There are no state laws requiring employers to have a clinic at the worksite or to keep a doctor or nurse on call to treat workplace injuries. However, the Oregon health and safety code, which is identical to the federal Occupational Safety and Health Act (OSH Act), requires every employer to ensure that medical personnel are readily available for advice and consultation and that when an infirmary, clinic, or hospital is not within close proximity to the workplace, there is an individual (or individuals) who is adequately trained to administer first aid. Employers are responsible for making decisions about the details of emergency medical care in their workplaces, depending on the size, the kinds of hazards present, the history of accidents, and the costs of various options (29 CFR 1910.151).
The Oregon health and safety code describes in detail the elements of an effective workplace medical program. These elements are described in this section.
According to the OSH Act, if any employee is exposed to harmful chemicals or materials in concentrations or at levels exceeding those prescribed by an applicable occupational safety and health standard, the employer must promptly notify the employee and, if appropriate, make available and pay for medical examinations or other tests for the affected employee (29 USC 655; 29 CFR 1910.120, Subpart Z).
Also, there may be substance-specific measures beyond routine first aid that are recommended to counteract the effects of exposure. These specific requirements can be found on the safety data sheets that employers are required to keep on file.