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0 0 6 API RECOMMENDED PRACTICE 1646 2.14 HOW AND WHERE TO OBTAIN FIRST-AID AND MEDICAL TREATMENT, INCLUDING CPR All service trucks shall be equipped with a first-aid kit intended for at least the number of workers transported in the vehicle.All service trucks for workers who may be exposed to eye hazards shall be equipped with a portable eye wash kit. Medical treatment,including CPR,shall only be performed by persons trained to do so.CPR training shall be at least equivalent to the standard Red Cross course.For non-emergency medical treatment,workers should contact their employers,and notify the site operator. If there is a contractor foreman or lead person,they shall: • Ensure that his or her employees receive prompt medical attention. • Transport injured contractor personnel who are not seriously injured to the nearest medical facility or to a facility of their choice. For emergency medical treatment workers shall immediately report to their job foreman,if applicable,or the site operator.Local emergency services should be contacted(using 911 where available). Workers are not required to provide first aid or CPR.However,should a worker decide to provide assistance,he or she shall per- form the following actions,as appropriate: If... Then... A medical emergency occurs Request emergency service immediately.Dial 911. Rescue the victim,providing it is safe to do so and proper The victim(s)is in immediate danger training has been received.NOTE:Do not move a victim if he or she is not in immediate danger. The victim is not breathing and has no heartbeat, Begin CPR at once if properly trained.Use a CPR mouth- piece,pocket mask,or resuscitation bag whenever possible. The victim is bleeding Wear liquid resistant gloves to avoid contact with the blood and other body fluids while controlling a bleeding injury. The victim is burned Remove contaminated clothing,as necessary.Use water or (chemical or thermal) ice to cool the burned area or put the person under a nearby shower.Do not remove clothing that is stuck to the body. The victim has been splashed in the face with gasoline or a Have victim flush his or her face and eyes for at least 15 chemical minutes with fresh water then get medical help as needed The victim is in shock Keep him or her wenn and comfortable.Make him or her lie down.Wait for the paramedics. 2.15 CUSTOMERS' PERMIT-TO-WORK REQUIREMENTS,WHERE APPLICABLE Permits to work are required by these Safe Work Practices for confined space,hot work,excavations,and hoisting/rigging opera- tions.Individual customers may have their own permit-to-work system,however a standardized,multi-permit form is provided in Appendix B.3.All permits written for work shall remain at the jobsite for inspection by the customer's representative or regula- tory authorities. Contractors and workers shall be aware of the permit-to-work requirements of all customers to assure compli- ance. 2.16 REFERENCES OSHAI 29 CFR 1926 Subpart C This may be obtained from OSHA's website at http://www.osha.gov/ndex.htrnl IU.S Department of Labor, Occupational Safety and Health Administration, 200 Constitution Ave. N.W., Washington D.C., 20210, www.osha.gov.