Search

First Aid or Medical Treatment? How to Tell the Difference

Posted on 1/30/2018 by Roger Marks

Among OSHA’s injury reporting rules is a requirement for employers to record workplace injuries and illnesses that require “medical treatment beyond first aid.” As is often the case with compliance regulations, OSHA gives very specific meanings to the terms “medical treatment” and “first aid” In the context of workplace accidents.  

The definitions of medical treatment and first aid currently used by OSHA originated in a January 2001 Final Rule that updated OSHA’s injury and illness recordkeeping program, including the introduction of OSHA’s injury Forms 300, 300A, and 301. Employers must understand the difference between first aid and medical treatment to meet their injury and illness reporting and recordkeeping responsibilities.

Basics for Reporting Workplace Injuries

Employers must report all workplace injuries or illnesses that result in: 

  • Death; 
  • Loss of consciousness; 
  • Days away from work; 
  • Restriction to work responsibilities;
  • Job transfer;
  • A significant injury or illness diagnosed by a licensed health care professional; or
  • Medical treatment beyond first aid.

Of these reporting criteria, “medical treatment beyond first aid” is one for which employers request clarification from OSHA most often. 

Defined at 29 CFR 1904.7(b)(5)(i), medical treatment means “management and care of a patient for the purpose of combating a disease or disorder.” 

What’s the Difference Between First Aid and Medical Treatment?

In order to define first aid, OSHA chose to create a comprehensive, or “all-inclusive,” list of first-aid practices in 29 CFR. By comprehensive, OSHA means that if you don’t see it on the list, it’s not considered first aid. 

Found at 29 CFR 1904.7(b)(5)(ii), the list includes things like applying band-aids, gauze pads, and butterfly bandages; use of non-rigid means of support like elastic bandages and wraps; cleaning wounds on the surface of the skin; removing splinters; and drinking fluids to relieve heat stress. 

In the Preamble to the 2001 Final Rule, OSHA provided 5 criteria it used to distinguish first aid from medical treatment when developing the list at §1904.7(b)(5)(ii): 

  1. First aid is usually administered after the injury or illness occurs and at the location where the injury or illness occurred (e.g., the workplace).
  2. First aid generally consists of one-time or short-term treatment.
  3. First-aid treatments are usually simple and require little or no technology.
  4. First aid can be administered by people with little training (beyond first-aid training) and even by the injured or ill person.
  5. First aid is usually administered to keep the condition from worsening, while the injured or ill person is awaiting medical treatment.

[66 FR 5915]

Non-reportable Workplace Injuries and Illness  

In addition to first aid, OSHA allows for two other exclusions from the definition of medical treatment in the Final Rule: 

  • Visits to a healthcare professional solely for observation or counseling; and
  • Diagnostic visits, i.e., x-rays, blood tests, or administration of medication solely for the purpose of diagnosing an injury or illness.

For more guidance on OSHA injury recordkeeping rules, read: OSHA Answers Form 300 Questions.

OSHA Online Training for Managers and Employees

Want safety training that's convenient, holds your attention, and prepares you to think critically about safety and compliance? Online OSHA courses at Lion.com are packed with engaging exercises and can be accessed 24/7 from any place that has an Internet connection. Plus, support is available 7 days a week, so you can train when you have time.

From a newly updated OSHA 10 Hour General Industry Course to specific workplace issues like hazard communication (29 CFR 1910.1200) and lithium battery safety, OSHA online training at Lion.com prepares employees to identify hazards and protect themselves and co-workers on the job.

Tags: 29, 29 CFR 1904.7, CFR, injuries, osha, reporting and recordkeeping

Find a Post

Compliance Archives

Lion - Quotes

My experience with Lion training, both online and in the classroom, is that they are far better organized and provide a better sequential explanation of the material.

Robert Roose

Manager, Dangerous Goods Transportation

One of the best trainings I have ever received!

Brandon Morfin

EH&S Manager

Course instructor was better prepared and presented better than other trainers. Course manual and references were easier to use as well.

Marty Brownfield

Hazardous Waste Professional

Lion's course was superior to others I have taken in the past. Very clear in the presentation and the examples helped to explain the content presented.

George Bersik

Hazardous Waste Professional

Excellent class, super instructor, very easy to follow. No rushing through material. Would like to take his class again.

Lawrence Patterson

EH&S Facility Maintenance & Security Manager

I can take what I learned in this workshop and apply it to everyday work and relate it to my activities.

Shane Hersh

Materials Handler

This training broke down the regulations in an easy-to-understand manner and made them less overwhelming. I now feel I have the knowledge to make more informed decisions.

Amanda Oswald

Shipping Professional

Convenient; I can train when I want, where I want.

Barry Cook

Hazmat Shipping Professional

I chose Lion's online webinar because it is simple, effective, and easily accessible.

Jeremy Bost

Environmental Health & Safety Technician

The training was impressive. I am not a fan of online training but this was put together very well. I would recommend Lion to others.

Donnie James

Quality Manager

Download Our Latest Whitepaper

Use this guide as a quick reference to the most common HAZWOPER questions, and get course recommendations for managers and personnel who are in need of OSHA-required HAZWOPER training.

Latest Whitepaper

By submitting your phone number, you agree to receive recurring marketing and training text messages. Consent to receive text messages is not required for any purchases. Text STOP at any time to cancel. Message and data rates may apply. View our Terms & Conditions and Privacy Policy.