OSHA Recordkeeping Guidelines Overview

 
OSHA RECORDKEEPING
 
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PPT-076-04
 
Bureau of Workers’ Compensation
PA Training for Health & Safety
(PATHS)
 
Injuries & Illnesses
29 CFR 1904
 
OSHA
300
Logs
 
OSHA
300
Logs
 
Program Purpose
 
The intent of this presentation is not to teach
employers how to complete any of the OSHA
forms mentioned or to provide interpretations
of what is and isn’t a recordable incident.
The overall purpose of this program is to serve
as an overview of OSHA’s 29 CFR 1904
Recordkeeping Standard.
Questions pertaining to the recording/non-
recording of particular incidents should be
referred to your OSHA Area Office.
 
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OSHA Recordability & WC Don’t Mix
 
   
Workers’ Compensation (WC)
determinations do NOT impact OSHA
recordability!
Some cases may be OSHA
recordable and compensable.
Some cases may be compensable,
but not OSHA recordable.
Some cases may be OSHA
recordable, but not compensable.
 
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Organization of the Rule
 
Recordkeeping rule applies to employers
with more than 10 employees
Subpart C - Recording criteria and Forms
Subpart D - Other requirements
Subpart E - Reporting to the government
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Five Step Process
 
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Determining
 
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Did the employee
experience an
injury or illness?
 
YES
 
Is the injury or
illness 
work-related?
 
YES
 
Is the injury or
illness 
a new case?
 
YES
 
Does the injury or illness 
meet
the general criteria or the
application to specific cases?
 
YES
 
Record the
Injury or illness.
Step 1
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Did the employee
experience an 
injury or illness?
YES
Step 2
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Step 2:
Is the injury or
illness work-related?
  
 
Determination of work-relatedness
 
You must consider an injury or illness to be work-related if an event
 
or exposure in the work environment either caused or contributed to 
 
the resulting condition or significantly aggravated a pre-existing injury 
 
or illness. Work-relatedness is presumed for injuries and illnesses 
 
resulting 
 
from events or exposures in the work environment unless an
 
exception specifically applies.
 
3. 
The injury or illness involves signs or symptoms that surface at work but result 
solely
      from a non-work related event or exposure
 that occurs outside the work environment.
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Not Work-Related
:
1.  There is 
no
 
discernible cause
.  Injury/illness did not result from event/exposure at work.
2.
   
At the time of the injury or illness, the employee was present in the work environment
     as a 
member of the general public
 rather than as an employee.
4.
  
The injury or illness results 
solely from voluntary participation
 in a wellness program
     or in a  medical, fitness, or recreational activity such as blood donation, physical
     examination, flu shot, exercise class, racquetball, or baseball.
5.
 
The injury or illness is solely the result of an employee 
eating, drinking, or preparing
    food or drink
 
for personal consumption
 (whether bought on the employer’s premises
    or brought in). For example, if the employee is injured by choking on a sandwich
    while in the employer’s establishment, the case would  not be considered work-related.
Note:  
If the employee is made ill by ingesting food contaminated by
            workplace contaminants (such as lead), or gets food poisoning
            from food supplied by the employer, the case would be
            considered work-related.
 
Not Work-Related:
:
 
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6.
 The injury or illness is solely the result of an employee doing 
personal tasks
 (unrelated
     to their employment) at the establishment 
outside of the employee’s assigned working
     hours
.
 
7.
  
The injury or illness is 
solely the result of
 personal grooming, self medication for a
     non-work-related condition, 
or is intentionally self-inflicted
.
 
8.
 
The injury or illness is caused by a 
motor vehicle accident
 and occurs on a 
company
    parking lot
 or 
company access road
 while the employee 
is commuting
 to or from work.
 
9.
 
The illness is the 
common cold or flu
 (Note: contagious diseases such as tuberculosis,
    brucellosis, hepatitis A, or plague are considered work-related if the employee is infected
    at work).
 
10.
 
The illness is a 
mental illness
. Mental illness will not be considered work-related unless
     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.
 
Violence, Horseplay, Employee Fault
 
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   There is NO exception for cases involving
injuries or illnesses which occur as the result of:
 
Horseplay;
Acts of Violence; or
The fault of the employee.
Determination
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Did the employee
experience an 
injury or illness?
YES
Is the injury or
illness 
work-related?
YES
1904.6                Is the injury or illness 
a new case?
             
STEP 3
New Case
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Step 3:
Is the injury or 
illness a new case? 
  
 
 
Determination of a new case
        
Consider an injury or illness a “new case” if the employee has 
          not previously experienced a recorded injury or illness of the 
          same type that affects the same part of the body, 
    
OR the 
         
Employee previously experienced a recorded injury or illness                                                               
           of the same type that affected the same part of body but had 
           recovered completely (all signs and symptoms had disappeared) 
           from the previous injury or illness and an event or exposure in 
           the work environment caused the signs or symptoms to reappear.
Determination
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Did the employee
experience an 
injury or illness?
YES
Is the injury or
illness 
work-related?
YES
Is the injury or
illness 
a new case?
YES
1904.7  Does the injury or illness 
meet the general criteria or the
                   application to specific cases?
        
STEP 4
Determination
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Step 4:
Does the injury or illness
 meet the general criteria 
or the application 
to specific cases?
  
 
 
General Recording Criteria
     
You must consider an injury or illness to meet the general recording
      criteria, and therefore to be recordable, if it results in any of 
      the following: death, days away from work, restricted work or 
      transfer to another job, medical treatment beyond first aid, or loss 
      of consciousness. You must also consider a case to meet the general 
      recording criteria if it involves a significant injury or illness diagnosed 
      by a physician or other licensed health care professional, even if it 
      does 
not
 result in death, days away from work, restricted work or 
      job transfer, medical treatment beyond first aid, or loss of 
      consciousness.
 
Counting
 
Days
 
Count the number of 
calendar days
 
the employee
was away from work or restricted/transferred
(include weekend days, holidays, vacation days,
etc.)
Cap day count at 180 days away and/or days
restricted
May stop day count if employee leaves company for
a reason 
unrelated 
to the injury or illness. 
Must
estimate
 day count when employee leaves company
due to reasons 
related 
to the injury and illness
 
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Restricted Work Activity – “Fine Points”
 
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Restriction/transfer limited to day of
injury/illness onset 
not
 recordable-includes
employee being sent home during shift.
 
Production of 
fewer
 goods or services 
not
considered RWA.
 
Vague restrictions from physician or LHCP (e.g.,
“light duty” or “take it easy for a week”) are to
be 
recorded as RWA
 if no further information is
obtained.
Medical treatment does
 NOT 
include:
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Medical Treatment vs. First Aid
 
1. Visits to a physician or other licensed health care
    professional solely for observation or counseling
    only
 
2.
 
Diagnostic procedures such as x-rays and
blood tests, including administration of
prescription medications used solely for
diagnostic purposes (e.g., eye drops to dilate
pupils)
 
3.
 
First Aid
 
Medical Treatment vs. First Aid
 
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First Aid list is comprehensive:
 
 Using temporary immobilization devices
 
while transporting an accident victim
 
Drilling a nail
 
 Using eye patches
 
Removing foreign bodies from the eye using
only irrigation or a cotton swab
 
Medical Treatment vs. First Aid
 
   
First Aid
:
Removing splinters or foreign material from areas
other than the eye 
by irrigation, tweezers, cotton
swabs or other simple means
Using finger guards
Using massages
Drinking fluids for relief of heat stress
 
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Any other procedure
is medical treatment
 
Medical Treatment vs. First Aid
 
First Aid
:
Using any non-rigid means of support, as elastic
bandages, wraps, back belts, etc.
Administering tetanus immunizations
Cleaning, flushing or soaking wounds on the surface
of the skin
Using wound coverings such as Band-Aids; Butterfly
bandage/Steri-Strip (the only kind of wound
closures)
Any number of hot-cold treatments
Over the Counter non-prescription medication  at
non-prescription strength
 
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Medical Treatment vs. First Aid
 
Medical Treatment
:
 
1 dose prescription medication
-
Over the Counter non-prescription med at non-prescription
strength is First Aid
-
OTC med at prescription strength:
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 25 mg
 
Using medical skin glue in lieu of sutures
 
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Recordability
 
Significant diagnosed Injury or Illness that is
automatically recordable if work related
1904.7(b)(7):
 
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1.
Fracture of bones or teeth
 
2. Punctured ear drum
 
3. Cancer
 
4. Chronic irreversible disease
(e.g., silicosis)
 
Determination
 
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Did the employee
experience an
injury or illness?
 
YES
 
YES
 
YES
Does the injury or illness 
meet
the general criteria or the
application to specific cases?
Record the
                Injury or illness 
     
STEP 5
 
YES
Determining Case Severity Case Scenarios
   Employee has a work-related injury or illness,
sees doctor, told she can only work on light duty
for the next two weeks. Normally scheduled for
five day workweeks. How many days of restricted
work activity should be entered on the OSHA
Log?
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    14 = All calendar days from the day following
    
injury until day of return to regular work activity.
Determining Case Severity Case Scenarios
 
If a physician recommends medical treatment, but
the employee does not follow the recommendation,
Is the case recordable?
   Yes; Physician recommended/documented
If an injured employee has repeated sessions of hot
or cold therapy, does this case involve medical
treatment?
     No; hot/cold therapy not medical treatment
Wound closures: Steri-Strips and butterfly bandages
are now considered to be first aid. Does this mean
that staples, surgical glue, or other wound closures
are also first aid?
   No; These devices are medical treatment
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Determining Case Severity Case Scenarios
 
Employee receives prescription medication in her eye
to facilitate examination. Is this considered medical
treatment?
No; Med used to enhance examination only
Employees exposed to slight release of non toxic
chemical.  Several feel “light headed”, receive simple
administration of oxygen and return to work. Are
these cases recordable?
Yes; Oxygen administered
Employee’s ankle is injured at work; a slight hairline
fracture is detected in a positive X-ray diagnosis. No
medical treatment is provided. Is this case
recordable?
                       
Yes; Fracture of bones
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OSHA Recordability  & Workers’ Comp
 
   Workers’ Compensation determinations do 
NOT
impact OSHA recordability:
 
Some cases may be OSHA recordable and
compensable.
 
Some cases may be compensable, but not
OSHA recordable.
 
Some cases may be OSHA recordable, but
not compensable.
BE CAREFUL YOU DON’T CONFUSE THEM!
 
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Conditions for Recordability 1904.10
 
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OSHA requires employers to record 
all
 work-related
hearing loss cases meeting 
both
 
of the following
conditions on the same audiometric test for either ear:
 
1.
 
The employee has experienced a Standard
   Threshold Shift (STS).
 
2.
 The employee’s total hearing level is 25 dB or
    more above audiometric zero (averaged at 2000,
    3000, & 4000 Hz) in the same ear(s) as the STS.
 
Determination of Recordable STS
 
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No
 
Yes
 
Yes
 
Yes
 
Note:   In all cases, use the most current baseline to determine recordability as you would to calculate
a STS under the hearing conservation provisions of the noise standard (§1910.95).  If an STS  occurs in only one ear, you may only revise the
baseline audiogram for that ear.
* 
The audiogram may be adjusted for presbycusis (aging) as set out in 1910.95.
** 
A separate hearing loss column on the OSHA 300 Log beginning in Calendar year 2004.
 
No
 
No
 
Relationship to
Bloodborne Pathogen Standard
 
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Needlesticks and “sharps” injuries:
 
ALL needlesticks and sharps injuries that
are contaminated with another person’s blood or
other potentially infectious material are recordable.
 
Record splashes or other exposures to blood or other
potentially infectious material if it results in diagnosis
of a bloodborne disease or meets the general
recording criteria.
 
Relationship to
Bloodborne Pathogen Standard
 
Employers 
may elect 
to use the OSHA 300 and 301
forms to meet the sharps injury log requirements,
provided two conditions are met
:
1.
The employer must enter the 
type and brand of
the device
 on either the 300 or 301 form.
2.
The employer must maintain the 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
.
 
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Other Recording Issues
 
TB – Positive skin test recordable when known
work place exposure to active TB disease.
Musculoskeletal Disorders (MSD) recordable
when General Recording Criteria is met.
Covered Employees (temporary/contract
employees supervised on a day-to-day basis).
Certification by a 
senior establishment
management official 
on OSHA 300 A Summary
Form.
 
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1904.29 - Forms
 
OSHA Form 300, 
Log of Work-Related Injuries
and Illnesses
OSHA Form 300A, 
Summary of Work-Related
Injuries and Illnesses
OSHA Form 301, 
Injury and Illness Incident
Report
 
An equivalent form can be used as long as it has
the same information, is as readable and
understandable, and uses the same instructions
as the OSHA form it replaces
 
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1904.29 - Forms
 
Employers must enter each recordable case on the forms
within 7 calendar days of receiving information that a
recordable case occurred
 
Forms can be kept on a computer as long as they can be
produced when they are needed (i.e., meet the access
provisions of 1904.35 and 1904.40)
 
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Subpart D - Other Requirements
 
1904.30  Multiple business establishments
 
1904.31  Covered employees
 
1904.32  Annual summary
 
1904.33  Retention and updating
 
1904.34  Change in Business Ownership
 
1904.35  Employee involvement
 
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1904.30 –  Multiple Business Establishments
 
Keep a separate OSHA Form 300 for each
establishment that is expected to be in operation
for more than a year
  
Each employee must be linked with one
establishment
 
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1904.30 –  Multiple Business Establishments
 
Employer may keep records at a central location if:
 
    
Information about the injury or illness can be
transmitted to the central location within 7 days
 
                                  and
 
    The records can be produced at the
establishment within time frames in 1904.35
and 1904.40
 
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Different Locations
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If an employee 
normally
 
reports to an
establishment
 
and is injured there
, the case goes
on 
that establishment’s log
 
If employee is injured or made ill 
while visiting or
working at another of the 
employer’s
 establishments
,
injury or illness must be recorded on 300 
log of
establishment at which the injury or illness occurred
 
Cases for 
employees injured at another employer’s
establishment 
go on the 
log of the employee’s
home establishment
 (e.g., traveling person)
 
1904.31 – Covered Employees
 
Employees on payroll
 
Employees not on payroll who are supervised on
a day-to-day basis
 
Temporary help agencies should not record the
cases experienced by temp workers who are
supervised by the using firm
 
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1904.31 – Covered Employees
 
Self-employed individuals working on an
employers’ site are 
not
 covered by the OSH ACT
– no reporting requirements.
Contractor’s employees – if under day to day
supervision of contractor then recorded by
contractor. If day to day by employer then
employer must record.
Employer and personnel supply service, temp
help service, employee leasing service or
contractor should coordinate efforts.
If day to day supervision then employer must
report fatalities, in-patient hospitalization, etc.
 
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1904.32 – Annual Summary (300A)
 
   Before February 1 of next calendar year
you must:
 
Review OSHA 300 Log to verify entries
are complete and accurate (also correct
deficiencies identified)
Create annual summary of
injuries/illnesses recorded on 300
Post annual summary
Have company executive certify that
he/she has examined 300 Log and
believes it is correct and complete
 
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Annual Summary (300A)
 
Company executive defined as one of the following:
 
Owner of company (only if company is sole
proprietorship or partnership)
Officer of the corporation
Highest ranking company official working at the
establishment
Immediate supervisor of the highest ranking
company official working at the establishment
 
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Posting of Annual Summary
 
Must post in conspicuous location or locations in
each establishment where notices to employees are
usually placed.
Annual summary posting must not be altered,
defaced or covered by other material
Must post no later than February 1 of following
calendar year to cover previous calendar year
Must keep posted until April 30
 
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1904.33 Retention and Updating
 
   Must save the following for five (5) years following
the end of the calendar year these records cover:
 
OSHA 300 Log
                     
Privacy list (if one exists)
                     
Annual summary (300A)
                     
OSHA 301 incident report forms
 
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1904.33 Retention and Updating
 
Must update your OSHA 300 Logs to include
newly discovered recordable injuries/illnesses
and to show any changes that have occurred in
the classification of previously recorded injuries
and illnesses.
If the description or outcome of a case changes,
you must remove or line out the original entry
and enter the new information.
 
 
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1904.34 Change in Business Ownership
 
If business changes ownership must record &
report work-related injuries & illnesses only for
that period of the year during which company
actually owned.
Relative 1904 records must be transferred to new
owner/company.
 
New company/owner must save all records of
establishment kept by prior owner – do not need
to update/correct.
 
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1904.35 Employee involvement
 
Must inform each employee of how he or she is to
report an injury or illness
 
Must provide limited access to the injury & illness
records for your employees and their
representatives
 
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1904.35 Employee Rights
 
Modifications to 1904.35 make it a violation for
employers to discourage employee reporting of
injuries or illnesses.
Employers must inform employees of their right
to report workplace illnesses or injuries free from
retaliation.
This obligation can be met by displaying the
“OSHA Poster” version 2015 or newer.
All workers have the right to:
Raise a safety or health concern with their
employer or OSHA, or report a work related
injury or illness without retaliation.
 
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Supart E-Reporting Information
to the Government
 
1904.39 Fatality and  Catastrophe Reporting
 
1904.40 Access for Government Representatives
 
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1904.39 – Fatality/Catastrophe Reporting
 
Report orally within 8 hours any 
one (1)
 work-related
fatality or within 24 hours of an incident involving 
one
(1)
 or more in-patient hospitalizations, amputations or
loss of an eye (starting 1 Jan 2015)
Do not need to report highway or public street motor
vehicle accidents (outside of a construction work zone)
Do not need to report commercial airplane, train,
subway or bus accidents
 
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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.
In-patient hospitalization does not require an overnight
stay and is not defined by the length of time spent in the
facility.
The facility determines if it is a formal admittance to the
in-patient section of the hospital or clinic.
 
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Amputation
 
The traumatic loss of a limb or other external body part.
Include a part such as a limb or appendage that has been:
      ◦ Severed
      ◦ Cut Off
      ◦ Completely or partially amputated
      ◦ Fingertip amputations with or without bone loss
      ◦ Medical amputations resulting from irreparable damage
      ◦ Amputations of body parts that have been reattached
Do not include: avulsions (tissue torn away from the body),
enucleations (removal of an eyeball), deglovings (skin torn
away from the underlying tissue), scalpings, severed ears,
broken or chipped teeth.
 
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How to Report – Three Options
 
By telephone to the OSHA Area Office nearest the
site of the work-related incident during normal
business hours.
By telephone to the 24-hour OSHA hotline (1-
800-321-OSHA or 1-800-321-6742).
Electronically, using the event reporting
application located on OSHA’s public website:
http://www.osha.gov/pls/ser/serform.html
.
 
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What Information to Provide
 
1.
Establishment Name
2.
Location of work-related incident
3.
Date & time of the incident
4.
Type of reportable event (e.g. fatality, etc.)
5.
Total number & names of employees who
suffered incidents
6.
Any temporary workers involved
7.
If so, name & address of temp agency
8.
Union information (if applicable)
 
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1904.40-Providing Records to Gov’t. Reps.
 
Must provide copies of the records within four (4)
business hours
 
Use the business hours of  the establishment
where the records are located
 
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New Reporting Requirements
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Correction to 1904.35b2 – May 20, 2016
Electronic Reporting Effective Date – January 1, 2017
              Phase-in Data Submission Due Dates:
 
Electronic Reporting
 
1904.41(a)(1) – Establishments with 250 or more
employees in industries covered by the OSHA
recordkeeping rule must on an annual basis provide
data from the:
     • Summary Form 300A
     • Log Form 300
     • Incident Report 301:
        ◦ Does not include injured workers’ name or
           address
         ◦ Does not include physician’s name or address
 
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Requirements-Improve Tracking
 
Key Elements to the Rule:
Employee Involvement (1904.35)
Prohibition Against Discrimination (1904.36)
Electronic Submission to OSHA (1904.41)
 
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For More Help
 
OSHA’s Recordkeeping Page-
 
 
http://www.osha.gov/recordkeeping/index.html
● OSHA’s “Recordkeeping Advisor”
   
http://www.dol.gov/elaws/OSHARecordkeeping.htm
● OSHA Regional Recordkeeping Coordinators
● OSHA Duty Officer
 
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Direct Help from OSHA
 
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Contact Information
 
PPT-076-04
 
 62
 
 
Health & Safety Training Specialists
1171 South Cameron Street, Room 324
Harrisburg, PA 17104-2501
(717) 772-1635
RA-LI-BWC-PATHS@pa.gov
 
Like us on Facebook!
  -
https://www.facebook.com/BWCPATHS
 
Questions
 
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Slide Note

Employers who fall under the jurisdiction of the Occupational Safety and Health Administration (OSHA) and those who have been “invited” by the Bureau of Labor Statistics (BLS) are required to keep records on work-related injuries and illnesses. Requirements for recordkeeping can be found in 29 CFR 1904 which can be referenced at OSHA’s website: www.osha.gov.

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This presentation provides an overview of OSHA's 29 CFR 1904 Recordkeeping Standard, emphasizing the importance of proper recordkeeping in the workplace. It covers topics such as the organization of the rule, the five-step process for determining recordability, and the distinction between Workers Compensation and OSHA recordability. Employers are encouraged to refer specific incident-related questions to their OSHA Area Office.

  • OSHA
  • Recordkeeping
  • Workplace Safety
  • Employee Health
  • OSHA Compliance

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  1. OSHA RECORDKEEPING Bureau of Workers Compensation PA Training for Health & Safety (PATHS) Injuries & Illnesses 29 CFR 1904 OSHA 300 Logs PPT-076-04 1

  2. Program Purpose The intent of this presentation is not to teach employers how to complete any of the OSHA forms mentioned or to provide interpretations of what is and isn t a recordable incident. The overall purpose of this program is to serve as an overview of OSHA s 29 CFR 1904 Recordkeeping Standard. Questions pertaining to the recording/non- recording of particular incidents should be referred to your OSHA Area Office. PPT-076-04 2

  3. OSHA Recordability & WC Dont Mix Workers Compensation (WC) determinations do NOT impact OSHA recordability! Some cases may be OSHA recordable and compensable. Some cases may be compensable, but not OSHA recordable. Some cases may be OSHA recordable, but not compensable. PPT-076-04 3

  4. Organization of the Rule Recordkeeping rule applies to employers with more than 10 employees Subpart C - Recording criteria and Forms Subpart D - Other requirements Subpart E - Reporting to the government PPT-076-04 4

  5. Five Step Process PPT-076-04 5

  6. Determining Did the employee experience an injury or illness? YES Is the injury or illness work-related? YES Is the injury or illness a new case? YES YES Does the injury or illness meet the general criteria or the application to specific cases? Record the Injury or illness. PPT-076-04 6

  7. Step 1 Did the employee experience an injury or illness? YES 1904.5 Is the injury or illness work-related? STEP 2 PPT-076-04 7

  8. Step 2 Step 2: Is the injury or illness work-related? Determination of work-relatedness You must consider an injury or illness to be work-related if an event or exposure in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing injury or illness. Work-relatedness is presumed for injuries and illnesses resulting from events or exposures in the work environment unless an exception specifically applies. PPT-076-04 8

  9. Not Work-Related: 1. There is no discernible cause. Injury/illness did not result from event/exposure at work. 2. At the time of the injury or illness, the employee was present in the work environment as a member of the general public rather than as an employee. 3. The injury or illness involves signs or symptoms that surface at work but result solely from a non-work related event or exposure that occurs outside the work environment. 4. The injury or illness results solely from voluntary participation in a wellness program or in a medical, fitness, or recreational activity such as blood donation, physical examination, flu shot, exercise class, racquetball, or baseball. 5. The injury or illness is solely the result of an employee eating, drinking, or preparing food or drink for personal consumption (whether bought on the employer s premises or brought in). For example, if the employee is injured by choking on a sandwich while in the employer s establishment, the case would not be considered work-related. Note: If the employee is made ill by ingesting food contaminated by workplace contaminants (such as lead), or gets food poisoning from food supplied by the employer, the case would be considered work-related. PPT-076-04 9

  10. Not Work-Related:: 6. The injury or illness is solely the result of an employee doing personal tasks (unrelated to their employment) at the establishment outside of the employee s assigned working hours. 7. The injury or illness is solely the result of personal grooming, self medication for a non-work-related condition, or is intentionally self-inflicted. 8. The injury or illness is caused by a motor vehicle accident and occurs on a company parking lot or company access road while the employee is commuting to or from work. 9. The illness is the common cold or flu (Note: contagious diseases such as tuberculosis, brucellosis, hepatitis A, or plague are considered work-related if the employee is infected at work). 10. The illness is a mental illness. Mental illness will not be considered work-related unless 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. PPT-076-04 10

  11. Violence, Horseplay, Employee Fault There is NO exception for cases involving injuries or illnesses which occur as the result of: Horseplay; Acts of Violence; or The fault of the employee. PPT-076-04 11

  12. Determination Did the employee experience an injury or illness? YES Is the injury or illness work-related? YES 1904.6 Is the injury or illness a new case? STEP 3 PPT-076-04 12

  13. New Case Step 3: Is the injury or illness a new case? Determination of a new case Consider an injury or illness a new case if the employee has not previously experienced a recorded injury or illness of the same type that affects the same part of the body, OR the Employee previously experienced a recorded injury or illness of the same type that affected the same part of body but had recovered completely (all signs and symptoms had disappeared) from the previous injury or illness and an event or exposure in the work environment caused the signs or symptoms to reappear. PPT-076-04 13

  14. Determination Did the employee experience an injury or illness? YES Is the injury or illness work-related? YES Is the injury or illness a new case? YES 1904.7 Does the injury or illness meet the general criteria or the application to specific cases? STEP 4 PPT-076-04 14

  15. Determination Step 4: Does the injury or illness meet the general criteria or the application to specific cases? General Recording Criteria You must consider an injury or illness to meet the general recording criteria, and therefore to be recordable, if it results in any of the following: death, days away from work, restricted work or transfer to another job, medical treatment beyond first aid, or loss of consciousness. You must also consider a case to meet the general recording criteria if it involves a significant injury or illness diagnosed by a physician or other licensed health care professional, even if it does not result in death, days away from work, restricted work or job transfer, medical treatment beyond first aid, or loss of consciousness. PPT-076-04 15

  16. Counting Days Count the number of calendar days the employee was away from work or restricted/transferred (include weekend days, holidays, vacation days, etc.) Cap day count at 180 days away and/or days restricted May stop day count if employee leaves company for a reason unrelated to the injury or illness. Must estimate day count when employee leaves company due to reasons related to the injury and illness PPT-076-04 16

  17. Restricted Work Activity Fine Points Restriction/transfer limited to day of injury/illness onset not recordable-includes employee being sent home during shift. Production of fewer goods or services not considered RWA. Vague restrictions from physician or LHCP (e.g., light duty or take it easy for a week ) are to be recorded as RWA if no further information is obtained. PPT-076-04 17

  18. Medical Treatment vs. First Aid Medical treatment does NOT include: 1. Visits to a physician or other licensed health care professional solely for observation or counseling only 2.Diagnostic procedures such as x-rays and blood tests, including administration of prescription medications used solely for diagnostic purposes (e.g., eye drops to dilate pupils) 3.First Aid PPT-076-04 18

  19. Medical Treatment vs. First Aid First Aid list is comprehensive: Using temporary immobilization devices while transporting an accident victim Drilling a nail Using eye patches Removing foreign bodies from the eye using only irrigation or a cotton swab PPT-076-04 19

  20. Medical Treatment vs. First Aid First Aid: Removing splinters or foreign material from areas other than the eye by irrigation, tweezers, cotton swabs or other simple means Using finger guards Using massages Drinking fluids for relief of heat stress Any other procedure is medical treatment PPT-076-04 20

  21. Medical Treatment vs. First Aid First Aid: Using any non-rigid means of support, as elastic bandages, wraps, back belts, etc. Administering tetanus immunizations Cleaning, flushing or soaking wounds on the surface of the skin Using wound coverings such as Band-Aids; Butterfly bandage/Steri-Strip (the only kind of wound closures) Any number of hot-cold treatments Over the Counter non-prescription medication at non-prescription strength PPT-076-04 21

  22. Medical Treatment vs. First Aid Medical Treatment: 1 dose prescription medication - Over the Counter non-prescription med at non-prescription strength is First Aid - OTC med at prescription strength: Ibuprofen (such as Advil ) Greater than 467 mg Diphenhydramine (such as Benadryl Naproxen Sodium (such as Aleve Ketoprofen (such as Orudus KT ) Greater than 50 mg ) Greater than 220 mg ) Greater than 25 mg Using medical skin glue in lieu of sutures PPT-076-04 22

  23. Recordability Significant diagnosed Injury or Illness that is automatically recordable if work related 1904.7(b)(7): 1. Fracture of bones or teeth 2. Punctured ear drum 3. Cancer 4. Chronic irreversible disease (e.g., silicosis) PPT-076-04 23

  24. Determination Did the employee experience an injury or illness? YES Is the injury or illness work-related? YES Is the injury or illness a new case? YES Does the injury or illness meet the general criteria or the application to specific cases? YES Record the STEP 5 Injury or illness PPT-076-04 24

  25. Determining Case Severity Case Scenarios Employee has a work-related injury or illness, sees doctor, told she can only work on light duty for the next two weeks. Normally scheduled for five day workweeks. How many days of restricted work activity should be entered on the OSHA Log? 14 = All calendar days from the day following injury until day of return to regular work activity. PPT-076-04 25

  26. Determining Case Severity Case Scenarios If a physician recommends medical treatment, but the employee does not follow the recommendation, Is the case recordable? Yes; Physician recommended/documented If an injured employee has repeated sessions of hot or cold therapy, does this case involve medical treatment? No; hot/cold therapy not medical treatment Wound closures: Steri-Strips and butterfly bandages are now considered to be first aid. Does this mean that staples, surgical glue, or other wound closures are also first aid? No; These devices are medical treatment PPT-076-04 26

  27. Determining Case Severity Case Scenarios Employee receives prescription medication in her eye to facilitate examination. Is this considered medical treatment? No; Med used to enhance examination only Employees exposed to slight release of non toxic chemical. Several feel light headed , receive simple administration of oxygen and return to work. Are these cases recordable? Yes; Oxygen administered Employee s ankle is injured at work; a slight hairline fracture is detected in a positive X-ray diagnosis. No medical treatment is provided. Is this case recordable? Yes; Fracture of bones PPT-076-04 27

  28. OSHA Recordability & Workers Comp Workers Compensation determinations do NOT impact OSHA recordability: Some cases may be OSHA recordable and compensable. Some cases may be compensable, but not OSHA recordable. Some cases may be OSHA recordable, but not compensable. BE CAREFUL YOU DON T CONFUSE THEM! PPT-076-04 28

  29. Conditions for Recordability 1904.10 OSHA requires employers to record all work-related hearing loss cases meeting both of the following conditions on the same audiometric test for either ear: 1. The employee has experienced a Standard Threshold Shift (STS). 2. The employee s total hearing level is 25 dB or more above audiometric zero (averaged at 2000, 3000, & 4000 Hz) in the same ear(s) as the STS. PPT-076-04 29

  30. Determination of Recordable STS Has the employee suffered a STS (an average 10dB or more loss relative to the most current baseline audiogram averaged at 2000, 3000 and 4000 Hz) in one or both ears according to the provisions of the OSHA noise standard ( 1910.95)* No Yes No Is the employee s overall hearing level at 25dB or more above audiometric zero averaged at 2000, 3000 and 4000 Hz in either ear? Yes No Is the hearing loss work-related? Yes Record on the OSHA 300 Log, and check the column All other Illnesses ** Do not record Note: In all cases, use the most current baseline to determine recordability as you would to calculate a STS under the hearing conservation provisions of the noise standard ( 1910.95). If an STS occurs in only one ear, you may only revise the baseline audiogram for that ear. * The audiogram may be adjusted for presbycusis (aging) as set out in 1910.95. ** A separate hearing loss column on the OSHA 300 Log beginning in Calendar year 2004. PPT-076-04 30

  31. Relationship to Bloodborne Pathogen Standard Needlesticks and sharps injuries: ALL needlesticks and sharps injuries that are contaminated with another person s blood or other potentially infectious material are recordable. Record splashes or other exposures to blood or other potentially infectious material if it results in diagnosis of a bloodborne disease or meets the general recording criteria. PPT-076-04 31

  32. Relationship to Bloodborne Pathogen Standard Employers may elect to use the OSHA 300 and 301 forms to meet the sharps injury log requirements, provided two conditions are met: 1. The employer must enter the type and brand of the device on either the 300 or 301 form. 2. The employer must maintain the 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. PPT-076-04 32

  33. Other Recording Issues TB Positive skin test recordable when known work place exposure to active TB disease. Musculoskeletal Disorders (MSD) recordable when General Recording Criteria is met. Covered Employees (temporary/contract employees supervised on a day-to-day basis). Certification by a senior establishment management official on OSHA 300 A Summary Form. PPT-076-04 33

  34. 1904.29 - Forms OSHA Form 300, Log of Work-Related Injuries and Illnesses OSHA Form 300A, Summary of Work-Related Injuries and Illnesses OSHA Form 301, Injury and Illness Incident Report An equivalent form can be used as long as it has the same information, is as readable and understandable, and uses the same instructions as the OSHA form it replaces PPT-076-04 34

  35. 1904.29 - Forms Employers must enter each recordable case on the forms within 7 calendar days of receiving information that a recordable case occurred Forms can be kept on a computer as long as they can be produced when they are needed (i.e., meet the access provisions of 1904.35 and 1904.40) PPT-076-04 35

  36. Subpart D - Other Requirements 1904.30 Multiple business establishments 1904.31 Covered employees 1904.32 Annual summary 1904.33 Retention and updating 1904.34 Change in Business Ownership 1904.35 Employee involvement PPT-076-04 36

  37. 1904.30 Multiple Business Establishments Keep a separate OSHA Form 300 for each establishment that is expected to be in operation for more than a year Each employee must be linked with one establishment PPT-076-04 37

  38. 1904.30 Multiple Business Establishments Employer may keep records at a central location if: Information about the injury or illness can be transmitted to the central location within 7 days and The records can be produced at the establishment within time frames in 1904.35 and 1904.40 PPT-076-04 38

  39. Different Locations If an employee normally reports to an establishment and is injured there, the case goes on that establishment s log If employee is injured or made ill while visiting or working at another of the employer s establishments, injury or illness must be recorded on 300 log of establishment at which the injury or illness occurred Cases for employees injured at another employer s establishment go on the log of the employee s home establishment (e.g., traveling person) PPT-076-04 39

  40. 1904.31 Covered Employees Employees on payroll Employees not on payroll who are supervised on a day-to-day basis Temporary help agencies should not record the cases experienced by temp workers who are supervised by the using firm PPT-076-04 40

  41. 1904.31 Covered Employees Self-employed individuals working on an employers site are not covered by the OSH ACT no reporting requirements. Contractor s employees if under day to day supervision of contractor then recorded by contractor. If day to day by employer then employer must record. Employer and personnel supply service, temp help service, employee leasing service or contractor should coordinate efforts. If day to day supervision then employer must report fatalities, in-patient hospitalization, etc. PPT-076-04 41

  42. 1904.32 Annual Summary (300A) Before February 1 of next calendar year you must: Review OSHA 300 Log to verify entries are complete and accurate (also correct deficiencies identified) Create annual summary of injuries/illnesses recorded on 300 Post annual summary Have company executive certify that he/she has examined 300 Log and believes it is correct and complete PPT-076-04 42

  43. Annual Summary (300A) Company executive defined as one of the following: Owner of company (only if company is sole proprietorship or partnership) Officer of the corporation Highest ranking company official working at the establishment Immediate supervisor of the highest ranking company official working at the establishment PPT-076-04 43

  44. Posting of Annual Summary Must post in conspicuous location or locations in each establishment where notices to employees are usually placed. Annual summary posting must not be altered, defaced or covered by other material Must post no later than February 1 of following calendar year to cover previous calendar year Must keep posted until April 30 PPT-076-04 44

  45. 1904.33 Retention and Updating Must save the following for five (5) years following the end of the calendar year these records cover: OSHA 300 Log Privacy list (if one exists) Annual summary (300A) OSHA 301 incident report forms PPT-076-04 45

  46. 1904.33 Retention and Updating Must update your OSHA 300 Logs to include newly discovered recordable injuries/illnesses and to show any changes that have occurred in the classification of previously recorded injuries and illnesses. If the description or outcome of a case changes, you must remove or line out the original entry and enter the new information. PPT-076-04 46

  47. 1904.34 Change in Business Ownership If business changes ownership must record & report work-related injuries & illnesses only for that period of the year during which company actually owned. Relative 1904 records must be transferred to new owner/company. New company/owner must save all records of establishment kept by prior owner do not need to update/correct. PPT-076-04 47

  48. 1904.35 Employee involvement Must inform each employee of how he or she is to report an injury or illness Must provide limited access to the injury & illness records for your employees and their representatives PPT-076-04 48

  49. 1904.35 Employee Rights Modifications to 1904.35 make it a violation for employers to discourage employee reporting of injuries or illnesses. Employers must inform employees of their right to report workplace illnesses or injuries free from retaliation. This obligation can be met by displaying the OSHA Poster version 2015 or newer. All workers have the right to: Raise a safety or health concern with their employer or OSHA, or report a work related injury or illness without retaliation. PPT-076-04 49

  50. Supart E-Reporting Information to the Government 1904.39 Fatality and Catastrophe Reporting 1904.40 Access for Government Representatives PPT-076-04 50

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