A-3.001, r. 10 - First-aid Minimum Standards Regulation

Section 21 Disposition versions

2012-09-01

21. (1)  The employer in an establishment covered by paragraph 1 of section 20 or the principal contractor on a construction site covered by paragraph 3 of section 20 must:

(a)  maintain on the premises at his own expense a full-time nurse during the regular working hours of the day shift and, where more than 20 workers are working simultaneously outside of the regular working hours of the day shift, maintain the services of a nurse on the premises or on call;

(b)  install at his own expense a first-aid room which must be available and easy to reach at any time, kept clean and in good order, adequately heated and provided with toilet facilities and running water. The room must be provided with the instruments, stocks and equipment required for the examination and emergency treatment of injured or sick workers, as well as with the supplies and furniture necessary for the staff to give first-aid and perform other duties.

The room must contain in particular the following elements:

Equipment:

Equipment for ventilation maintenance including the 3 following basic pieces:

(1) oro-pharyngial airways (Guedel);

(2) Positive pressure oxygen delivery equipment capable of supplying oxygen for medical purposes at a constant output of not less than 6 litres per minute for a minimum of 25 minutes at ambient temperatures from -20 °C to 40 °C, the volume being determined at a temperature of 20 °C and 101 kPa of pressure. The equipment must include a device allowing the oxygen to be administered to the patient in such a way that the mixture inhaled will have an oxygen concentration of not less than 50% in volume measured at a respiratory intake of 0.25 litres per second.

The oxygen delivery equipment must comply with the standards of the Canadian Standards Association (C.S.A.);

(3) suction equipment.

1 stretcher

1 examining table

1 instrument sterilizer or the equivalent

1 bed with mattress and pillows

1 complete first-aid kit, suited to needs

1 cabinet for medical instruments and supplies

2 woolen blankets

1 waste receptacle with pedal-actuated lid

1 sink with running water (hot and cold) including an adaptor for eye wash

1 magnifying lamp

1 back board or the equivalent

1 small refrigerator

1 table

2 chairs

Instruments:

1 stethoscope

1 otoscope

1 sphygmomanometer

1 flashlight

1 emergency splints kit

adjustable crutches

1 pair bandage scissors

1 pair suture scissors

3 stainless-steel utility bowls

1 foot bath basin

1 one-litre container

1 eye bath

2 thermometers

1 ice bag

1 pair thumb dressing forceps

1 pair splinter forceps

1 pair tissue forceps

2 pair hermostatic forceps

1 pair shears

Medical supplies:

adhesive dressings, various sizes

bandage compresses

eye dressing packets

gauze pads, various sizes

triangular bandages

tubular dressings, various sizes

elastic bandage, various sizes

dermoplast spray

sterile gauze roller bandage, various sizes

butterfly bandages

rolls of adhesive tape, various widths (regular and hypoallergenic)

rolls of absorbent cotton

splints, various sizes

cotton balls

cotton swabs

tongue depressors

safety pins

tourniquets

denatured ethyl alcohol

surgical brushes

disposable syringes and needles, various sizes

Miscellaneous:

soap

antiseptic solutions

paper towels

eye-wash solutions

disposable vinyl gloves

first-aid manual

Any medication or other stocks needed for the specific needs of the establishment or construction site.

(2)  The employer in an establishment covered by paragraph 2 of section 20 must establish, with the nearest ambulance service, an agreed procedure for the evacuation and transport of injured persons. A copy of such procedure and of each renewal thereof must be forwarded to the Commission by the employer immediately after it has been signed.

(3)  The employer in an establishment or the principal contractor on a construction site covered by paragraph 4 of section 20 may make available first-aid services prescribed in subsections 1 and 2.

O.C. 1922-84, s. 21; O.C. 1798-87, s. 6.