Question of the Week Determining the Date of Injury for OSHA Record-Keeping Purposes
Q. On December 17 of last year, an employee in a job involving repetitive motion work complained of bilateral wrist pain. The employee was given conservative first aid treatment and returned to work. Two months later, on February 20 of this year, the employee was seen by a physician, diagnosed with bilateral carpal tunnel syndrome and provided with medical treatment for his illness condition. Later this year the employee’s condition worsened and required surgery. The employee underwent surgery and incurred days off work.
Which date should I use when recording the date of injury/onset of illness for a condition that is treated one year, but the symptoms of which first arose during the previous year?
A. The scenario you describe indicates that the employee had a previous work-related injury or illness that did not result in the recording criteria and thus was not recorded at the time.
“29 CFR 1904.6(a) Basic Requirement. You must consider an injury or illness to be a 'new case' if:
(1) The employee has not previously experienced a recorded injury or illness of the same type that affects the same part of the body, or
(2) The employee previously experienced a recorded injury or illness of the same type that affected the same part of the body but had recovered completely (all signs and symptoms had disappeared) from the previous injury or illness and and event or exposure in the work environment caused the signs or symptoms to reappear.” [Emphasis added]
Therefore the case must be considered a new case, and recorded in the Log as February 20 because the employee has not previously experienced a recorded injury or illness of the same type that affects the same part of the body.
Ordinarily, cases should be recorded on the Log for the year in which the injury or illness occurred. When the date of injury or illness cannot be determined, the date the employee first reported 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.
This assumes that there was a single recordable injury or report of symptoms, which had occurred on a specific (but not identifiable) date, not a series of contributing or aggravating events or exposures that led to the development of a reportable condition.
In order to use the date the employee first reported the symptoms (12/17), you must determine that no intervening event or exposure occurred in the work environment that was a contributing or aggravating factor. If it seems likely that a new event or exposure in the workplace contributed to or aggravated the employees condition, the case should be recorded on the date the employee was diagnosed (2/20).
[29 CFR 1904—Recording and Reporting Occupational Injuries and Illnesses]
[Recordkeeping Policies and Procedures Manual CPL 2-0.131, Chapter V, Frequently Asked Question (FAQ) 29-5]
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