Filed with the secretary of state on July 7, 2021  
These rules take effect immediately upon filing with the secretary of state unless  
adopted under section 33, 44, or 45a(9) of the administrative procedures act of 1969,  
1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections  
become effective 7 days after filing with the secretary of state.  
(By authority conferred on the director of the department of labor and economic  
opportunity by sections 19 and 21 of the Michigan occupational safety and health act,  
1974 PA 154, MCL 408.1019 and 408.1021, and Executive Reorganization Order Nos.  
1996-2, 2003-1, 2008-4, 2011-4, and 2019-3, MCL 445.2001, 445.2011, 445.2025,  
445.2030, and 125.1998)  
R 408.40132 of the Michigan Administrative Code is amended, as follows:  
R 408.40132. Medical services and first aid.  
Rule 132. (1) An employer shall ensure the availability of medical personnel for  
advice and consultation on matters of occupational health.  
(2) Before beginning a project, provision must be made for prompt medical attention  
in case of serious injury.  
(3) A person who has a valid certificate in first aid training shall be present at the  
worksite to render first aid. A certificate is valid if the requirements necessary to obtain  
the certificate for first aid training meet or exceed the requirements of the United States  
Bureau of Mines, the American Red Cross, the guidelines for basic first aid training  
programs, or equivalent training.  
(4) Where a remote location or a single employee worksite exists, an employer shall  
provide a written plan that includes alternate methods of assuring available treatment for  
employees at a remote location or single-employee worksite. The plan must be  
communicated to all affected employees.  
(5) An employer must assure that there are first aid supplies at each jobsite and that  
the supplies are readily accessible.  
(6) The contents of a first aid kit shall be sealed in individual packages, stored in a  
weatherproof container, and checked by an employer or designated person before being  
sent out on each job and at least weekly on each job to ensure that expended items are  
April 8, 2021  
(7) An employer shall provide proper equipment for the prompt transportation of an  
injured person to a physician or hospital and a communication system for contacting the  
necessary emergency service. In areas where 911 is not available, the telephone numbers  
of a physician, hospital, or emergency service shall be conspicuously posted at the  
jobsite. In areas where 911 emergency dispatch services are not available, the telephone  
numbers of the physicians, hospitals, or ambulances shall be conspicuously posted.  
(8) In areas where 911 emergency dispatch services are available and an employer  
uses a communication system for contacting necessary emergency-medical service, the  
employer must do both of the following:  
(a) Ensure that the communication system is effective in contacting the emergency-  
medical service.  
(b) When using a communication system in an area that does not automatically  
supply the caller’s latitude and longitude information to the 911 emergency dispatcher,  
the employer must post in a conspicuous location at the worksite either of the following:  
(i) The latitude and longitude of the worksite.  
(ii) Other location-identification information that communicates effectively to  
employees the location of the worksite.  
(c) The requirement specified in subdivision (b) of this subrule does not apply to  
worksites with a readily available telephone that has 911 emergency service that  
automatically identifies the location of the caller.  
(9) Where the eyes or body of any person may be exposed to injurious corrosive  
materials, the employer shall provide suitable facilities for quick drenching or flushing of  
the eyes and body within the work area for immediate emergency use.