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What is Continuation of first aider in BC?

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In British Columbia, a person can only serve as a workplace first aid attendant if they hold a valid first aid certificate at the required level, issued by WorkSafeBC or by a person recognized by WorkSafeBC, and are designated by the employer. The regulation does not set a standalone renewal interval in the excerpts provided, but it clearly requires the certificate to remain valid and in good standing. Practically, that means certification renewal or recertification must occur before expiry and at the level required for the workplace classification, hazard rating, worker count, and any transport endorsement requirements. [1] [1] [11]

For continuation of qualification, employers must ensure the attendant continues to meet all Board-determined requirements for designation, not just possession of a certificate. In addition, the attendant must remain physically and mentally capable of safely and effectively performing the duties, and WorkSafeBC may require a medical certificate at any time. If an attendant is no longer medically fit, no longer certified, or no longer meets Board requirements, they should not continue in the role until the issue is resolved. [1] [4]

Ongoing competency and refresher expectations:

  • The regulation requires first aid attendants to provide care only within the scope of their training and to refer serious cases or cases beyond their training for medical treatment.
  • Employers must keep written first aid procedures current, and first aid attendants must be trained in those procedures.
  • At least once each year, and whenever procedures change, the employer must conduct drills to verify the procedures are effective and that workers, first aid attendants, and others can carry out their roles.
  • As a best practice, attendants should complete periodic skills refreshers between formal recertifications, especially for CPR, AED use, patient assessment, spinal motion restriction/immobilization, bleeding control, oxygen administration if used, transportation procedures, documentation, and site-specific rescue/access issues.

[4] [10] [10] Regulatory compliance is broader than certificate renewal. Employers must assess first aid needs, provide the required level of attendants, equipment, facilities, and transportation, and review that assessment at least every 12 months and whenever significant changes occur. This means continuation requirements for attendants are tied to the workplace assessment: if staffing, hazards, remoteness, accessibility, or transportation needs change, the employer may need a different level of attendant or additional attendants, including attendants with transportation endorsements. [1] [1] [2] [8]

WorkSafeBC requirements also depend on workplace class and hazard level. Schedule 3-A establishes minimum first aid levels for class 1, 2, 3, and 4 workplaces, including when a workplace needs a basic, intermediate, or advanced attendant, and when a transportation endorsement is required. There is also a transition rule stating that pre-November 1, 2024 level 1, 2, and 3 certificates are treated as basic, intermediate, and advanced certificates respectively until they expire. [11] [8] [7] [6] [9]

Examples of minimum staffing implications under Schedule 3-A:

  • Class 1 workplaces can require a basic, intermediate, or advanced attendant depending on worker count and hazard level.
  • Class 2 remote workplaces may require transport-endorsed attendants and emergency transportation, with requirements increasing as worker numbers and hazard levels rise.
  • Class 3 less-accessible workplaces may require intermediate or advanced attendants, dressing stations or first aid rooms, and in larger operations multiple attendants.
  • Class 4 remote and less-accessible workplaces generally have the most demanding combinations of attendant level, transport endorsement, facilities, and emergency transportation.

[3] [7] [6] [9] To remain compliant, employers must also maintain written first aid procedures, post or otherwise effectively communicate them, ensure reliable communication with attendants, and avoid assigning attendants duties that interfere with their ability to respond. These operational requirements are part of continuation of an effective first aid program and directly affect whether a certified attendant can function lawfully and effectively in the workplace. [2] [2] [10] [10]

Recordkeeping is another continuing compliance duty. Employers must maintain first aid records for all reported or treated injuries and contaminant exposures, keep those records for at least 3 years, keep them confidential, and make them available for WorkSafeBC inspection. First aid attendants also have a direct duty to objectively record observed or reported signs and symptoms. [4] [4] [4] [4]

Special situations can create additional continuation requirements. At multiple-employer workplaces, the prime contractor must assess first aid needs for all workers and do everything reasonably practicable to establish and maintain the required first aid resources. In underground workings more than 300 m underground, a first aid attendant must be available in proximity to the main underground work area. Where air transport is the primary or only transport method, specific arrangements and communication systems are required. [4] [5] [10]

Bottom line:

  • A BC occupational first aid attendant must keep the required certificate valid and in good standing.
  • Renewal/recertification must be completed before expiry and at the level required by the workplace's current Schedule 3-A obligations.
  • The attendant must remain medically fit, work within training, follow site procedures, participate in annual drills, and maintain practical competency.
  • The employer must continuously reassess first aid needs, maintain procedures, communications, staffing, equipment, transportation, and records to satisfy WorkSafeBC requirements.
  • If you need a workplace-specific determination, the next step is to identify the workplace class, hazard rating, number of workers, accessibility/remoteness, and whether transportation endorsement or emergency transport is required under Schedule 3-A.

[1] [10] [4] [8]

11 source record(s)

Sources used for this answer

[1] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# Part 3 - Rights and Responsibilities (cont.) WORKERS COMPENSATION ACT OCCUPATIONAL HEALTH AND SAFETY REGULATION Part 3 - Rights and Responsibilities B.C. Reg. 296/97 # Participation in Investigations ## Participation by employer or representative of employer and worker representative - 3.28 For the purposes of section 70 (2) (c) of the Workers Compensation Act, the following activities are prescribed: (a) assisting the persons carrying out the investigation with gathering information relating to the investigation; (b) assisting the persons carrying out the investigation with analyzing the information gathered during the investigation; (c) assisting the persons carrying out the investigation with identifying any corrective actions necessary to prevent recurrence of similar incidents. [en. B.C. Reg. 312/2016, App. C; am. B.C. Reg. 279/2019, App. D, S. 10.] ## SCHEDULE 3-A [en. B.C. Reg. 132/2023, S. 8.] ## MINIMUM LEVELS OF FIRST AID ## Division 1 - Interpretation ## Definitions - 1 (1) In this Schedule: "advanced first aid attendant" means a first aid attendant who holds an advanced first aid certificate; "basic first aid attendant" means a first aid attendant who holds a basic first aid certificate; "basic first aid attendant (transport)" means a first aid attendant who holds a basic first aid certificate with a transportation endorsement; "class 1 workplace" means a workplace other than a class 2, 3 or 4 workplace; "class 2 workplace" means a workplace that is a remote workplace but not a less- accessible workplace; "class 3 workplace" means a workplace that is a less-accessible workplace but not a remote workplace; "class 4 workplace" means a workplace that is both a remote workplace and a less- accessible workplace; "hazard rating", in relation to a workplace, means how hazardous the workplace is, expressed as low, moderate or high, relative to all other workplaces; "intermediate first aid attendant" means a first aid attend…

[2] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# Participation in Investigations (cont.) ## Definitions (cont.) B.C. Reg. 296/97 WORKERS COMPENSATION ACT # OCCUPATIONAL HEALTH AND SAFETY REGULATION Part 3 - Rights and Responsibilities "intermediate first aid attendant (transport)" means a first aid attendant who holds an intermediate first aid certificate with a transportation endorsement; "less-accessible workplace" means (a) a workplace that includes a work area that cannot be safely accessed by ambulance personnel, or (b) a ferry; "qualifying hospital" means an institution, designated as a hospital under section 1 of the Hospital Act, that has (a) an emergency department, and (b) a physician on duty or immediately available on call; "remote workplace" means a workplace to which, under normal travel conditions, an ambulance that is a motor vehicle cannot travel from its base in 30 minutes or less, but does not include a ferry. (2) The definitions in section 3.14 of this regulation apply to this Schedule. ## First aid certificates 2 (1) For the purposes of this Schedule, a level 1, 2 or 3 first aid certificate that was issued before November 1, 2024 and has not expired is to be considered a basic, intermediate or advanced first aid certificate respectively. (2) This section is repealed on November 1, 2027. ## Division 2 - Minimum Requirements ## General minimum requirements - 3 For the purposes of section 3.16 (1) (a) of this regulation, the equipment, supplies, facilities, first aid attendants and services that are required to be provided for a workplace are those specified in the following tables: (a) in the case of a class 1 workplace, Table 3-1; (b) in the case of a class 2 workplace, Table 3-2; (c) in the case of a class 3 workplace, Table 3-3; (d) in the case of a class 4 workplace, Table 3-4. - Dressing stations and first aid rooms - 4 A dressing station or first aid room required by section 3 must (a) be located as near as practicable to work areas, (b) - be…

[3] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# OCCUPATIONAL HEALTH AND SAFETY REGULATION (cont.) ## First aid procedures (cont.) B.C. Reg. 296/97 WORKERS COMPENSATION ACT # OCCUPATIONAL HEALTH AND SAFETY REGULATION Part 3 - Rights and Responsibilities (3) The first aid attendant and all other persons authorized to call for transportation for injured workers must be trained in the procedures. (4) At least once each year and whenever the procedures change, the employer must ensure that drills are conducted to ensure that (a) the procedures are effective, and (b) workers, first aid attendants and other persons referred to in subsection (3) are capable of fulfilling their roles and responsibilities. [en. B.C. Reg. 348/2003, S. 2; am. B.C. Reg. 132/2023, S. 5.] ## Air transportation 3.17.1 If air transportation is the primary or only method for transporting an injured worker, all of the following requirements must be met: (a) before the start of operations in a workplace, arrangements must be made with an air service to ensure that (i) an appropriate aircraft is reasonably available to the workplace during those operations, and (ii) without limiting subparagraph (i), there is at least (A) one stretcher in the aircraft, or (B) one stretcher, at the workplace, that is compatible with the aircraft; (b) the arrangements in paragraph (a) must include procedures for (i) the employer to determine the availability of appropriate aircraft before the start of each work day, and (ii) the air service to notify the employer if an appropriate aircraft ceases to be available; (c) a system must be provided that enables the pilot of the aircraft and the first aid attendant attending to an injured worker to communicate at all times when the aircraft is in transit to the location of the injured worker and during transport of the injured worker to medical treatment. [en. B.C. Reg. 320/2007, App. A, S. 4; am. B.C. Reg. 132/2023, S. 6.] - Communication and availability - …

[4] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# OCCUPATIONAL HEALTH AND SAFETY REGULATION (cont.) ## Air transportation (cont.) WORKERS COMPENSATION ACT B.C. Reg. 296/97 # OCCUPATIONAL HEALTH AND SAFETY REGULATION Part 3 - Rights and Responsibilities ## First aid records - 3.19 (1) The employer must maintain at the workplace, in a form acceptable to the Board, a record of all injuries and exposures to contaminants covered by this Regulation that are reported or treated. (2) First aid records must be kept for at least 3 years. (3) First aid records are to be kept confidential and may not be disclosed except as permitted by this Regulation or otherwise permitted by law. (4) First aid records must be available for inspection by an officer of the Board. (5) Workers may request or authorize access to their first aid records for any treatment or report about themselves. [en. B.C. Reg. 348/2003, S. 2.] ## Multiple employer workplaces - 3.20 If workers of 2 or more employers are working at a workplace at the same time, the prime contractor must (a) conduct an assessment of the circumstances of the workplace under section 3.16 (2) in relation to all the workers in the workplace, and (b) do everything that is reasonably practicable to establish and maintain the first aid equipment, supplies, facilities, first aid attendants and services required under section 3.16. [en. B.C. Reg. 348/2003, S. 2; am. B.C. Reg. 320/2007, App. A, S. 5.] ## First aid attendant responsibilities - 3.21 (1) The first aid attendant must (a) promptly provide injured workers with a level of first aid within the scope of the first aid attendant's training and this Part, (b) objectively record observed or reported signs and symptoms of injuries and exposures to contaminants covered by this Regulation, and (c) refer for medical treatment workers with injuries considered by the first aid attendant as being serious or beyond the scope of the first aid attendant's training. (2) A first aid attendant must be physicall…

[5] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# OCCUPATIONAL HEALTH AND SAFETY REGULATION (cont.) ## General minimum requirements (cont.) WORKERS COMPENSATION ACT B.C. Reg. 296/97 # OCCUPATIONAL HEALTH AND SAFETY REGULATION Part 3 - Rights and Responsibilities (e) display conspicuous signs indicating the location of, and how to call for, first aid attendants, and (f) be large enough to accommodate an injured worker, a first aid attendant and first aid equipment. ## Overnight care - 5 (1) This section applies in relation to a workplace if (a) the workplace is required by section 3 to be provided with a first aid room, and (b) under normal travel conditions, travel from the workplace to a qualifying hospital would take longer than 2 hours. (2) For the purposes of section 3.16 (1) (a) of this regulation, (a) a first aid attendant who is available to provide overnight care must be provided, and (b) the first aid room required by section 3 must be equipped to provide overnight care for at least 2 injured workers. ## Emergency transportation - 6 Emergency transportation required by section 3 must (a) be capable of safely transporting (i) a first aid attendant, and (ii) the injured worker, with a stretcher used to secure the worker, (b) have an effective means of communication between the first aid attendant and the operator of the transportation, and (c) be designed and equipped to (i) secure injured workers to minimize excessive jarring, (ii) protect injured workers from natural elements and dust, (iii) maintain normal body temperature of injured workers, and (iv) allow adequate space for the first aid attendant to safely provide first aid to injured workers. Table 3-1 Minimum Requirements - Class 1 Workplaces <table><tr><th>Item</th><th>Column 1 Workers present</th><th>Column 2 Low hazard rating</th><th>Column 3 Moderate hazard rating</th><th>Column 4 High hazard rating</th></tr><tr><td>1</td><td>2 9</td><td>Personal first aid kit</td><td>Basic first aid kit Basic …

[6] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# Part 3 Rights and Responsibilities (cont.) WORKERS COMPENSATION ACT # OCCUPATIONAL HEALTH AND SAFETY REGULATION Part 3 - Rights and Responsibilities B.C. Reg. 296/97 # Table 3-2 Minimum Requirements - Class 2 Workplaces <table><tr><th>Item</th><th>Column 1 Workers present</th><th>Column 2 Low hazard rating</th><th>Column 3 Moderate hazard rating</th><th>Column 4 High hazard rating</th></tr><tr><td>1</td><td>2 5</td><td>Personal first aid kit</td><td>Basic first aid kit Basic first aid attendant</td><td>Basic first aid kit Basic first aid attendant</td></tr><tr><td>2</td><td>6 9</td><td>Basic first aid kit Basic first aid attendant</td><td>Basic first aid kit Basic first aid attendant</td><td>Intermediate first aid kit Intermediate first aid attendant (transport) Emergency transportation for one injured worker</td></tr><tr><td>3</td><td>10 - 19</td><td>Basic first aid kit Basic first aid attendant</td><td>Intermediate first aid kit Intermediate first aid attendant (transport) Emergency transportation for one injured worker</td><td>Advanced first aid kit Basic first aid attendant (transport) Advanced first aid attendant Emergency transportation for one injured worker</td></tr><tr><td>4</td><td>20 - 49</td><td>Basic first aid kit Basic first aid attendant</td><td>Advanced first aid kit Dressing station Basic first aid attendant (transport) Advanced first aid attendant Emergency transportation for one injured worker</td><td>Advanced first aid kit Dressing station Basic first aid attendant (transport) Advanced first aid attendant Emergency transportation for one injured worker</td></tr></table> Last amended March 31, 2025 Consolidation current to March 31, 2025 23

[7] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# Part 3 - Rights and Responsibilities (cont.) ## First aid attendant qualifications (cont.) WORKERS COMPENSATION ACT B.C. Reg. 296/97 # OCCUPATIONAL HEALTH AND SAFETY REGULATION Part 3 - Rights and Responsibilities (d) the types of injuries likely to occur; (e) any barriers to first aid being provided to an injured worker; (f) the time that may be required to obtain transportation and to transport an injured worker to medical treatment and the methods of transportation available. (3) The employer must review and update the assessment under subsection (2) (a) within 12 months after the previous assessment or review, and (b) whenever a significant change affecting the assessment occurs in the employer's operations. (3.1) An assessment under subsection (2) must be prepared, reviewed and updated in consultation with the joint committee or the worker health and safety represen- tative, as applicable. (4) An employer must ensure that the equipment, supplies and facilities required by subsection (1) are (a) suitable for their intended use, (b) kept clean, dry and ready for use, and (c) readily accessible. [en. B.C. Reg. 348/2003, S. 2; am. B.C. Regs. 320/2007, App. A, SS. 2 and 3; 132/2023, S. 4.] ## First aid procedures - 3.17 (1) The employer must keep up-to-date written procedures for providing first aid at the workplace including (a) the equipment, supplies, facilities, first aid attendants and services available, (b) the location of, and how to call for, first aid, (c) how the first aid attendant is to respond to a call for first aid, (c.1) if there are any barriers to first aid being provided to injured workers, how injured workers will be accessed and moved, (d) the authority of the first aid attendant over the treatment of injured workers and the responsibility of the employer to report injuries to the Board, (e) who is to call for transportation for the injured worker, and the methods of transportation an…

[8] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# Part 3 - Rights and Responsibilities (cont.) WORKERS COMPENSATION ACT # OCCUPATIONAL HEALTH AND SAFETY REGULATION B.C. Reg. 296/97 Part 3 - Rights and Responsibilities <table><tr><th>Item</th><th>Column 1 Workers present</th><th>Column 2 Low hazard rating</th><th>Column 3 Moderate hazard rating</th><th>Column 4 High hazard rating</th></tr><tr><td>8</td><td>500 or more</td><td>Advanced first aid kit First aid room 2 intermediate first aid attendants (transport) Advanced first aid attendant Emergency transportation for one injured worker</td><td>Advanced first aid kit First aid room Intermediate first aid attendant (transport) 2 advanced first aid attendants Emergency transportation for 2 injured workers</td><td>Advanced first aid kit First aid room 2 intermediate first aid attendants (transport) 2 advanced first aid attendants Emergency transportation for 2 injured workers</td></tr></table> Table 3-3 Minimum Requirements - Class 3 Workplaces <table><tr><th>Item</th><th>Column 1 Workers present</th><th>Column 2 Low hazard rating</th><th>Column 3 Moderate hazard rating</th><th>Column 4 High hazard rating</th></tr><tr><td>1</td><td>2 9</td><td>Basic first aid kit Basic first aid attendant</td><td>Basic first aid kit Basic first aid attendant (transport)</td><td>Intermediate first aid kit Intermediate first aid attendant (transport)</td></tr><tr><td>2</td><td>10 19</td><td>Basic first aid kit Basic first aid attendant (transport)</td><td>Intermediate first aid kit Intermediate first aid attendant (transport)</td><td>Advanced first aid kit Basic first aid attendant (transport) Advanced first aid attendant</td></tr><tr><td>3</td><td>20 49</td><td>Basic first aid kit Basic first aid attendant (transport)</td><td>Advanced first aid kit Dressing station Basic first aid attendant (transport) Advanced first aid attendant</td><td>Advanced first aid kit Dressing station Basic first aid attendant (transport) Advanced first aid attendant</td></tr></table> Last amended Mar…

[9] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# Part 22 - Underground Workings (cont.) ## Hours of work (cont.) WORKERS COMPENSATION ACT B.C. Reg. 296/97 # OCCUPATIONAL HEALTH AND SAFETY REGULATION # Part 22 - Underground Workings ## Additional first aid 22.9 In addition to the requirements of sections 3.14 to 3.21, if an underground working has progressed more than 300 m (1 000 ft) underground, a first aid attendant must be available in proximity to the main underground work area. [en. B.C. Reg. 348/2003, S. 6.] ## Retroreflective devices 22.10 Underground workers must wear retroreflective devices on their clothing and hard hats. ## Self-rescuers - 22.11 (1) For non-gassy workings, a minimum of an approved self-rescuer of the air purifying type must be carried by the worker. (2) For gassy workings, a minimum of a self-contained (air supply) self-rescuer capable of delivering 30 minutes of air must be immediately accessible to each worker underground. ## Supervision of Workers ## Appointment of underground working supervisor - 22.12 (1) In this section, "mine" has the same meaning as in the Mines Act. (2) At every underground working, the employer performing the active excavation or rehabilitation of the underground working must appoint, as an underground working supervisor for the underground working, a person who (a) is knowledgeable of (i) the duties of supervisors under section 23 of the Workers Compen- sation Act and this Part, and (ii) the requirements of this Part, and of any other provision of this Regulation, that apply to the active excavation or rehabilitation of the underground working, (b) is qualified to supervise the active excavation or rehabilitation of the underground working, and (c) meets the requirements of subsection (3) or (4), as the case may be. (3) Subject to subsection (4), a person must not be appointed as an underground working supervisor unless (a) the person holds an underground coal mine fireboss certificate or an underground shiftboss cert…

[10] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# Part 3 - - Rights and Responsibilities (cont.) WORKERS COMPENSATION ACT OCCUPATIONAL HEALTH AND SAFETY REGULATION B.C. Reg. 296/97 # Part 3 - Rights and Responsibilities Table 3-4 Minimum Requirements - Class 4 Workplaces <table><tr><th>Item</th><th>Column 1 Workers present</th><th>Column 2 Low hazard rating</th><th>Column 3 Moderate hazard rating</th><th>Column 4 High hazard rating</th></tr><tr><td>1</td><td>2-5</td><td>Basic first aid kit Basic first aid attendant</td><td>Basic first aid kit Basic first aid attendant (transport)</td><td>Intermediate first aid kit Intermediate first aid attendant (transport)</td></tr><tr><td>2</td><td>6 9</td><td>Basic first aid kit Basic first aid attendant</td><td>Basic first aid kit Basic first aid attendant (transport)</td><td>Intermediate first aid kit Intermediate first aid attendant (transport) Emergency transportation for one injured worker</td></tr><tr><td>3</td><td>10 - 19</td><td>Basic first aid kit Basic first aid attendant (transport)</td><td>Intermediate first aid kit Intermediate first aid attendant (transport) Emergency transportation for one injured worker</td><td>Advanced first aid kit Basic first aid attendant (transport) Advanced first aid attendant Emergency transportation for one injured worker</td></tr><tr><td>4</td><td>20 - 49</td><td>Basic first aid kit Basic first aid attendant (transport)</td><td>Advanced first aid kit Dressing station Basic first aid attendant (transport) Advanced first aid attendant Emergency transportation for one injured worker</td><td>Advanced first aid kit Dressing station Basic first aid attendant (transport) Advanced first aid attendant Emergency transportation for one injured worker</td></tr></table> Last amended March 31, 2025 27 Consolidation current to March 31, 2025

[11] Occupational Health and Safety Regulation (B.C. Reg. 296/97)

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# OCCUPATIONAL HEALTH AND SAFETY REGULATION (cont.) ## Definitions (cont.) B.C. Reg. 296/97 WORKERS COMPENSATION ACT # OCCUPATIONAL HEALTH AND SAFETY REGULATION # Part 3 - Rights and Responsibilities "first aid" means (a) in cases in which a person will need medical treatment, treatment for the purpose of preserving life and minimizing the consequences of injury until medical treatment is obtained, and (b) treatment of minor injuries that would otherwise receive no medical treatment or that do not need medical treatment; "first aid attendant" means a person who holds a valid first aid certificate issued by the Board or by a person recognized by the Board and who is designated as a first aid attendant by the employer; "injured worker" means a worker who suffers an injury during work; "injury" includes an occupational disease or illness; "medical certificate" means a report in a form acceptable to the Board from a physician as to a person's fitness to perform the functions of a first aid attendant. [en. B.C. Reg. 348/2003, S. 2; am. B.C. Reg. 132/2023, S. 2.] ## First aid attendant qualifications - 3.15 The employer must ensure that a person who is designated as a first aid attendant (a) is at least 16 years old, (b) Repealed. [B.C. Reg. 132/2023, S. 3.] (c) has a first aid certificate in good standing at the required level issued by the Board or a person recognized by the Board, and (d) meets any other requirements determined by the Board for designation as a first aid attendant. [en. B.C. Reg. 348/2003, S. 2; am. B.C. Reg. 132/2023, S. 3.] - Basic requirements - 3.16 (1) An employer must provide for each workplace (a) at least the equipment, supplies, facilities, first aid attendants and services required by Schedule 3-A, and (b) any additional equipment, supplies, facilities, first aid attendants and services that are necessary to ensure that workers who suffer an injury at work can be (i) promptly provided fi…

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