Table 1

 2002 OSHA rule change: defining recordable cases*

Old ruleNew ruleExpected effect on reporting
*2001 injury and illness data reported under 2002 rule; in most cases wording taken directly from OSHA summary of the new standard.
Any aggravation of a pre-existing condition by a workplace event or exposure makes the case work-relatedSignificant aggravation of a pre-existing condition by a workplace event or exposure makes the case work-related. Significant injuries include those resulting in death, loss of consciousness, more than 1 day of lost/restricted/transferred work or a medical treatment for a new or change in injury/illnessDecrease
Addition of “significant” reduces reporting of minor injuries
Events exempt from reporting under old rule:Events exempt from reporting under new rule:Decrease
1) Member of the general public 2) Symptoms arising on premises totally due to outside factors 3) Parking lot/recreational facility1) Member of the general public 2) Symptoms arising on premises totally due to outside factors 3) Voluntary participation in wellness programme 4) Eating, drinking and preparing one’s own food 5) Personal tasks outside working hours 6) Personal grooming, self-medication, self infliction 7) Motor vehicle accident in parking lot/access road during commute 8) Cold or flu 9) Mental illness unless employee voluntarily presents a medical opinion stating that the employee has a mental illness that is work-relatedCriteria more exclusive
Motor vehicle crashes are a major source of occupational injuries
New case includes any new event or exposureAggravation of a case where signs or symptoms have not resolved is a continuation of the original caseDecrease
All work-related illnesses are recordableWork-related illnesses are recordable if they meet the general recording criteriaDecrease
Needs to be “significant” illness
Restricted work activity occurs if the employee:Restricted work activity occurs if the employee:Decrease
1) Cannot work a full shift 2) Cannot perform all of his or her normal job duties, defined as any duty he or she would be expected to do throughout the calendar year1) Cannot work a full shift 2) Cannot perform all of his or her routine job functions, defined as any duty he or she regularly performs at least once a weekChange to “routine” allows broader definition of job description
Restricted work activity limited to the day of injury makes case recordableRestricted work activity limited to the day of injury does not make case recordableDecrease
Count workdaysCount calendar daysIncrease
No cap on count180 day cap on countDecrease of most severe cases
Medical treatment does not include: 1) Visits to MD for observation onlyMedical treatment does not include: 1) Visits to MD for observation and counselling onlyDecrease
Mental illness underreported
2 doses prescription medicine - medical treatment (MT)1 dose prescription med - MTIncrease
Any dosage of OTC medicine - first aid (FA)OTC med at prescription strength - MTDecrease
2 or more hot/cold treatments - MTAny number of hot/cold treatments - FAIncrease
Needlesticks and “sharps injuries” - record only if case results in med treatment, days away, days restricted or seroconversionNeedlesticks and “sharps injuries” - record all needlesticks and injuries that result from sharps potentially contaminated with another persons blood or other potentially infectious materialIncrease
TB - positive skin test recordable when known workplace exposure to active TB disease. Presumption of work relationship in 5 industriesTB - positive skin test recordable when known workplace exposure to active TB disease. No presumption of work relationship in any industryIncrease
Hearing loss - federal enforcement for 25 dB shift in hearing from original baselineBeginning 1/1/03 record all work-related hearing loss cases that meet BOTH of the following conditions on the same audiometric test for either ear: 1. The employee has experienced a Standard Threshold Shift (STS) AND 2. The employee’s total hearing level is 25 dB or more above audiometric zero (averaged at 2000, 3000, and 4000 Hz) in the same ear(s) as the STSIncrease