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MIOSHA: RECORDING AND REPORTING OCCUPATIONAL INJURIES AND ILLNESSES HAVE A QUESTION? ASK US USING THE CHAT PANEL ON YOUR SCREEN. Chat with us @dominionsystems @HUBInsurance

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MIOSHA Recording and Reporting Occupational Illnesses and Injuries

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Page 1: MIOSHA Webinar

MIOSHA:RECORDING AND REPORTING OCCUPATIONAL INJURIES AND ILLNESSES

H A V E A Q U E S T I O N ? A S K U S U S I N G T H E C H A T P A N E L O N Y O U R S C R E E N .

Chat with us@dominionsystems@HUBInsurance

Page 2: MIOSHA Webinar

Based in Grand Rapids, MI.• Dominion Systems Inc.

• Develops cloud-based software solutions designed to simplify your:• Payroll• Time and Attendance• Human Resource Management

• Recognized by:• Inc. 5000• 101 Best and Brightest Companies

Page 3: MIOSHA Webinar

Headquartered in Chicago, IL.

• HUB International Limited • is a leading North American insurance brokerage• Provides a broad array of property and causality, life and

health, employee benefits, reinsurance, investment, and risk management• Over 6000 employees and 250 offices

• HUB Risk Services Division• Based out of the Chicago, IL. office• HUB Risk Consultants are board certified and degreed

safety, security, property, and environmental professionals

Page 4: MIOSHA Webinar

PHIL CASTO

Risk Consultant at HUB International

• Bachelors degree in Occupational Safety

• Certifications include:• Safety Professional• Construction Health and Safety

Technician • Fire Protection Specialist• Hazardous Materials Manager

Authorized outreach instructor for OSHA 10 and 30 hour courses.

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Today’s Goal: Strengthen understanding of OSHA reporting guidelines

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ORGANIZATION OF THE RULE

7Subparts

Purpose of the RuleTo require employers to record and report work-related fatalities, injuries, and illnesses

Establishments are required to keep records

1.4 Million

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PARTIAL EXEMPTION

Employers that are partially exempt from record keeping requirements because of their size or industry must continue to comply with:

o 1904.42o1904.39

o1904.41

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[1904.1]SIZE EXEMPTION

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INDUSTRY EXEMPTION [1904.2]

C O V E R E D I N D U S T R I E S

o Agricultureo Constructiono Manufacturingo Transportationo Utilitieso Wholesale

trade sectors

P A R T I A L LY E X E M P T

Some sectors of:o Retailo Service Note: Appendix A to

Subpart B lists partially exempt industries

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SUBPART

C

Defines which cases should be recorded on the OSHA 300 Log and which should not be recorded.

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Definition [1904.46]

An injury or illness is an abnormal condition or disorder. Injuries include cases such as, but not limited to, a cut, fracture, sprain, or amputation. Illnesses include both acute and chronic illnesses, such as, but not limited to, a skin disease, respiratory disorder, or poisoning.

DID THE EMPLOYEE EXPERIENCE AN INJURY OR ILLNESS?

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OSHA INJURY AND ILLNESS RECORDKEEPING

5 Step Process

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Did the employee experience an injury or illness?

Is the injury or illness work-related?

Is the injury or illness a new case?

Does the injury or illness meet the general criteriaor the application to specific cases?

RECORD THE INJURY OR ILLNESS

YES

YES

YES

YES

Page 14: MIOSHA Webinar

Scenario A:

A worker reports to nurses’ station with complaint of painful wrists. Employee given 2 Advil™ and returned to job.

STEP 1:Did the employee experience an injury or illness?

Answer: Go on to next step.

Why: Painful wrists was the injury experienced.

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Scenario B:

There is a chlorine gas leak at XYZ establishment and the two employees in the area are rushed to the hospital. They are told to stay home the next day as a precautionary measure.

STEP 1:Did the employee experience an injury or illness?

Answer: It depends. We need more information.

Why: We need to know if either employee exhibited signs or symptoms of an injury/illness. If yes, then go to the next step. If no, stop. We have an event or exposure only.

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IS THE INJURY OR ILLNESS WORK-RELATED? [STEP TWO]

Determination of Work-Relatedness [1904.5]

Work-relatedness is presumed for injuries and illnesses resulting from events or exposures occurring in the work environment unless an exception specifically applies.

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The work environment is defined as the establishment and other locations where one or more employees are working or present as a condition of employment

WORK ENVIRONMENT [1904.5]

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A pre-existing injury or illness is significantly aggravated when an event or exposure in the work environment results in any of the following:

o Deatho Loss of

consciousnesso Days away,

days restricted or job transfer

o Medical treatment

SIGNIFICANT AGGRAVATION [1904.5]

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Cases meeting the conditions of the listed exceptions to work relationship in the rule are not considered work-related and are, therefore, not recordable.

EXCEPTIONS [1904.5]

• Present as member of the public

• Symptoms are not work related• Voluntary participation• Personal consumption• Personal tasks outside of

working hours• Grooming, self-medication,

intentionally self inflicted• Motor vehicle accident during

commute• Common cold/flu• Mental illness

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TRAVEL STATUS [1904.5]A N I N J U RY O R I L L N E S S T H AT O C C U R S W H I L E A N E M P L OY E E I S O N T R AV E L S TAT U S I S W O R K- R E L AT E D I F I T O C C U R R E D W H I L E T H E E M P L OY E E WA S E N G A G E D I N W O R K A C T I V I T I E S I N T H E I N T E R E S T O F T H E E M P L OY E R

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WORK A

T HOME

[1904.5

]

Cases

are

not

wor

k-re

late

d if

they

are

rela

ted to

the

gener

al

home

envi

ronm

ent.

Page 22: MIOSHA Webinar

Scenario A:

Employee gives blood at voluntary employer-sponsored blood drive and passes out (loss of consciousness).

Answer: Stop Here

STEP 2:Is the injury or illness work-related?

Answer: Stop here.

Why: Exception – 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.

Page 23: MIOSHA Webinar

Scenario B:

Employee sprains ankle in company parking lot on his way in to work.

STEP 2:Is the injury or illness work-related?

Answer: Go on.

Why: There is no exception that applies. Parking lot exception applies only to motor vehicle accidents during commute.

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Scenario C:

Employee slips and falls in hallway, breaking arm while working on daughter’s science project on Saturday, employee’s day off.

Answer: Stop

STEP 2:Is the injury or illness work-related?

Answer: Stop.

Why: Exception – 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.

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IS THE INJURY OR ILLNESS A NEW CASE? [STEP THREE]

Determination of a new case [1904.6]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 from the previous injury or illness and an event or exposure in the work environment caused the signs or symptoms to reappear.

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Scenario A:

Five weeks ago, employee sprained wrist at work and received support, prescription medication, and “light duty.” Two weeks ago employee was back on normal job and completely recovered. Today (5 weeks after the injury) employee complains of pain in same wrist after moving boxes.

STEP 3:Is the injury or illness a new case?

Answer: Go on.

Why: Employee had completely recovered from the previous injury and a new event or exposure occurred in the work environment.

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Scenario B:

Five weeks ago, employee sprained wrist at work and received support, prescription medication, and “light duty.” Two weeks ago, employee was back on normal job, but continued to take prescription medication. Today (5 weeks after the injury) employee complains of pain in same wrist after moving boxes.

STEP 3:Is the injury or illness a new case?

Answer: Stop.

Why: Employee had not completely recovered from the previous injury or illness. Update the previously recorded entry, if necessary.

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Scenario C:

Employee fractures foot at work. Every six months or so it bothers him and he is placed on light duty for a day or two.

STEP 3:IS THE INJURY OR ILLNESS A NEW CASE?

Answer: It depends. We need more information.

Why: Was the employee completely recovered? If no, stop. If yes, was there a new event or exposure in the work environment?

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DOES THE INJURY OR ILLNESS MEET THE GENERAL CRITERIA OR APPLICATION TO SPECIFIC CASES? [STEP FOUR]

G E N E R A L R E C O R D I N G C R I T E R I A [ 1 9 0 4 . 7 ]

An injury or illness is recordable if it results in one or more of the following:

o Deatho Days away from worko Restricted work activityo Transfer to another jobo Medical treatment

beyond first aido Loss of consciousnesso Significant injury or

illness diagnosed by a PLHCP

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DAYS A

WAY

CASES

[1904.7

(B)(3

)]

Cases that result in days away from work are recordable

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RESTRICTED WORK CASES [1904.7 (B)(4)]

T IME

Unable to work the full workday he or she would otherwise have been scheduled to work.

J OB FU NC T I ON

Unable to perform one or more routine job functions.

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NOT RECORDABLE

•Th

e em

ploye

e ex

perie

nces

min

or

musc

ulosk

elet

al d

isco

mfo

rt.

•A h

ealth

car

e pro

fess

ional

deter

min

es th

at th

e em

ploye

e is

fully

able

to p

erfo

rm a

ll or

his

or h

er

routin

e jo

b funct

ions.

•Th

e em

ploye

r ass

igns

a w

ork

rest

rictio

n to th

at e

mplo

yee

for t

he

purpos

e of

pre

ventin

g a m

ore

serio

us

conditi

on fr

om d

evel

opin

g.

Page 33: MIOSHA Webinar

JOB TRANSFER [1904.7 (B)(4)]

Most job transfers involve some type of restriction. Even if they don’t, job transfers due to an injury or illness are recordable events

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MEDICAL TREATMENT [1904.7(B)(5)]

T H I S D O E S N O T I N C L U D E :

Medical treatment is the management and care of a patient to combat disease or disorder.

• Visits to a PLHCP solely for observation or counseling

• Diagnostic procedures (x-rays, MRI)

• First aid

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• Using nonprescription medication at nonprescription strength

• Tetanus immunizations• Cleaning, flushing, or

soaking surface wounds• Wound coverings,

butterfly bandages, Steri-Strips

• Hot or cold therapy• Non-rigid means of

support• Temporary

immobilization device used to transport accident victims

• Drilling of fingernail or toenail, draining fluid from blister

• Eye patches• Removing foreign bodies

from eye using irrigation or cotton swab

• Removing splinters or foreign material from areas other than the eye by irrigation, tweezers, cotton swabs or other simple means

• Finger guards• Massages• Drinking fluids for relief of

heat stress

FIRST AID INCLUDES

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All work-related cases involving loss of consciousness

must be recorded

*The length of time the person is unconscious is irrelevant.

LOSS OF CONSCIOUSNESS [1904.7 (B)(6)]

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• Record at the time of diagnosis by a PLHCP

• Cancer• Chronic

irreversible disease

• Punctured eardrum

• Fractured or cracked bone or tooth

SIGNIFICANT DIAGNOSED INJURY OR ILLNESS [1904.7(B)(7)]

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BLOODBORNE PATHOGENS [1904.8]

The rule requires the recording of all work-related needlesticks and cuts from contaminated sharp objects. This provision has the greatest effect on the health care sector, especially hospitals and nursing homes.

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MEDICAL REMOVAL [1904.9]

R E C O R D I F :

An employee is medically removed under the medical surveillance requirements of an OSHA standard.

D O E S N O T R E Q U I R E R E C O R D I N G I F :

The case involves voluntary removal below the removal levels required by the standard.

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Must record all work-related hearing loss cases where:

• Employee has experienced a Standard Threshold Shift (STS)1, and

• Employee’s hearing level is 25 decibels (dB) or more above audiometric zero [averaged at 2000, 3000, and 4000 hertz (Hz)] in the same ears as the STS

HEARING LOSS [1904.10]

1 An STS is defined in OSHA’s noise standard at 29 CFR 1910.95(g)(10)(i) as a change in hearing threshold, relative to the baseline audiogram, of an average of 10 dB or more at 2000, 3000, and 4000 Hz in one or both ears.

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TUBERCULOSIS [1904.11]

R E C O R D I F :

An employee is exposed to an active case of tuberculosis at work, and then has a positive TB skin test or becomes an active case.

N O N E E D T O R E C O R D I F :

There is evidence that the case did not arise from a workplace exposure.

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FORMS [1904.29] [STEP FIVE]

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

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OSHA’S FORM 300

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Click icon to add picture

OSHA’s Form 301

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Click icon to add picture

OSHA’s Form 300A

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FORMS

[1904.2

9]

Employers can keep their records on equivalent forms, on a computer, or at a central location provided that they can get information into the system within 7 calendar days after an injury or illness occurs, and they can produce the data at the establishment when required.

*The employer is required to record a case within 7 calendar days.

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Employers must not enter the employee’s name on the 300 form. Instead, they are to enter “privacy case.”

A separate, confidential list of the employee’s names and case numbers must be kept by the employer and provided to an OSHA inspector upon request.

For a privacy concern case, if the employee’s identity can still be implied, the employer may use some discretion in describing the case.

o An injury or illness to an intimate body part or reproductive system

o An injury or illness resulting from sexual assault

o Mental illness

o HIV infection, hepatitis, tuberculosis

o Needle-stick and sharps injuries that are contaminated with another person’s blood or other potentially infectious material

o Employee voluntarily requests to keep name off for other illness cases

PRIVACY PROTECTION [1904.29]Privacy Cases are as follows

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1904.30 Multiple business establishments

1904.31 Covered employees

1904.32 Annual summary

1904.33 Retention and updating

1904.34 Change of ownership

1904.35 Employee involvement

1904.36 Discrimination

1904.37 State plans

1904.38 Variances

SUBPART D – OTHER REQUIREMENTS

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A separate log must be kept for each establishment expected to be in operation for more than a year.

MULTIPLE BUSINESS ESTABLISHMENTS [1904.30]

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• Employees on payroll• Employees not on

payroll who are supervised on a day-to-day basis

• Exclude self-employed and partners

• Temporary help agencies should not record the cases experienced by temp workers who are supervised by the using firm

COVERED EMPLOYEES [1904.31]

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ANNUAL SUMMARY [1904.32]• Review

OSHA Form 300

• Complete OSHA Form 300A

• Certify summary

• Post summary for 3 months

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RETENTION AND UPDATING [1904.33]

Retain forms for 5 years following the year that they cover

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EMPLOYEE INVOLVEMENT [1904.35]I N F O R M E A C H E M P L O Y E E O F H O W T O R E P O R T A N I N J U R Y O R I L L N E S S

• Must set up a way for employees to report work-related injuries and illnesses promptly; and

• Must tell each employee how to report work-related injuries and illnesses to you

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EMPLOYEE INVOLVEMENT [1904.35]

M U S T P R O V I D E L I M I T E D A C C E S S

• Provide copy of OSHA Form 300 by end of next business day

• Provide copy of OSHA Form 301 to employee, former employee or personal representative by end of next business day

• Provide copies of OSHA Form 301 to authorized representative within 7 calendar days. Provide only “Information about the case” section of form

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PROHIBITION AGAINST DISCRIMINATION [1904.36]

S E C T I O N 1 1 ( C )

• Prohibits you from discriminating against an employee for reporting a work-related fatality, injury or illness.

• Protects the employee who files a safety and health complaint, asks for access to the Part 1904 records, or otherwise exercises any rights afforded by the OSH Act.

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SUBPART E – REPORTING INFORMATION TO THE

GOVERNMENT

1904.39 Fatality and catastrophe reporting

1904.40 Access for Government representatives

1904.41 OSHA Survey

1904.42 BLS Survey

Report orally within 8 hours any work-related fatality or incident involving 3 or more in-patient hospitalizations.

The case can be called in to the local area office or phoned into 1-800-321-OSHA.

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Employers must provide the records within 4 business hours of a request by an OSHA or NIOSH official

PROVIDING RECORDS TO GOVERNMENT REPRESENTATIVES [1904.40]

Must save copies of OSHA 300 and 301forms for 5 years

Must continue to provide access to the data

Subpart F – Transition from the Former Rule

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• OSHA’s Recordkeeping Page

• OSHA Regional Recordkeeping Coordinators

• State Plan States• OSHA Training

Institute Education Centers

• http://www.osha.gov/recordkeeping/

• http://michigan.michigan.gov/lara/0,4601,7-154-61256_11407_30929---,00.html

ADDITIONAL RESOURCES

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CONTACT US

If you would like more information about Dominion Systems, please contact:

P: (616) 243 -1715E: [email protected]

E: [email protected]

If you would like more information about HUB International, please contact:

Dominion Systems

HUB International