First-Aid Kits: Regulations & Good Practice

Background: On October 15, 2022, the American National Safety Institute (ANSI) requirements for First-Aid kits changed.  In this newsletter, we discuss the changes to the regulatory requirements for first-aid kits, guidelines, and training.  California and Federal regulations mandate that employers ensure ready availability of medical personnel for advice on matters of industrial health or injury. 

CAL/OSHA:  California regulations mandate that a first-aid kit approved by a consulting physician be available on the premises for every work person on the job.  A consulting physician is a medical doctor who is well versed with dealership operations and has knowledge of typical hazards and accidents on the job (Ref: T8CCR3400 (a) and (b) and (c)).

Fed-OSHA: Regulations state that an employer must have “adequate first-aid supplies…readily available,” although specific first-aid supplies are not listed. Fed OSHA has referred employers to ANSI as the source of guidance for the minimum requirements for first aid kits and supplies; it does so in Appendix A to 1910.151. On April 15, 2022, ANSI approved ANSI/ISEA Z308.1-2021 effective October 15, 2022, the sixth revision to the voluntary industry consensus standard since its inception in 1978. 

New requirements for both Class A and Class B First Aid kits include more hand sanitizer (thanks to COVID-19), and a foil blanket, since it serves multiple purposes such as emergency water proofer, windbreaking wrap, and treating hypothermia. Additionally, Class B kits now require specific types of tourniquets to prevent blood loss, and distinct from those used for drawing blood.  Splints are also a requirement for Class B kits. 

Employers may adopt the ANSI standard or request their local occupational injury clinic to provide a list of items for the first-aid kit.They should, however, be selected only upon completion of hazard assessment of the work environment and by a person competent in first-aid and knowledgeable of the hazards specific to that workplace (Ref: 29CFR1910.151(b)). 

Hazard assessment involves reviewing workplace hazards, typical injuries that have happened (see Log 300) or could occur at the workplace, and the availability of the supplies necessary to respond to those injuries.  Risk assessment includes looking at Bureau of Labor Statistics (BLS) or OSHA injury data.  The M.D. at the local clinic responding to occupational injuries can be a source of guidance as well.  Inspect and refill First-Aid kits monthly. Keep a written log. Discard expired items promptly.  Disinfect cabinet surfaces frequently.  Ensure labeling and markings are legible and permanent.  Check that each kit and its location is visibly marked.  Place signs at a conspicuous location that indicate the locations of First-Aid kits on site.

While the regulations are silent on number of kits, employers must consider whether multiple kits are needed based upon facility layout, number of employees and access to the kits during the work turn.  The distance from the clinic must also be part of the decision-making process.

Class A vs. Class B

Class A kits have contents capable of response to most common workplace injuries including minor burns and eye injuries.  Class B kits are intended to treat injuries in densely populated areas and high-risk environment workplace such as factories, foundries, and warehouses.

ANSI Standard Class A Kit:

Required Min. Fill Z308.1-2021 (eff. Oct. 15, 2022)
16 Adhesive Bandage 1×3 in.
1 Adhesive Tape 2.5 yd. (Total)
10 Antibiotic Application 1/57 oz.
10 Antiseptic 1/57 oz.
1 Breathing Barrier
1 Burn Dressing (Gel Soaked) 4×4 in.
10 Burn Treatment 1/32 oz.
1 Cold Pack 4×5 in.
2 Eye Covering w/Means of Attachment 2.9 sq. in.
1 Eye/Skin Wash 1 fl. oz. (Total)
1 First-Aid Guide
10 Hand Sanitizer 1/32 oz. (increased as of Oct. 2022)
2 Medical Exam Gloves
1 Roller Bandage 2 in. x 4 yd.
1 Scissor
2 Sterile Pads 3×3 in.
2 Trauma Pads 5×9 in.
1 Triangle Bandage 40x40x56 in.
1 Foil Blanket 52×84 in (added as of Oct. 2022)

ANSI Standard Class B Kit: The Type B kit has a Splint and Tourniquet added to the list above with increased number of supplies listed for Type A. 

Types of First-Aid Kit Containers:

  • Type I containers are used in stationary indoor settings.  No rough handling.
  • Type II containers are used in portable indoor settings. No rough handling.
  • Type III containers are used for mobile, indoor/outdoor settings.
  • Type IV containers are used for portable use in outdoor settings where rough handling is a factor.

Commentary:  Dealership management should make prudent decisions on the number and location of the first-aid kits.  Get at least one kit for every 40 employees.  First, keep in mind that all areas of employment should have access to kits.  For example, if only the sales department is open on a Saturday, then a kit must be made available to employees in that area.  Secondly, these kits are subject to pilferage and abuse.  To avoid pilferage, the first-aid kit may be placed in the office or open view of the manager.  If an employee is observed using multiple bandages more often than others, the employee can be counseled on safety and proper work procedure to avoid slicing his/her hand multiple times a day!  Make sure that access is not compromised, i.e., kits must remain completely accessible when employees are present. 

Employers who choose not to have first-aid kits violate the law and also risk loss of productive time when employees must rush to the local drug store for a bandage every time, they incur an injury.

Ref: Information from and were used to prepare this newsletter. 

DISCLAIMER: The contents of this newsletter are for informational purposes only and are not to be considered as legal advice. Employers must consult their lawyer for legal matters and EPA/OSHA consultants for matters related to Environmental, Health & Safety. The article was authored by Sam Celly of Celly Services, Inc. who has been helping automobile dealers in Arizona, California, Hawaii, Idaho, Nevada, New Mexico, New York, Texas, and Virginia comply with EPA and OSHA regulations for over 35 years. Sam is a Certified Safety Professional (No. 16515) certified by the National Board of Certified Safety Professionals. Sam received his BE (1984) and MS (1986) in Chemical Engineering, followed by a J.D. from Southwestern University School of Law (1997). Sam is a member of the American Chemical Society (No. 31176063), American Industrial Hygiene Association (No. 124715), and National Association of Dealer Counsel (NADC). Sam also serves on the Board of Orange County American Industrial Hygiene Association and on CA Industrial Hygiene Council (CIHC). Our newsletters can be accessed at Your comments/questions are always welcome. Please send them to


Background:  Since July 1992, regulations promulgated under the CAA require that motor vehicle air conditioning refrigerant be recycled.  In 2006, auto dealers in San Francisco area were penalized for violations arising under this act.  Serious penalties and legal drama followed. ( We must note that these CAA regulations are federal regulations and are applicable to all auto dealers in the US and not to San Francisco dealers alone.  To achieve compliance under this regulation, dealers must act as follows:

  • Clean Air Act Section 609 Technician Certification Program:  All employees working on A/C systems must be trained and tested by a program approved by EPA on how to properly recover and recycle refrigerant (such as Freon 12, HFC-134(a) or any other EPA approved refrigerant).
  • Clean Air Act Section 609 Approved Equipment:  Section 609 mandates that technicians must use EPA approved equipment to perform refrigerant recovery and recycling. Visit for a list of approved equipment. 

Technician CertificationAll shop employees repairing/servicing/diagnosing or working in any way on A/C systems must receive training and certificate from an EPA approved training program.  The list of training programs is available on  We note that training programs on A/C systems provided by auto manufacturers are a requirement to repair and service automobiles, but they do not in any shape or form help in compliance with this law.  Training programs provided by other government bodies such as the South Coast Air Quality Management District also do not help achieve compliance with this law.  The training program undertaken by the employees must be on the EPA approved list.

We recommended that you do not allow any employee without training to work on A/C repair or service unless the employee has provided the management with a copy of certification from an EPA approved body.  A copy of the certificate should be retained in the Black Box under the file “Air Quality” and a copy sent to Human Resources (Business Office) for retention in the employee file.  You may need a copy of the certification three years beyond the date of departure of the tech!  (More reading on this issue is available at