat stress.

The list is complete (1904.7(b)(5)(iii)). Anything not on it is medical treatment.

Example

A clinic gives a worker over-the-counter ibuprofen at the label dose and an elastic wrap for a strained wrist: first aid only. If the clinician recommends ibuprofen at prescription strength, that's medical treatment and the case is recordable.

Where it appears on the exam

Questions

Is a tetanus shot first aid?
Yes. Tetanus immunizations are on the first aid list in 1904.7(b)(5)(ii).
Are stitches first aid?
No. Sutures aren't on the list, so they're medical treatment.

Related

Checked 2026-10-16. Spot a problem? Email hello@passcited.com.

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