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OSHA RECORDKEEPING. Bureau of Workers’ Compensation PA Training for Health & Safety (PATHS). Injuries & Illnesses 29 CFR 1904. OSHA 300 Logs. OSHA 300 Logs. Program Purpose.
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OSHA RECORDKEEPING Bureau of Workers’ Compensation PA Training for Health & Safety (PATHS) • Injuries & Illnesses • 29 CFR 1904 • OSHA 300 • Logs OSHA 300 Logs PPT-076-04
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
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. PPT-076-04
Organization of the Rule Recordkeeping rule applies to employerswith more than 10 employees Subpart C - Recording criteria and Forms Subpart D - Other requirements Subpart E - Reporting to the government PPT-076-04
Five Step Process PPT-076-04
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
Step 1 1904.5 Is the injury or illness work-related?STEP 2 Did the employee experience an injury or illness? • YES PPT-076-04
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
Not Work-Related: 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. • 1. There is nodiscernible cause. Injury/illness did not result from event/exposure at work. • 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. • 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. • The injury or illness is solely the result of an employee eating, drinking, or preparing food or drinkfor 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
Not Work-Related:: • 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. • The injury or illness is solely the result of personal grooming, self medication for a • non-work-related condition, or is intentionally self-inflicted. • The injury or illness is caused by a motor vehicle accident and occurs on a company parking lotor company access road while the employee is commuting to or from work. • 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). • 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
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
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
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
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
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
CountingDays Count the number of calendar daysthe 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. Mustestimate day count when employee leaves company due to reasons related to the injury and illness PPT-076-04
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
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
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
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
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
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 PPT-076-04
Recordability Significant diagnosed Injury or Illness that is automatically recordable if work related 1904.7(b)(7): • Fracture of bones or teeth • 2. Punctured ear drum • 3. Cancer • 4. Chronic irreversible disease (e.g., silicosis) PPT-076-04
Determination Is the injury or illness work-related? Is the injury or illness a new case? 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? • YES Record the Injury or illness STEP 5 PPT-076-04
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
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
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
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
Conditions for Recordability 1904.10 OSHA requires employers to record all work-related hearing loss cases meeting bothof the following conditions on the same audiometric test for either ear: • The employee has experienced a Standard Threshold Shift (STS). • 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
Determination of Recordable STS Is the employee’s overall hearing level at 25dB or more above audiometric zero averaged at 2000, 3000 and 4000 Hz in either ear? 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)* Is the hearing loss work-related? Record on the OSHA 300 Log, and check the column “All other Illnesses” ** Do not record • No • Yes • No Yes • No 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. PPT-076-04
Relationship to BloodbornePathogen 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
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: The employer must enter the type and brand of the device on either the 300 or 301 form. 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
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
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
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
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
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
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
Different Locations • If an employee normallyreports to an establishmentand 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’sestablishments, 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
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
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
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
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
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
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
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
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
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
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
Supart E-Reporting Information to the Government 1904.39 Fatality and Catastrophe Reporting 1904.40 Access for Government Representatives PPT-076-04