General safety term · Glossary
First Aid
Verified vs OSHA sources · 2026-10-05
For OSHA recordkeeping, “first aid” is a specific closed list of minor treatments in 29 CFR 1904.7(b)(5)(ii) — bandages, non-prescription medications at OTC strength, tetanus shots, wound cleaning, hot/cold therapy, and similar. Any treatment not on that list is “medical treatment beyond first aid,” which makes a work-related case recordable. The list is exhaustive: nothing else counts as first aid.
Also known as: first-aid treatment
On this page
First Aid at a glance
- The list is closed (exhaustive) — anything not on it is medical treatment.
- A treatment on the list stays first aid even when a doctor provides it.
- OTC meds at nonprescription strength = first aid; prescription strength = medical treatment.
- Tetanus shots are first aid; other immunizations (Hep B, rabies) are medical treatment.
In plain English
OSHA's exact list of “minor” treatments that DON'T make an injury go on the log — bandages, over-the-counter meds, a tetanus shot, ice packs. If the treatment isn't on the list (stitches, prescription meds, physical therapy), the case counts as recordable.
What the rule says
“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); (B) Administering tetanus immunizations (other immunizations, such as Hepatitis B vaccine or rabies vaccine, are considered medical treatment); (C) Cleaning, flushing or soaking wounds on the surface of the skin; (D) Using wound coverings such as bandages, Band-Aids™, gauze pads, etc.; or using butterfly bandages or Steri-Strips™ (other wound closing devices such as sutures, staples, etc., are considered medical treatment); …”
In context
An industrial-hygiene, exposure-control, or program-management concept that applies across OSHA standards and workplaces.
Where this is written in OSHA's rules
- 29 CFR 1904.7(b)(5)(ii)Read on eCFR / OSHA.gov
Example
A worker's cut is closed with a butterfly bandage (a wound covering on the first-aid list) and treated with OTC antibiotic ointment — first aid, so it stays off the OSHA 300 Log. The same cut closed with sutures is medical treatment beyond first aid, so the case becomes a Recordable Injury.
Why it matters
The first-aid list is the single most common place recordability decisions go wrong. Because the list is closed, treatments like stitches, prescription drugs, or physical therapy always make a case recordable — and mislabeling them “first aid” to keep the log clean is a citable recordkeeping error under Part 1904.
First aid vs. medical treatment
It's not about who treats you or where — it's about what treatment is given. If it's on the 1904.7(b)(5)(ii) list, it's first aid (even from a doctor). If it's not on the list — sutures, prescription meds, physical therapy — it's medical treatment, and the case is recordable.
First aid (not recordable) vs. medical treatment (recordable)
| First aid | Medical treatment |
|---|---|
| Non-prescription meds at OTC strength | Prescription meds (or OTC at Rx strength) |
| Bandages, gauze, butterfly/steri-strips | Sutures, staples, surgical glue |
| Tetanus immunization | Other immunizations (Hep B, rabies) |
| Hot/cold therapy, wound cleaning | Physical therapy, chiropractic treatment |
First Aid: frequently asked questions
- Are stitches considered first aid?
- No. Closing a wound with sutures, staples, or surgical glue is medical treatment beyond first aid, so a work-related case treated that way is recordable. Butterfly bandages and Steri-Strips, however, are first aid.
- Does it matter if a doctor provides the treatment?
- No. OSHA judges recordability by the treatment given, not the provider. A treatment on the 1904.7(b)(5)(ii) first-aid list stays first aid even when a physician administers it.
- Is a tetanus shot recordable?
- No — administering a tetanus immunization is on the first-aid list. Other immunizations, such as hepatitis B or rabies vaccines, are considered medical treatment and can make a case recordable.
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Sources & verification
- 29 CFR 1904.7(b)(5)(ii) (eCFR / OSHA.gov)
- 29 CFR 1904.7 — General recording criteria (eCFR)
- OSHA — Injury & Illness Recordkeeping
Reviewed by HazComFast against eCFR, OSHA.gov, NIOSH, and the Federal Register. Last reviewed 2026-10-05. This glossary is general information, not legal advice; OSHA State-Plan states (e.g. California, Michigan) may adopt stricter requirements.
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