Detailed Guidance for OSHA's Injury and Illness Recordkeeping Rule
This document provides general guidance about OSHA's recordkeeping rule and provides links to more detailed guidance. The questions and answers in the Additional guidance portion of this document do not themselves impose enforceable recordkeeping or reporting obligations; such obligations are imposed only by the regulation.
OSHA has developed additional guidance to help employers comply with the recordkeeping requirements. The following table of contents provides links to additional guidance, or, if additional guidance has not been developed, to the regulation.
1904.0 Purpose
Question 0-1. Why are employers required to keep records of work-related injuries and illnesses?
The OSH Act of 1970 requires the Secretary of Labor to produce regulations that require employers to keep records of occupational deaths, injuries, and illnesses. The records are used for several purposes. Injury and illness statistics are used by OSHA. OSHA collects data through the OSHA Data Initiative (ODI) to help direct its programs and measure its own performance. Inspectors also use the data during inspections to help direct their efforts to the hazards that are hurting workers. The records are also used by employers and employees to implement safety and health programs at individual workplaces. Analysis of the data is a widely recognized method for discovering workplace safety and health problems and for tracking progress in solving those problems. The records provide the base data for the BLS Annual Survey of Occupational Injuries and Illnesses, the Nation's primary source of occupational injury and illness data.
Question 0-2. What is the effect of workers' compensation reports on the OSHA records?
The purpose section of the rule includes a note to make it clear that recording an injury or illness neither affects a person's entitlement to workers' compensation nor proves a violation of an OSHA rule. The rules for compensability under workers' compensation differ from state to state and do not have any effect on whether or not a case needs to be recorded on the OSHA 300 Log. Many cases will be OSHA recordable and compensable under workers' compensation. However, some cases will be compensable but not OSHA recordable, and some cases will be OSHA recordable but not compensable under workers' compensation.
Preamble Discussion: Section 1904.0
(66 FR 5933-5935, Jan. 19, 2001)
Preamble Discussion: Section 1904.1
(66 FR 5935-5939, Jan. 19, 2001)
1904.2 Partial exemption for establishments in certain industries.
Question 2-1. How do I determine the correct NAICS code for my company or individual establishments in my company?
You can determine your NAICS code by using one of four methods:
- You can use the search feature at the U.S. Census Bureau NAICS main webpage. In the search box for the most recent NAICS, enter a keyword that describes your kind of business. A list of primary business activities containing that keyword and the corresponding NAICS codes will appear. Choose the one that most closely corresponds to your primary business activity, or refine your search to obtain other choices.
- Rather than searching through a list of primary business activities, you may also view the most recent complete NAICS structure with codes and titles by clicking on the link for the most recent NAICS on the U.S. Census Bureau NAICS main webpage. Then click on the two-digit Sector code to see all the NAICS codes under that Sector. Then choose the six-digit code of your interest to see the corresponding definition, as well as cross-references and index items, when available.
- If you know your old SIC code, you can also find the appropriate 2002 NAICS code by using the detailed conversion (concordance) between the 1987 SIC and 2002 NAICS available in Excel format for download at the "Concordances" link at the U.S. Census Bureau NAICS main webpage.
- You may also contact your nearest OSHA office or State agency for help in determining your NAICS code.
Question 2-2. Do States with OSHA-approved State plans have the same industry exemptions as Federal OSHA?
States with OSHA-approved plans may require employers to keep records for the State, even though those employers are within an industry exempted by the Federal rule.
Question 2-3. How do the 2007 to 2012 NAICS coding changes for the Full and Limited Service Restaurant Industries affect the exemptions status of establishments in these industries?
The list of partially exempt industries is based on 2007 NAICS codes. Under that coding system, restaurants are classified as NAICS 7221, Full–Service Restaurants, or NAICS 7222, Limited-Service Eating Places. Both of these industries are included in Appendix A to Subpart B of the Part 1904 regulation. The fact that these industries are now classified in 2012 NAICS 7225, Restaurants and Other Eating Places, does not change their partially exempt status.
1904.3 Letters of Interpretation
- 02/10/2015 - Clarification regarding the jurisdiction of the applicability of the recording requirements in state territorial waters
Preamble Discussion: Section 1904.3
(66 FR 5945, Jan. 19, 2001)
1904.4 Recording criteria.
Question 4-1. Does an employee report of an injury or illness establish the existence of the injury or illness for recordkeeping purposes?
No. In determining whether a case is recordable, the employer must first decide whether an injury or illness, as defined by the rule, has occurred. If the employer is uncertain about whether an injury or illness has occurred, the employer may refer the employee to a physician or other health care professional for evaluation and may consider the health care professional's opinion in determining whether an injury or illness exists. [Note: If a physician or other licensed health care professional diagnoses a significant injury or illness within the meaning of §1904.7(b)(7) and the employer determines that the case is work-related, the case must be recorded.]
1904.4 Letters of Interpretation
- 06/06/2012 - Clarifying the Recordability Criteria of Several Examples Addressing the Issues of Determining Work-relatedness and Covered Employees.
- 01/25/2010 - Clarification of the term abnormal condition as used in the Recordkeeping standard.
- 07/28/2009 - Clarification on administering oxygen as a precautionary measure and as medical treatment.
Preamble Discussion: Section 1904.4
(66 FR 5945-5946, Jan. 19, 2001)
1904.5 Determination of work-relatedness
Question 5-1. If a maintenance employee is cleaning the parking lot or an access road and is injured as a result, is the case work-related?
Yes, the case is work-related because the employee is injured as a result of conducting company business in the work environment. If the injury meets the general recording criteria of Section 1904.7 (death, days away, etc.), the case must be recorded.
Question 5-2. Are cases of workplace violence considered work-related under the new Recordkeeping rule?
The Recordkeeping rule contains no general exception, for purposes of determining work-relationship, for cases involving acts of violence in the work environment. However, some cases involving violent acts might be included within one of the exceptions listed in section 1904.5(b)(2). For example, if an employee arrives at work early to use a company conference room for a civic club meeting and is injured by some violent act, the case would not be work-related under the exception in section 1904.5(b)(2)(v).
Question 5-3. What activities are considered "personal grooming" for purposes of the exception to the geographic presumption of work-relatedness in section 1904.5(b)(2)(vi)?
Personal grooming activities are activities directly related to personal hygiene, such as combing and drying hair, brushing teeth, clipping fingernails and the like. Bathing or showering at the workplace when necessary because of an exposure to a substance at work is not within the personal grooming exception in section 1904.5(b)(2)(vi). Thus, if an employee slips and falls while showering at work to remove a contaminant to which he has been exposed at work, and sustains an injury that meets one of the general recording criteria listed in section 1904.7(b)(1), the case is recordable.
Question 5-4. What are "assigned working hours" for purposes of the exception to the geographic presumption in section 1904.5(b)(2)(v)?
"Assigned working hours," for purposes of section 1904.5(b)(2)(v), means those hours the employee is actually expected to work, including overtime.
Question 5-5. What are "personal tasks" for purposes of the exception to the geographic presumption in section 1904.5(b)(2)(v)?
"Personal tasks" for purposes of section 1904.5(b)(2)(v) are tasks that are unrelated to the employee's job. For example, if an employee uses a company break area to work on his child's science project, he is engaged in a personal task.
Question 5-6. If an employee stays at work after normal work hours to prepare for the next day's tasks and is injured, is the case work-related? For example, if an employee stays after work to prepare air-sampling pumps and is injured, is the case work-related?
A case is work-related any time an event or exposure in the work environment either causes or contributes to an injury or illness or significantly aggravates a pre-existing injury or illness, unless one of the exceptions in section 1904.5(b)(2) applies. The work environment includes the establishment and other locations where one or more employees are working or are present as a condition of their employment. The case in question would be work-related if the employee was injured as a result of an event or exposure at work, regardless of whether the injury occurred after normal work hours.
Question 5-7. If an employee voluntarily takes work home and is injured while working at home, is the case recordable?
No. Injuries and illnesses occurring in the home environment are only considered work-related if the employee is being paid or compensated for working at home and the injury or illness is directly related to the performance of the work rather than to the general home environment.
Question 5-8. If an employee's pre-existing medical condition causes an incident which results in a subsequent injury, is the case work-related? For example, if an employee suffers an epileptic seizure, falls, and breaks his arm, is the case covered by the exception in section 1904.5(b)(2)(ii)?
Neither the seizures nor the broken arm are recordable. Injuries and illnesses that result solely from non-work-related events or exposures are not recordable under the exception in section 1904.5(b)(2)(ii). Epileptic seizures are a symptom of a disease of non-occupational origin, and the fact that they occur at work does not make them work-related. Because epileptic seizures are not work-related, injuries resulting solely from the seizures, such as the broken arm in the case in question, are not recordable.
Question 5-9. This question involves the following sequence of events: Employee A drives to work, parks her car in the company parking lot and is walking across the lot when she is struck by a car driven by employee B, who is commuting to work. Both employees are seriously injured in the accident. Is either case work-related?
Neither employee's injuries are recordable. While the employee parking lot is part of the work environment under section 1904.5, injuries occurring there are not work-related if they meet the exception in section 1904.5(b)(2)(vii). Section 1904.5(b)(2)(vii) excepts injuries caused by motor vehicle accidents occurring on the company parking lot while the employee is commuting to and from work. In the case in question, both employees' injuries resulted from a motor vehicle accident in the company parking lot while the employees were commuting. Accordingly, the exception applies.
Question 5-10. How does OSHA define a "company parking lot" for purposes of Recordkeeping?
Company parking lots are part of the employer's premises and therefore part of the establishment. These areas are under the control of the employer, i.e. those parking areas where the employer can limit access (such as parking lots limited to the employer's employees and visitors). On the other hand, a parking area where the employer does not have control (such as a parking lot outside of a building shared by different employers, or a public parking area like those found at a mall or beneath a multi-employer office building) would not be considered part of the employers establishment (except for the owner of the building or mall), and therefore not a company parking lot for purposes of OSHA recordkeeping.
Question 5-11. An employee experienced an injury or illness in the work environment before they had "clocked in" for the day. Is the case considered work related even if that employee was not officially "on the clock" for pay purposes?
Yes. For purposes of OSHA recordkeeping injuries and illnesses occurring in the work environment are considered work-related. Punching in and out with a time clock (or signing in and out) does not affect the outcome for determining work-relatedness. If the employee experienced a work-related injury or illness, and it meets one or more of the general recording criteria under section 1904.7, it must be entered on the employer's OSHA 300 log.
Question 5-12. Is work-related stress recordable as a mental illness case?
Mental illnesses, such as depression or anxiety disorder, that have work-related stress as a contributing factor, are recordable if the employee voluntarily provides the employer with an opinion from a physician or other licensed health care professional with appropriate training and experience (psychiatrist, psychologist, psychiatric nurse practitioner, etc.) stating that the employee has a mental illness that is work-related, and the case meets one or more of the general recording criteria. See sections 1904.5(b)(2)(ix) and 1904.7.
Question 5-13. If an employee dies or is injured or infected as a result of terrorist attacks, should it be recorded on the OSHA Injury and Illness Log? Should it be reported to OSHA?
Yes, injuries and illnesses that result from a terrorist event or exposure in the work environment are considered work-related for OSHA recordkeeping purposes. OSHA does not provide an exclusion for violence-related injury and illness cases, including injuries and illnesses resulting from terrorist attacks.
Employers must report to OSHA work-related fatalities within 8 hours and work-related inpatient hospitalizations, amputations and losses of an eye within 24 hours. You can report to OSHA by calling OSHA’s free and confidential number at 1-800-321-OSHA (6742), by calling your closest Area Office during normal business hours, or by using the new online form.
1904.5 Letters of Interpretation
- 03/21/2016 - Determining if the injury or illness would apply to the work-related exception 1904.5(b)(2)(vi).
- 11/06/2015 - Clarification on the work-related exemption involving personal tasks outside the assigned working hours.
- 10/19/2015 - Determining whether an injury or illness is work-related and recordable.
- 04/13/2015 - Clarification regarding the applicability of the recording criteria for an injury occurring while commuting to/from work.
- 02/12/2015 - Clarification of the applicability of the recording criteria for cases occurring while traveling to/from an airport for work-related travel.
- 02/28/2014 - Clarification of a pre-existing injury or illness and recordable events.
- 06/06/2012 - Clarifying the Recordability Criteria of Several Examples Addressing the Issues of Determining Work-relatedness and Covered Employees.
- 02/01/2012 - Recordkeeping regulation contained in 29 CFR Part 1904 - Recording and Reporting Occupational Injuries and Illnesses
- 02/25/2011 - Clarification of the terms most authoritative and pre-existing conditions as used for recordkeeping purposes.
- 11/15/2010 - Determining work-relatedness for injury that occurred in company parking lot
- 04/22/2010 - Clarification on recordkeeping exemption for illness resulting from consuming food in the workplace.
- 02/16/2010 - Clarification of assigned working hours when recording work-related injuries/illnesses.
- 10/06/2009 - Clarification of preexisting injury/illness and recordkeeping.
- 05/08/2009 - Clarification on when administering oxygen would result in a recordable injury.
- 05/04/2009 - Determining if a fatality would be considered work-related.
- 03/31/2009 - Clarification of the term self-inflicted as used in the Recordkeeping standard.
- 03/30/2009 - Determining work-relatedness for injuries in the home when telecommuting.
- 02/24/2009 - Determining recordkeeping for work-relatedness of accident occurring during off-site event.
- 02/09/2009 - Determining work-relatedness for recordkeeping of injury resulting from horseplay.
- 08/26/2008 - Clarification of several recordkeeping scenarios regarding days away from work, restricted work activity, and work-relatedness.
- 07/14/2008 - Whether to record two cases of employee injuries sustained in company parking lot during employees commute to work.
- 08/29/2007 - Clarification of 1910.95 and 1904 regarding physicians and audiologists roles in determining work-relatedness of worker hearing loss.
- 04/03/2007 - Recording an injury when employer is provided with different medical opinions.
- 02/06/2007 - Whether to record injuries that occur to employees who travel from an offshore manned platform complex or dock to other offshore platforms.
- 02/06/2007 - Whether to record injuries that occur to a contract employee when traveling from an offshore manned platform complex to other downfield fixed platforms.
- 05/12/2006 - Determination of work-relatedness on a construction site.
- 12/21/2005 - Determining if an injury is considered a new recordkeeping case based on a recurrence of previously recorded symptoms.
- 11/30/2005 - Clarification on recording days away from work for follow-up visits to doctor while on restricted-duty job and recovery time to stabilize preexisting condition.
- 09/01/2005 - 29 CFR Part 1904 OSHA Recordkeeping Regulation applies only within the jurisdictional boundaries of the United States and certain locations listed in OSHAct Sec. 4(a).
- 03/10/2005 - Clarification of "assigned working hours" for determining recordability of injuries that occur during breaks in the normal work schedule.
- 08/26/2004 - Recordability of a fatal traffic accident in a foreign project location.
- 01/13/2004 - Determining work-relatedness when the work event or exposure is only one of the discernable causes; not the sole or predominant cause.
- 07/22/2003 - Clarification of Recordkeeping's work-related exception.
- 11/19/2002 - Clarification on determining if an injury or illness is work-related and the recordability of the administration of oxygen.
- 02/06/2002 - OSHA's no-fault recordkeeping system requires recording work-related injuries and illnesses, regardless of the level of employer control or non-control involved.
Preamble Discussion: Section 1904.5
(66 FR 5946-5962, Jan. 19, 2001)
1904.6 Determination of new cases
Question 6-1. How is an employer to determine whether an employee has "recovered completely" from a previous injury or illness such that a later injury or illness of the same type affecting the same part of the body resulting from an event or exposure at work is a "new case" under section 1904.6(a)(2)? If an employee's signs and symptoms disappear for a day and then resurface the next day, should the employer conclude that the later signs and symptoms represent a new case?
An employee has "recovered completely" from a previous injury or illness, for purposes of section 1904.6(a)(2), when he or she is fully healed or cured. The employer must use his best judgment based on factors such as the passage of time since the symptoms last occurred and the physical appearance of the affected part of the body. If the signs and symptoms of a previous injury disappear for a day only to reappear the following day, that is strong evidence the injury has not properly healed. The employer may, but is not required to, consult a physician or other licensed health care provider (PLHCP). Where the employer does consult a PLHCP to determine whether an employee has recovered completely from a prior injury or illness, it must follow the PLHCP's recommendation. In the event the employer receives recommendations from two or more PLHCPs, the employer may decide which recommendation is the most authoritative and record the case based on that recommendation.
1904.6 Letters of Interpretation
- 02/25/2011 - Clarification of the terms most authoritative and pre-existing conditions as used for recordkeeping purposes.
- 09/24/2010 - Clarification on most authoritative when multiple medical opinions are provided.
- 12/21/2005 - Determining if an injury is considered a new recordkeeping case based on a recurrence of previously recorded symptoms.
- 11/30/2004 - Determination of the date of an injury or illness for OSHA recordkeeping purposes.
- 01/13/2004 - Determining work-relatedness when the work event or exposure is only one of the discernable causes; not the sole or predominant cause.
Preamble Discussion: Section 1904.6
(66 FR 5962-5967, Jan. 19, 2001)
1904.7 General recording criteria
Question 7-1. The old rule required the recording of all occupational illnesses, regardless of severity. For example, a work-related skin rash was recorded even if it didn't result in medical treatment. Does the rule still capture these minor illness cases?
No. Under the new rule, injuries and illnesses are recorded using the same criteria. As a result, some minor illness cases are no longer recordable. For example, a case of work-related skin rash is now recorded only if it results in days away from work, restricted work, transfer to another job, or medical treatment beyond first aid.
Question 7-2. Does the size or degree of a burn determine recordability?
No, the size or degree of a work-related burn does not determine recordability. If a work-related first, second, or third degree burn results in one or more of the outcomes in section 1904.7 (days away, work restrictions, medical treatment, etc.), the case must be recorded.
Question 7-3. If an employee dies during surgery made necessary by a work-related injury or illness, is the case recordable? What if the surgery occurs weeks or months after the date of the injury or illness?
If an employee dies as a result of surgery or other complications following a work-related injury or illness, the case is recordable. If the underlying injury or illness was recorded prior to the employee's death, the employer must update the Log by lining out information on less severe outcomes, e.g., days away from work or restricted work, and checking the column indicating death.
Question 7-4. An employee hurts his or her left arm and is told by the doctor not to use the left arm for one week. The employee is able to perform all of his or her routine job functions using only the right arm (though at a slower pace and the employee is never required to use both arms to perform his or her job functions). Would this be considered restricted work?
No. If the employee is able to perform all of his or her routine job functions (activities the employee regularly performs at least once per week), the case does not involve restricted work. Loss of productivity is not considered restricted work.
Question 7-5. Are surgical glues used to treat lacerations considered "first aid?"
No, surgical glue is a wound closing device. All wound closing devices except for butterfly and steri strips are by definition "medical treatment," because they are not included on the first aid list.
Question 7-6. Item N on the first aid list is "drinking fluids for relief of heat stress." Does this include administering intravenous (IV) fluids?
No. Intravenous administration of fluids to treat work-related heat stress is medical treatment.
Question 7-7. Is the use of a rigid finger guard considered first aid?
Yes, the use of finger guards is always first aid.
Question 7-8. For medications such as Ibuprofen that are available in both prescription and non-prescription form, what is considered to be prescription strength? How is an employer to determine whether a non-prescription medication has been recommended at prescription strength for purposes of section 1904.7(b)(5)(ii)(A)?
The prescription strength of such medications is determined by the measured quantity of the theraputic agent to be taken at one time, i.e., a single dose. The single dosages that are considered prescription strength for four common over-the-counter drugs are: Ibuprofen (such as Advil) - Greater than 467 mg Diphenhydramine (such as Benadryl) - Greater than 50 mg Naproxen Sodium (such as Aleve) - Greater than 220 mg Ketoprofen (such as Orudus KT) - Greater than 25mg To determine the prescription-strength dosages for other drugs that are available in prescription and non-prescription formulations, the employer should contact OSHA, the United States Food and Drug Administration, their local pharmacist or their physician.
Question 7-9. If an employee who sustains a work-related injury requiring days away from work is terminated for drug use based on the results of a post-accident drug test, how is the case recorded? May the employer stop the day count upon termination of the employee for drug use under section 1904.7(b)(3) (viii)?
Under section 1904.7(b)(3)(viii), the employer may stop counting days away from work if an employee who is away from work because of an injury or illness leaves the company for some reason unrelated to the injury or illness, such as retirement or a plant closing. However, when the employer conducts a drug test based on the occurrence of an accident resulting in an injury at work and subsequently terminates the injured employee, the termination is related to the injury. Therefore, the employer must estimate the number of days that the employee would have been away from work due to the injury and enter that number on the 300 Log.
Question 7-10. Once an employer has recorded a case involving days away from work, restricted work or medical treatment and the employee has returned to his regular work or has received the course of recommended medical treatment, is it permissible for the employer to delete the Log entry based on a physician's recommendation, made during a year-end review of the Log, that the days away from work, work restriction or medical treatment were not necessary?
The employer must make an initial decision about the need for days away from work, a work restriction, or medical treatment based on the information available, including any recommendation by a physician or other licensed health care professional. Where the employer receives contemporaneous recommendations from two or more physicians or other licensed health care professionals about the need for days away, a work restriction, or medical treatment, the employer may decide which recommendation is the most authoritative and record the case based on that recommendation. Once the days away from work or work restriction have occurred or medical treatment has been given, however, the employer may not delete the Log entry because of a physician's recommendation, based on a year-end review of the Log, that the days away, restriction or treatment were unnecessary.
Question 7-10a. If a physician or other licensed health care professional recommends medical treatment, days away from work or restricted work activity as a result of a work-related injury or illness can the employer decline to record the case based on a contemporaneous second provider's opinion that the recommended medical treatment, days away from work or work restriction are unnecessary, if the employer believes the second opinion is more authoritative?
Yes. However, once medical treatment is provided for a work-related injury or illness, or days away from work or work restriction have occurred, the case is recordable. If there are conflicting contemporaneous recommendations regarding medical treatment, or the need for days away from work or restricted work activity, but the medical treatment is not actually provided and no days away from work or days of work restriction have occurred, the employer may determine which recommendation is the most authoritative and record on that basis. In the case of prescription medications, OSHA considers that medical treatment is provided once a prescription is issued.
Question 7-11. Section 1904.7(b)(5)(ii) of the rule defines first aid, in part, as "removing splinters or foreign material from areas other than the eye by irrigation, tweezers, cotton swabs or other simple means." What are "other simple means" of removing splinters that are considered first aid?
"Other simple means" of removing splinters, for purposes of the first-aid definition, means methods that are reasonably comparable to the listed methods. Using needles, pins or small tools to extract splinters would generally be included.
Question 7-12. How long must a modification to a job last before it can be considered a permanent modification under section 1904.7(b)(4)(xi)?
Section 1904.7(b)(4)(xi) of the rule allows an employer to stop counting days of restricted work or transfer to another job if the restriction or transfer is made permanent. A permanent restriction or transfer is one that is expected to last for the remainder of the employee's career. Where the restriction or transfer is determined to be permanent at the time it is ordered, the employer must count at least one day of the restriction or transfer on the Log. If the employee whose work is restricted or who is transferred to another job is expected to return to his or her former job duties at a later date, the restriction or transfer is considered temporary rather than permanent.
Question 7-13. If an employee loses his arm in a work-related accident and can never return to his job, how is the case recorded? Is the day count capped at 180 days?
If an employee never returns to work following a work-related injury, the employer must check the "days away from work" column, and enter an estimate of the number of days the employee would have required to recuperate from the injury, up to180 days.
Question 7-14. If an employee who routinely works ten hours a day is restricted from working more than eight hours following a work-related injury, is the case recordable?
Generally, the employer must record any case in which an employee's work is restricted because of a work-related injury. A work restriction, as defined in section 1904.7(b)(4)(i)(A), occurs when the employer keeps the employee from performing one or more routine functions of the job, or from working the full workday the employee would otherwise have been scheduled to work. The case in question is recordable if the employee would have worked 10 hours had he or she not been injured.
Question 7-15. If an employee is exposed to chlorine or some other substance at work and oxygen is administered as a precautionary measure, is the case recordable?
If oxygen is administered as a purely precautionary measure to an employee who does not exhibit any symptoms of an injury or illness, the case is not recordable. If the employee exposed to a substance exhibits symptoms of an injury or illness, the administration of oxygen makes the case recordable.
Question 7-16. Is the employer subject to a citation for violating section 1904.7(b)(4) (viii) if an employee fails to follow a recommended work restriction?
Section 1904.7(b) (4)(viii) deals with the recordablility of cases in which a physician or other health care professional has recommended a work restriction. The section also states that the employer "should ensure that the employee complies with the [recommended] restriction." This language is purely advisory and does not impose an enforceable duty upon employers to ensure that employees comply with the recommended restriction. [Note: In the absence of conflicting opinions from two or more health care professionals, the employer ordinarily must record the case if a health care professional recommends a work restriction involving the employee's routine job functions.]
Question 7-17. Are work-related cases involving chipped or broken teeth recordable?
Yes, under section 1904.7(b)(7), these cases are considered a significant injury or illness when diagnosed by a physician or other health care professional. As discussed in the preamble of the final rule, work-related fractures of bones or teeth are recognized as constituting significant diagnoses and, if the condition is work-related, are appropriately recorded at the time of initial diagnosis even if the case does not involve any of the other general recording criteria.
Question 7-18. How would the employer record the change on the OSHA 300 Log for an injury or illness after the injured worker reached the cap of 180 days for restricted work and then was assigned to "days away from work"?
The employer must check the box that reflects the most severe outcome associated with a given injury or illness. The severity of any case decreases on the log from column G (Death) to column J (Other recordable case). Since days away from work is a more severe outcome than restricted work the employer is required to remove the check initially placed in the box for job transfer or restriction and enter a check in the box for days away from work (column H). Employers are allowed to cap the number of days away and/or restricted work/job transfer when a case involves 180 calendar days. For purposes of recordability, the employer would enter 180 days in the "Job transfer or restriction" column and may also enter 1 day in the "Days away from work" column to prevent confusion or computer related problems.
Question 7-19. Does the employer have to record a work-related injury and illness, if an employee experiences minor musculoskeletal discomfort, the health care professional determines that the employee is fully able to perform all of his or her routine job functions, but the employer assigns a work restriction to the injured employee?
As set out in Chapter 2, I., F. of the Recordkeeping Policies and Procedures Manual (CPL 2-0.131) a case would not be recorded under section 1904.7(b)(4) if 1) the employee experiences minor musculoskeletal discomfort, and 2) a health care professional determines that the employee is fully able to perform all of his or her routine job functions, and 3) the employer assigns a work restriction to that employee for the purpose of preventing a more serious condition from developing. If a case is or becomes recordable under any other general recording criteria contained in section 1904.7, such as medical treatment beyond first aid, a case involving minor musculoskeletal discomfort would be recordable.
Question 7-20. Are injuries and illnesses recordable if they occurred during employment, but were not discovered until after the injured or ill employee was terminated or retired?
These cases are recordable throughout the five year record retention and updating period contained in section 1904.33. The cases would be recorded on either the log of the year in which the injury or illness occurred or the last date of employment.
Question 7-21. If an employee leaves the company after experiencing a work-related injury or illness that results in days away from work and/or days of restricted work/job transfer how would an employer record the case?
If the employee leaves the company for some reason(s) unrelated to the injury or illness, section 1904.7(b)(3)(viii) of the rule allows the employer to stop counting days away from work or days of restriction/job transfer. In order to stop a count the employer must first have a count to stop. Thus, the employer must count at least one day away from work or day of restriction/job transfer on the OSHA 300 Log. If the employee leaves the company for some reason(s) related to the injury or illness, section 1904.7(b)(3)(viii) of the rule directs the employer to make an estimate of the count of days away from work or days of restriction/job transfer expected for the particular type of case.
Question 7-22 If an employee has an adverse reaction to a smallpox vaccination; is it recordable under OSHA's recordkeeping rule?
If an employee has an adverse reaction to a smallpox vaccination, the reaction is recordable if it is work related (see 29 CFR 1904.5) and meets the general recording criteria contained in 29 CFR 1904.7. A reaction caused by a smallpox vaccination is work related if the vaccination was necessary to enable the employee to perform his or her work duties. Such a reaction is work-related even though the employee was not required to receive it, if the vaccine was provided by the employer to protect the employee against exposure to smallpox in the work environment. For example, if a health care employer establishes a program to vaccinate employees who may be involved in treating people suffering from the effects of a smallpox outbreak, reactions to the vaccine would be work related. The same principle applies to adverse reactions among emergency response workers whose duties may cause them to be exposed to smallpox. The vaccinations in this circumstance are analogous to inoculations given to employees to immunize them from diseases to which they may be exposed to in the course of work-related overseas travel.
Question 7-23. An employee has a work-related shoulder injury resulting in days of restricted work activity. While working on restricted duty, the employee sustains a foot injury which results in a different work restriction. How would the employer record these cases?
For purposes of OSHA recordkeeping the employer would stop the count of the days of restricted work activity due to the first case, the shoulder injury, and enter the foot injury as a new case and record the number of restricted work days. If the restriction related to the second case, the foot injury, is lifted and the employee is still subject to the restriction related to their shoulder injury, the employer must resume the count of days of restricted work activity for that case.
Question 7-24. An employee is provided antibiotics for anthrax, although the employee does not test positive for exposure/infection. Is this a recordable event on the OSHA log?
No. A case must involve a death, injury, or illness to be recordable. A case involving an employee who does not test positive for exposure/infection would not be recordable because the employee is not injured or ill.
Question 7-25. An employee tests positive for anthrax exposure/infection and is provided antibiotics. Is this a recordable event on the OSHA log?
Yes. Under the most recent Recordkeeping requirements, which will be effective in January 2002, a work-related anthrax exposure/infection coupled with administration of antibiotics or other medical treatment must be recorded on the log. Until the new Recordkeeping requirements become effective, an employer is required to record a work-related illness, regardless of whether medical care is provided in connection with the illness.
1904.7 Letters of Interpretation
- 09/13/2018 - Prescription medications, such as an Epi-Pen considered medical treatment beyond first-aid.
- 11/12/2015 - Clarification on the recording of injuries involving broken or chipped teeth.
- 02/12/2015 - Clarification of the applicability of the recording criteria for cases occurring while traveling to/from an airport for work-related travel.
- 02/28/2014 - Clarification of a pre-existing injury or illness and recordable events.
- 06/26/2013 - Determining Whether the Employer is Required to Record a Work-related Injury Sustained by an Employee which was Treated by a Reduction Procedure Performed on Her Dislocated Ring Finger
- 05/20/2011 - Clarification on whether an exercise regime is first aid or medical treatment.
- 04/18/2011 - Clarification on recordability when trigger point injections are used for medical treatment and for diagnostic procedures
- 03/22/2011 - Recording an absence as days away when PLHCP recommends the employee return to work.
- 09/07/2010 - Recording says away and/or restricted work activity when employee is able to work part of a shift.
- 05/21/2010 - Therapeutic exercise is considered medical treatment for recordkeeping purposes.
- 05/05/2010 - Clarification on pre-existing conditions and recordable incidents.
- 02/16/2010 - Clarification of assigned working hours when recording work-related injuires/illnesses.
- 11/16/2009 - Whether manual joint manipulation is considered first aid or medical treatment for recordkeeping purposes.
- 10/06/2009 - Clarification on prescription medications and recordkeeping requirements.
- 06/22/2009 - Health impacts from shared office equipment.
- 03/31/2009 - Clarification of the term self-inflicted as used in the Recordkeeping standard.
- 03/30/2009 -Counting restricted days for a part-time employee.
- 08/26/2008 - Clarification of several recordkeeping scenarios regarding days away from work, restricted work activity, and work-relatedness.
- 05/15/2007 - Clarification of the term "contemporaneous" as used in recordkeeping FAQ 7-10a.
- 04/03/2007 - Whether damage to employee dentures is a recordable injury.
- 02/06/2007 - Clarification of several recordkeeping scenarios regarding the use of prescription medication in treating a work-related case.
- 08/03/2006 - Recording an injury when physician recommends restriction but no restricted work is available.
- 06/23/2006 - No Restricted Work Available.
- 05/12/2006 - Recordkeeping requirements when an employer receives two or more differing medical recommendations for an injury/illness.
- 04/25/2006 - Restrictions from restricted work activities.
- 04/24/2006 - Determination of a case as days away or restricted work; case must be recorded in manner reflecting what actually occurs.
- 11/15/2005 - Once medical treatment beyond first aid has occurred for injury or illness the case must be recorded.
- 03/10/2005 - All prescription medications, including preventive antibiotics, should be considered medical treatment and are recordable.
- 08/26/2004 - Use of glue to close a wound is medical treatment; prescription antibiotics/antiseptics for preventive treatment of a wound is medical treatment.
- 03/19/2003 - Results of an MRI do not negate the recordability of a physician's recommendation.
- 08/08/2002 - Use of liquid bandages on wounds is considered first aid.
- 10/29/2001 - Recording of cases in which a health care professional issues a prescription, whether that prescription is filled or not.
Preamble Discussion: Section 1904.7
(66 FR 5968-5998, Jan. 19, 2001)
1904.8 Recording criteria for needlestick and sharps injuries.
Question 8-1. Can you clarify the relationship between the OSHA recordkeeping requirements and the requirements in the Bloodborne Pathogens standard to maintain a sharps injury log?
The OSHA Bloodborne Pathogens Standard states: "The requirement to establish and maintain a sharps injury log shall apply to any employer who is required to maintain a log of occupational injuries and illnesses under 29 CFR 1904." Therefore, if an employer is exempted from the OSHA recordkeeping rule, the employer does not have to maintain a sharps log. For example, dentists' offices and doctors' offices are not required to keep a sharps log after January 1, 2002.
Question 8-2. Can I use the OSHA 300 Log to meet the Bloodborne Pathogen Standard's requirement for a sharps injury log?
Yes. You may use the 300 Log to meet the requirements of the sharps injury log provided you enter the type and brand of the device causing the sharps injury on the Log and you maintain your records in a way that segregates sharps injuries from other types of work-related injuries and illnesses, or allows sharps injuries to be easily separated.
Preamble Discussion: Section 1904.8
(66 FR 5998-6003, Jan. 19, 2001)
Preamble Discussion: Section 1904.9
(66 FR 6003, Jan. 19, 2001)
1904.10 Recording criteria for cases involving occupational hearing loss.
Question 10-1. If an employee suffers a Standard Threshold Shift (STS) in only one ear, may the employer revise the baselines for both ears?
No. A Standard Threshold Shift, or STS, is defined in the occupational noise exposure standard at 29 CFR 1910.95(g)(10)(i) as a change in hearing threshold, relative to the baseline audiogram for that employee, of an average of 10 decibels (dB) or more at 2000, 3000, and 4000 hertz (Hz) in one or both ears. The employer is permitted only to revise the baseline in the ear where the employee suffered an STS change in hearing threshold.
Question 10-2. Which baseline is used to determine if a recordable Standard Threshold Shift (STS) has occurred this year?
Employers should use the same baseline that they would use to comply with OSHA's Noise Standard, Part 1910.95. If the employer chose to revise an employee's baseline due to a previous STS, then the employer would use the same revised baseline when determining recordability under section 1904.10 of the recordkeeping regulation.
Question 10-3. If an employee experienced a recordable hearing loss case, where would the employer record the case on the OSHA 300 Log?
Prior to 2004, employers should record work-related hearing loss cases according to the instructions included with the Recordkeeping Forms. If the loss is associated with an event, such as acoustic trauma (e.g., an explosion), it would be recorded as an injury with a check mark in column (M)(1). If the loss is not an injury, it would be recorded as an illness, with a check mark in the all other illness column. Beginning in January 2004, employers must record all hearing loss cases in the separate hearing loss column (M)(5).
Question 10-4 (This question was added to the directive on 1/12/2012). What rules must an employer ensure that a physician or other licensed health care professional use to make a determination that a hearing loss case is not work-related under section 1904.10(b)(6)?
Physician or other licensed health care professional (PLHCP) must follow the rules set out in 1904.5 to determine if the hearing loss is work-related. If an event or exposure in the work environment either caused or contributed to the hearing loss, or significantly aggravated a pre-existing hearing loss, the physician or licensed health care professional must consider the case to be work related. It is not necessary for work to be the sole cause, or the predominant cause, or even a substantial cause of the hearing loss; any contribution from work makes the case work-related. The employer is responsible for ensuring that the PLHCP applies the analysis in Section 1904.5 when evaluating work-related hearing loss, if the employer chooses to rely on the PLHCP's opinion in determining recordability.
1904.10 Letters of Interpretation
- 08/29/2007 - Clarification of 1910.95 and 1904 regarding physicians and audiologists roles in determining work-relatedness of worker hearing loss.
- 03/04/2004 - Recording criteria for recordkeeping cases involving occupational hearing loss.
- 05/08/2003 - Baseline audiogram revision due to persistent STS or improved thresholds; revision must be made for each ear separately.
Preamble Discussion: Section 1904.10
66 FR 6004-6012, Jan. 19, 2001)
Preamble Discussion: Section 1904.11
(66 FR 6013-6017, Jan. 19, 2001)
1904.29 Forms
Question 29-1. How do I determine whether or not a case is an occupational injury or one of the occupational illness categories in Section M of the OSHA 300 Log?
The instructions that accompany the OSHA 300 Log contain examples of occupational injuries and the various types of occupational illnesses listed on the Log. If the case you are dealing with is on one of those lists, then check that injury or illness category. If the case you are dealing with is not listed, then you may check the injury or illness category that you believe best fits the circumstances of the case.
Question 29-2. Does the employer decide if an injury or illness is a privacy concern case?
Yes. The employer must decide if a case is a privacy concern case, using 1904.29(b)(7), which lists the six types of injuries and illnesses the employer must consider privacy concern cases. If the case meets any of these criteria, the employer must consider it a privacy concern case. This is a complete list of all injury and illnesses considered privacy concern cases.
Question 29-3. Under paragraph 1904.29(b)(9), the employer may use some discretion in describing a privacy concern case on the log so the employee cannot be identified. Can the employer also leave off the job title, date, or where the event occurred?
Yes. OSHA believes that this would be an unusual circumstance and that leaving this information off the log will rarely be needed. However, if the employer has reason to believe that the employee's name can be identified through this information, these fields can be left blank.
Question 29-4. May employers attach missing information to their accident investigation or workers' compensation forms to make them an acceptable substitute form for the OSHA 301 for recordkeeping purposes?
Yes, the employer may use a workers' compensation form or other form that does not contain all the required information, provided the form is supplemented to contain the missing information and the supplemented form is as readable and understandable as the OSHA 301 form and is completed using the same instructions as the OSHA 301 form.
Question 29-5. If an employee reports an injury or illness and receives medical treatment this year, but states that the symptoms first arose at some unspecified date last year, on which year's log do I record the case?
Ordinarily, the case should be recorded on the Log for the year in which the injury or illness occurred. Where the date of injury or illness cannot be determined, the date the employee reported the symptoms or received treatment must be used. In the case in question, the injury or illness would be recorded on this year's Log because the employee cannot specify the date when the symptoms occurred.
Question 29-6. Since the new system proposes to do away with the distinction between injuries and illnesses, is there guidance on how to classify cases to complete column M on the OSHA 300 Log?
An injury or illness is an abnormal condition or disorder. Employers should look at the examples of injuries and illnesses in the "Classifying Injuries and Classifying Illnesses" section of the Recordkeeping Forms Package for guidance. If still unsure about the classification, employers could use the longstanding distinction between injuries that result from instantaneous events or those from exposures in the work environment. Cases resulting from anything other than an instantaneous event or exposure are considered illnesses.
1904.29 Letters of Interpretation
- 09/09/2005 - Employer obligation to provide access to entire OSHA 300 Logs, including names of both union and non-union employees.
- 12/18/2003 - Posting requirements for the OSHA 300 Log and OSHA 300-A Summary Form.
- 06/23/2003 - Recording criteria for cases involving workers from a temporary help service, employee leasing service, or personnel supply service.
Preamble Discussion: Section 1904.29
(66 FR 6022-6032, Jan. 19, 2001)
1904.30 Letters of Interpretation
- 02/28/2014 - Clarification of Multiple Business Establishments and Covered Employees.
- 08/10/2011 - Clarification of Multiple Business Establishments and Covered Employees.
Preamble Discussion: Section 1904.30
(66 FR 6035-6037, Jan. 19, 2001
1904.31 Covered employees
Question 31-1. How is the term"supervised" in section 1904.31 defined for the purpose of determining whether the host employer must record the work-related injuries and illnesses of employees obtained from a temporary help service?
The host employer must record the recordable injuries and illnesses of employees not on its payroll if it supervises them on a day-to-day basis. Day-to-day supervision occurs when "in addition to specifying the output, product or result to be accomplished by the person's work, the employer supervises the details, means, methods and processes by which the work is to be accomplished."
Question 31-2. If a temporary personnel agency sends its employees to work in an establishment that is not required to keep OSHA records, does the agency have to record the recordable injuries and illnesses of these employees?
A temporary personnel agency need not record injuries and illnesses of those employees that are supervised on a day-to-day basis by another employer. The temporary personnel agency must record the recordable injuries and illnesses of those employees it supervises on a day to day basis, even if these employees perform work for an employer who is not covered by the recordkeeping rule.
1904.31 Letters of Interpretation
- 10/19/2015 - Determining who is the responsible party to record an injury or illness.
- 06/06/2012 - Clarifying the Recordability Criteria of Several Examples Addressing the Issues of Determining Work-relatedness and Covered Employees.
- 08/10/2011 - Clarification of Multiple Business Establishments and Covered Employees.
- 02/06/2007 - Whether to record injuries that occur to a contract employee when traveling from an offshore manned platform complex to other downfield fixed platforms.
- 01/15/2004 - Evaluation of seven scenarios for work-relatedness and recordkeeping requirements.
- 06/23/2003 - Recording criteria for cases involving workers from a temporary help service, employee leasing service, or personnel supply service.
Preamble Discussion: Section 1904.31
(66 FR 6037-6042, Jan. 19, 2001)
1904.32 Annual summary
Question 32-1. How do I calculate the "total hours worked" on my annual summary when I have both hourly and temporary workers?
To calculate the total hours worked by all employees, include the hours worked by salaried, hourly, part-time and seasonal workers, as well as hours worked by other workers you supervise (e.g., workers supplied by a temporary help service). Do not include vacation, sick leave, holidays, or any other non-work time even if employees were paid for it. If your establishment keeps records of only the hours paid or if you have employees who are not paid by the hour, you must estimate the hours that the employees actually worked.
Question 32-2. If an employer has no recordable cases for the year, is an OSHA 300-A, Annual Summary, still required to be completed, certified and posted?
Yes. After the end of the year, employers must review the Log to verify its accuracy, summarize the 300 Log information on the 300A summary form, and certify the summary (a company executive must sign the certification). This information must then be posted for three months, from February 1 to April 30.
Question 32-3. If employers electronically post the OSHA 300-A Summary of Work-related Injuries and Illnesses, are they in compliance with the posting requirements of 1904.32 (b)(5)?
No. The recordkeeping rule allows all forms to be kept on computer equipment or at an alternate location, as long as the employer can produce the data when needed. Section 1904.32 (b) (5), requires employers to post a copy of the Annual Summary in each establishment, where notices are normally posted [see 1903.2(a)], no later than February 1 of the year following the year covered by the records and kept in place until April 30. Only the OSHA 300-A Summary form should be posted.
1904.32 Letters of Interpretation
- 08/13/2012 - The Requirements of Submitting OSHA's Recordkeeping Forms to the United States Department of Labor/OSHA.
- 01/29/2009 - Permissibility of using electronic signature to satisfy the Annual Summary certification for OSHA Form 300-A.
- 12/18/2003 - Posting requirements for the OSHA 300 Log and OSHA 300-A Summary Form.
Preamble Discussion: Section 1904.32
(66 FR 6042-6048, Jan. 19, 2001)
1904.33 Letters of Interpretation
- 08/26/2008 - Clarification of several recordkeeping scenarios regarding days away from work, restricted work activity, and work-relatedness.
- 11/01/2006 - Updating the OSHA 300 Log to show changes in classification of previously recorded injuries/illnesses.
- 06/23/2003 - Recording criteria for cases involving workers from a temporary help service, employee leasing service, or personnel supply service.
Preamble Discussion: Section 1904.33
(66 FR 6048-6050, Jan. 19, 2001)
Preamble Discussion: Section 1904.34
(66 FR 6050, Jan. 19, 2001)
1904.35 Employee involvement
Question 35-1. How does an employer inform each employee on how he or she is to report an injury or illness?
Employers are required to let employees know how and when to report work-related injuries and illnesses. This means that the employer must set up a way for the employees to report work-related injuries and illnesses and tell its employees how to use it. The Recordkeeping rule does not specify how the employer must accomplish these objectives, so employers have flexibility to set up systems that are appropriate to their workplace. The size of the workforce, employee's language proficiency and literacy levels, the workplace culture, and other factors will determine what will be effective for any particular workplace.
Question 35-2. Do I have to give my employees and their representative's access to the OSHA injury and illness records?
Yes, your employees, former employees, their personal representatives, and their authorized employee representatives have the right to access the OSHA 300 Log Form and the OSHA 300-A Summary Form. The employer must give the requester a copy of the OSHA 300 Form and the OSHA 300-A Form by the end of the next business day. In addition, employees and their representatives have the right to access the OSHA 301 Incident Form with some limitations, in section 1904.35(b)(2)(v)(B) of the recordkeeping regulation.
1904.35 Letters of Interpretation
- 08/13/2012 - The Requirements of Submitting OSHA's Recordkeeping Forms to the United States Department of Labor/OSHA.
- 09/09/2005 - Employer obligation to provide access to entire OSHA 300 Logs, including names of both union and non-union employees.
- 08/02/2004 - OSHA 300 Log requirements versus HIPAA privacy requirements.
- 11/07/2003 - Employee and employee representative access rights to OSHA 300 Log and OSHA 300-A Summary forms.
- 06/23/2003 - Recording criteria for cases involving workers from a temporary help service, employee leasing service, or personnel supply service.
Preamble Discussion: Section 1904.35
(66 FR 6050-6060, Jan. 19, 2001)
Preamble Discussion: Section 1904.36
(66 FR 6050, Jan. 19, 2001)
1904.37 State recordkeeping regulations
Question 37-1. Do I have to follow these rules if my State has an OSHA-approved State Plan?
If your workplace is located in a State that operates an OSHA-approved State Plan, you must follow the regulations of the State. However, these States must adopt occupational injury and illness recording and reporting requirements that are substantially identical to the requirements in Part 1904. State Plan States must have the same requirements as Federal OSHA for determining which injuries and illnesses are recordable and how they are recorded.
Question 37-2. How may state regulations differ from the Federal requirements?
For Part 1904 provisions other than recording and reporting, State requirements may be more stringent than or supplemental to the Federal requirements. For example, a State Plan could require employers to keep records for the State, even though those employers have 10 or fewer employees (1904.1) or are within an industry exempted by the Federal rule. A State Plan could also require employers to keep additional supplementary injury and illness information, require employers to report fatality and multiple hospitalization incidents within a shorter time frame than Federal OSHA does (1904.39), require other types of incidents to be reported as they occur, require hearing loss to be recorded at a lower threshold level during CY 2002 (1904.10(c)), or impose other requirements.
Question 37-3. Are State and local government employers covered by this rule?
No, but they are covered under the equivalent State rule in States that operate OSHA-approved State Plans. State rules must cover these workplaces and require the recording and reporting of work-related injuries and illnesses.
Question 37-4. How can I find out if my State has an OSHA-approved plan?
The following States have OSHA-approved plans: Alaska, Arizona, California, Hawaii, Indiana, Iowa, Kentucky, Maryland, Michigan, Minnesota, Nevada, New Mexico, North Carolina, Oregon, Puerto Rico, South Carolina, Tennessee, Utah, Vermont, Virginia, Virgin Islands, Washington, and Wyoming. Connecticut, New Jersey, and New York have plans that cover State and local government employees only.
Preamble Discussion: Section 1904.37
(66 FR 6060, Jan. 19, 2001)
Preamble Discussion: Section 1904.38
(66 FR 6061-6062, Jan. 19, 2001)
1904.39 Reporting fatalities, hospitalizations, amputations, and losses of an eye as a result of work-related incidents to OSHA
Question 39-1. When a work-related heart attack occurs in the workplace and the employee dies one or more days later, how should the case be reported to OSHA?
The employer must report the fatality within eight hours of the employee's death in cases where the death occurs within 30 days of the incident. The employer need not report a death occurring more than 30 days after a work-related incident.
Question 39-2. What is considered a "construction work zone" for purposes of section 1904.39(b)(3)?
A "construction work zone" for purposes of §1904.39(b)(3) is an area of a street or highway where construction activities are taking place, and is typically marked by signs, channeling devices, barriers, pavement markings and/or work vehicles. The work zone extend from the first warning sign or rotating/strobe lights on a vehicle to the "END ROAD WORK" sign or the last temporary traffic control device.
Question 39-3. What is meant by the "loss of an eye"?
Loss of an eye is the physical removal of the eye. This includes enucleation and evisceration.
Question 39-4. Does loss of an eye include loss of sight?
No. Loss of sight without the physical removal of the eye is not reportable under the requirements of section 1904.39. However, a case involving loss of sight that results in the in-patient hospitalization of the worker within 24 hours of the work-related incident is reportable.
Question 39-5. How do you differentiate between an amputation without bone and avulsions?
If and when there is a health care professional's diagnosis available, the employer should rely on that diagnosis. If the diagnosis is avulsion, the event does not need to be reported. If the diagnosis is amputation, the event must be reported. If there is no available diagnosis by a health care professional, the employer should rely on the definition and examples of amputation included in the regulatory text of section 1904.39. Examples of avulsion that do not need to be reported include deglovings, scalpings, fingernail and toenail avulsions, eyelid avulsions, tooth avulsions, and severed ears. Remember, employers are required to report amputations to OSHA when they learn that the reportable event occurred. The employer must report the event when he or she has information that the injury is a work-related amputation.
Question 39-6. If an injured worker is formally admitted to the Emergency Room of a hospital, is this a reportable event?
No, the injured worker must be formally admitted to the in-patient service of the hospital to be a reportable event.
Question 39-7. If an employee is admitted to the hospital for Carpal Tunnel surgery, is this reportable?
To be reportable, the in-patient hospitalization must occur within 24 hours of the work-related incident that injured or made the employee ill. Scheduled surgeries that occur beyond this 24 hour period are not reportable to OSHA.
Question 39-8. Who determines whether an employee was formally admitted to the in-patient service of a hospital or clinic for care or treatment?
The hospital or clinic makes the determination.
Question 39-9. Who should report a fatality or in-patient hospitalization of a temporary worker?
Similar to the requirements in section 1904.31 for recording injuries and illnesses, the employer that provides the day-to-day supervision of the worker must report to OSHA any work-related incident resulting in a fatality, in-patient hospitalization, amputation or loss of an eye.
Question 39-10. If my employee spent the night at the hospital, do I have to report an in-patient hospitalization?
OSHA defines in-patient hospitalization as a formal admission to the in-patient service of a hospital or clinic for care or treatment. An overnight stay does not determine whether the case is reportable or not.
Question 39-11. If an employee is hospitalized as an in-patient and the only care or treatment provided is from OSHA's "first aid list" (for example if the only treatment is non-prescription medication), does the event become reportable?
Yes. A work-related in-patient hospitalization involving any treatment needs to be reported to OSHA. The reporting requirement in the regulatory text of section 1904.39 does not limit care or treatment to "medical treatment beyond first aid."
1904.39 Letters of Interpretation
- 04/07/2015 - Clarification of the reporting requirements contained in 1904.39, regarding specific types of eye and tooth injuries
- 12/16/2014 - Clarification of the new reporting requirements contained in 1904.39
1904.40 Letters of Interpretation
- 08/13/2012 - The Requirements of Submitting OSHA's Recordkeeping Forms to the United States Department of Labor/OSHA.
- 06/23/2003 - Recording criteria for cases involving workers from a temporary help service, employee leasing service, or personnel supply service.
Preamble Discussion: Section 1904.40
(66 FR 6065-6069, Jan. 19, 2001)
1904.41 Letters of Interpretation
- 08/13/2012 - The Requirements of Submitting OSHA's Recordkeeping Forms to the United States Department of Labor/OSHA.
Preamble Discussion: Section 1904.41
(66 FR 6069, Jan. 19, 2001)
1904.42 Letters of Interpretation
- 08/13/2012 - The Requirements of Submitting OSHA's Recordkeeping Forms to the United States Department of Labor/OSHA.
Preamble Discussion: Section 1904.42
(66 FR 6069-6070, Jan. 19, 2001)
1904.46 Letters of Interpretation
- 06/06/2012 - Clarifying the Recordability Criteria of Several Examples Addressing the Issues of Determining Work-relatedness and Covered Employees.
- 01/25/2010 - Clarification of the term abnormal condition as used in the Recordkeeping standard.