§1904.12Thus, the total MSD count in an establishment couldinclude a number of disparate disorders that have littlein common. More importantly, the total number ofcases tells nothing about the possible causes andprevention of ergonomic hazards. Simply knowingthat a certain number of MSD cases have occurreddoes not permit one to determine which jobs orworking conditions pose ergonomic hazards andhow they may be abated.To effectively analyze and address ergonomicinjuries that are occurring in workplaces, employersand others must be able to link specific types ofinjuries to specific characteristics of jobs or workingconditions. This requires evaluation of each individualcase to determine the part of the body affected,the nature of the job performed by the injuredemployee and other relevant data. Such informationis currently available in the case-description sectionof the 300 Log and in the 301 Incident Report.Evaluation of these case-entry data, particularly thejob title and the description of the injury and affectedbody part contained in Columns C and F on the 300Log, will enable employers, workers and <strong>OSHA</strong> toidentify specific types of MSDs, to link specific MSDinjuries to specific ergonomic risk factors, and toidentify trends in certain jobs or work practices overtime.The MSD column would not assist with the kindof detailed analysis necessary to effectively abateMSDs at the establishment level. Conscientiousemployers, employees and authorized representativeswho wish to address MSDs in their workplaceswill do so, as they have in the past, by examining theentire Log, whether or not an MSD column is implemented.Some employers and others may wish touse the Section 1904.12 definition of MSD as part oftheir comprehensive records analysis or they maywish to use a different definition more suited to theirspecific working conditions. For example, nursinghome employers may wish to focus particularly onback cases in analyzing the effectiveness of patientlifting and repositioning abatement measures. On theother hand, employers and others who do not wishto perform a comprehensive analysis would not beable to use an MSD column as a substitute for theanalysis.To the extent that the aggregate total of MSDcases is of some relevance, the number can easily bedetermined without a column. Based on the description-of-injuryinformation in column F of the Log, onecan very quickly identify which cases are MSDsunder the Section 1904.12 definition, or an alternativedefinition such as the one in <strong>OSHA</strong>’s meatpackingguidelines. The MSD column is simply not necessaryfor this purpose. For these reasons, <strong>OSHA</strong> concludesthat the MSD column would not be a useful tool atthe establishment level.A related point argued by some is that an MSDcolumn is needed to ensure effective enforcement ofthe general duty clause. However, the column hasnever been in effect and has not been a factor inenforcement of the clause. It is difficult to see the utilityof simply checking an MSD column given thedetailed nature of the information needed by <strong>OSHA</strong>to sustain a general duty clause citation. The casedescription data in the 300 and 301 forms is availableto assist <strong>OSHA</strong> in its inspection activities. This informationpermits a more comprehensive understandingof MSDs in workplaces than would a singleaggregate statistic produced by a column. Accordingly,there is no need for an MSD column on theLog for enforcement purposes.The other justification cited for the MSD column isthat it is necessary to improve the accuracy and usefulnessof the national injury and illness statistics.However, <strong>OSHA</strong> concludes that MSD column wouldnot materially improve the national statistics onMSDs. The national statistics already include comprehensiveinformation about MSDs that result indays away from work, including the total numberand incidence rate of these disorders. As to otherMSDs, the MSD column would allow the Bureau ofLabor Statistics (BLS) to calculate the total number ofthese cases, but not to analyze their characteristics inany way. <strong>OSHA</strong> does not believe that a new statisticon total MSDs would be useful without the ability toassess the specific characteristics of these disorders.To obtain additional data necessary to allow BLS toassess the characteristics of MSDs that do notrequire days away from work would require significantchanges to the BLS survey system not contemplatedin the proposed recordkeeping rule and notrequested by any party.Why the MSD Column Would Not SignificantlyImprove the BLS Statistics.If the MSD column were implemented, employersparticipating in the BLS survey would report annuallythe total number of MSD cases checked on the Log.This information would enable BLS to publish thetotal number and incidence rates of MSDs of alltypes. Thus, the statistical tables depicting the totalnumber and incidence rates of non-fatal injuries andillnesses by industry would include an additional columnfor total MSD cases. (See, e.g., WorkplaceInjuries and Illnesses in 2000, Tables S14 and S16.)104<strong>OSHA</strong> RECORDKEEPINGHANDBOOK
These new statistics would add only marginally tothe information currently available. As describedabove, the BLS case characteristic data already presenta comprehensive picture of the most severeMSDs, including separate statistics on the total numberand incidence rate of these disorders. Accordingly,the MSD column would add minimally to thenational statistics on MSDs that resulted in daysaway from work.The new data would be relevant primarily for thepurpose of estimating the number of MSDs that donot result in days away from work. The number ofthese MSDs could be approximated by subtractingthe number of days away from work MSD casesreported by BLS from the total number of MSDs ofall types produced by the column. However this estimatewould have limited utility because the absenceof case characteristic data for cases that do not resultin days away from work MSDs precludes analysis ofthem.As noted above, the BLS survey elicits descriptiveinformation only on injuries and illnesses, includingMSDs, resulting in days away from work. The BLSdatabase of case-characteristics has never includedinformation on or analyses of cases that do not resultin days away from work. Accordingly, BLS cannotanalyze the characteristics of these injuries and illnessesas it can days away from work cases. Addingan MSD column to the Log would not change thebasic structure of the survey, and would not produceany additional descriptive data on the less severecases. Significant changes in the survey itself wouldbe required before BLS could collect this type ofdata.Because an MSD column would not enable BLS tocollect case characteristic data on all MSDs, any newstatistic reporting the aggregate total number of suchcases would be difficult to interpret. There would beno way to distinguish among different types of thesedisorders, determine possible causal factors, evaluatedemographics, or perform the other analyses.<strong>OSHA</strong> believes that total number of MSDs, standingalone, would not be useful without the ability to analyzethe underlying data.Having a column requirement might be warrantedif a specific injury or illness was substantially misrepresentedin the BLS statistics for cases with daysaway from work. For example, <strong>OSHA</strong> recently foundthat the estimate of days away from work occupationalhearing loss cases, which totaled only 316cases in the year 2000, probably represents only atiny fraction of the total hearing loss cases in theNation because workers commonly suffer hearingloss and never require a day away from work. (See,e.g., 67 FR 77168 explaining the need for a hearingloss column on the Log.) In the 2001 <strong>Recordkeeping</strong>rule, <strong>OSHA</strong> stated that it believed that many cases ofhearing loss, probably numbering in the thousands,do not result in days away from work and are thereforenot represented in the BLS statistics. (66 FR6005). Because the BLS statistics on hearing loss representedonly a minor fraction of the hearing lossexperienced by workers, <strong>OSHA</strong> believed that a columnwas necessary to obtain useful data on hearingloss cases. In contrast, BLS produces a wealth ofuseful information about MSDs. The BLS statistics forthe year 2000 included over 577,800 MSDs with daysaway from work, accounting for more than elevenpercent of all private sector occupational injuries andillnesses. (See Lost-worktime Injuries and Illnesses:Characteristics and Resulting Time Away From Work,2000, page 3.) This is a large number of cases, representingthose MSDs with the most serious outcomes.Moreover, this total figure can be broken down andanalyzed in many different ways using BLS’s casecharacteristics. Thus, there is no need for a column toobtain useful data for MSDs, as there was for hearingloss cases.<strong>OSHA</strong> does not believe that altering the definitionused to trigger the column requirement would producemore useful data. As some . . . have observed,the Section 1904.12 definition is similar in some waysto definitions <strong>OSHA</strong> has used in the past, and thatBLS and other agencies now use. <strong>OSHA</strong> believes thatthis definition can be useful for some purposes.Different definitions might also be appropriate insome contexts. For example, in evaluating the effectivenessof an ergonomics program targeted to certainspecific risk factors, it might be useful to defineMSDs to include injuries likely to be caused by exposureto such factors. This is very different from usingan MSD column to generate a single aggregate statistic.Regardless of how MSDs are defined for purposesof the <strong>OSHA</strong> recordkeeping rule, a columnrequirement would produce only an aggregate totalof cases that could not be further analyzed for significance.No such statistic would be useful without ameans of understanding and interpreting it.Finally <strong>OSHA</strong> has considered whether the BLSsurvey should be modified to gather case-characteristicdata for all recordable MSDs, regardless of type orseverity. The Agency believes that it is reasonable forBLS to collect detailed characteristic data only forinjuries and illnesses that result in days away fromwork at this time. BLS cannot collect comprehensivedata on every aspect of every injury or illness. The§1904.12<strong>OSHA</strong> RECORDKEEPINGHANDBOOK105
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OSHARecordkeeping HandbookThe Regul
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ContentsRecordkeeping HandbookRoadm
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Section 1904.40Providing records to
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§1904.0…OSHA has rejected the su
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§1904.1Since publication of the re
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§1904.2SIC code Industry descripti
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§1904.2tinue to have injury and il
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Section 1904.3Keeping records for m
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PREAMBLE DISCUSSION: Section 1904.4
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(viii)(ix)The illness is the common
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§1904.5employment environment. For
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§1904.5the employee’s status as
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§1904.5Exceptions Proposed but Not
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§1904.5pain and swelling in a join
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§1904.5the worker has taken a side
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§1904.526“Personal tasks” for
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If the accident had occurred in a l
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Scenario 4:• An employee reports
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In applying [the presumption of wor
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Letters of interpretation related t
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November 19, 2002Joseph Woodward, E
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Letter of interpretation related to
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§1904.6that the two injuries or il
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§1904.6…Under the OSHA recordkee
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FREQUENTLY ASKED QUESTIONS: Section
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Since the employee was not performi
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In each of the eight scenarios in y
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§1904.7other licensed health care
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§1904.7that eliminates the routine
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- Page 118 and 119: §1904.29cern cases, and the list m
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Thank you for your interest in occu
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Letter of interpretation related to
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Section 1904.36Prohibition against
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and section 1952.4 spells out the r
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§1904.38Section 1904.38Variances f
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§1904.38cited and the citation is
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§1904.39PREAMBLE DISCUSSION: Secti
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§1904.39FREQUENTLY ASKED QUESTIONS
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§1904.40maintains the records at a
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June 23, 2003Mr. Edwin G. Foulke, J
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Section 1904.41Annual OSHA injury a
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Section 1904.42Requests from the Bu
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Section 1904.43Summary and posting
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Section 1904.44Retention and updati
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Section 1904.45OMB control numbers
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allows him or her to independently
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§1904.46the three criteria above,
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§1904.46approach will provide an i
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FREQUENTLY ASKED QUESTIONS: Section
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Section 1952.4Injury and illness re