Employer Compliance With OSHA Requirements For Immediate Reporting of Severe Injuries.

Details

• Alternative Title:
  Occupational and Environmental Medicine, 2025, v. 82, no. 3: Employer Compliance With OSHA Requirements For Immediate Reporting of Severe Injuries.
• Journal Article:
  Occupational and Environmental Medicine
• Personal Author:
  Friedman, Lee S ; Forst, Linda ; Shannon, Brett ; Abasilim, Chibuzor ; Madigan, Dana
• Description:
  In 2014, US Occupational Safety and Health Administration (OSHA) updated a rule requiring employers to directly report all hospitalisations, amputations and eye enucleations to OSHA within 24 hours and within 8 hours for fatalities and multiple injury events. Past studies have shown that employers under-report injuries and illnesses for numerous reasons.
  
  This study evaluated the completeness of required immediate reporting of severe injuries and illnesses by employers to OSHA by linking cases reported to OSHA with hospital data from 1 January 2017 to 31 December 2023. We evaluated factors associated with failure to report severe injuries or illnesses to OSHA using multivariable logistic regression.
  
  We identified 7578 non-fatal occupational injuries and illnesses and an additional 160 fatalities treated in Illinois hospitals that were not reported to OSHA. The cumulative reporting rate for non-fatal injuries was 39.7%, while non-fatal illnesses (excluding COVID-19 cases) was 25.1%. There was no significant change in reporting rates over the 7-year period for non-fatal injuries and illnesses. Failure to report serious injuries and illnesses was associated with hospitalisations involving acute illnesses (adjusted OR (aOR)=2.60), female workers (aOR=1.29) and incidents occurring on weekends (aOR=2.21) and holidays (aOR=1.98). We also identified factors associated with improperly reporting cases that did not meet the OSHA reporting criteria.
  
  We estimate that failure to report these hospitalisations obscured up to 2122 violations in Illinois workplaces that could have led to remediation to protect other workers from injury. This analysis informs compliance assistance programmes that address reporting practices and record-keeping policy.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Occupational Injuries
  • Female
  • Male
  • United States Occupational Safety and Health Administration
  • Adult
  • Middle Aged
  • Mandatory Reporting
  • Guideline Adherence
  • Occupational Health
• Keywords:
  • occupational diseases
  • injury underreporting
  • recordkeeping
  • employer reporting
  • public health surveillance
• Source:
  Occupational and Environmental Medicine, 2025, v. 82, no. 3
• DOI:
  https://doi.org/10.1136/oemed-2025-110074
• ISSN:
  1351-0711 ; 1470-7926
• Pubmed ID:
  40194833
• Pubmed Central ID:
  PMC12088877
• Document Type:
  Text
• Funding:
  P30 ES027792/ES/NIEHS NIH HHSUnited States/ ; U60 OH010905/OH/NIOSH CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  United States ; Illinois
• Pages in Document:
  148-156 (20 pdf pages)
• Volume:
  82
• Issue:
  3
• Download URL:
  https://stacks.cdc.gov/view/cdc/261503/cdc_261503_DS1.pdf
• File Type:
  [PDF - 173.89 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:2a29a9fa043e131c4e09ce41cb36e8af066b47dac1ce466446e5615421523907156925bba2073e5587f7a00a526dde031e1c620ff3a06f1115272882542f665a