Document 35gG59o8Z0vq3jMj0XJ1R6my

PLAINTIFF'S EXHIBIT 090045 OSHA RECORD-KEFPINC REQUIREMENT FOR REPORTING OCCUPATIONAL INJURIES AND ILLNESSES AS OF JANUARY 1. 1977, NSC MEMBERS WILL BE ASKED TO RECORD THEIR OCCUPATIONAL INJURY AND ILLNESS CASES USING THE OSHA RECORD-KEEPING SYSTEM INSTEAD OF THE AMERICAN NATIONAL STANDARD Z16. 1 FOR USE IN NSC PROGRAMS. IT IS INTENDED THAT THESE GUIDELINES WOULD BE PUT INTO USE BY NSC MEMBERS AT THAT TIME AS AN AID IN USING THE OSHA RECORD-KEEPING SYSTEM. . WORK RELATED'CASES RECORDABILIFY CLASSIFICATION BY EXTENT OF INJURY OR ILLNESS 090046 WORK RELATED CASES NO DETAILED DEFINITION OF WORK-RELATED IS CONTAINED IN ANY OF THE OSHA PUBLICATIONS OR IN THE LAW ITSELF. THE BROAD CONCEPT IS: ANY INJURY OR ILLNESS 'OCCURRING IN THE WORK ENVIRONMENT" IS WORK-RELATED. THE FINAL DETERMINATION OF WHETHER ANY CASE IS WORK-RELATED MUST BE MADE PY THE EMPLOYER. 090047 RECORDABILITY WORK-RELATED CASES ARE RECORDABLE 1'HAT INVOLVE ANY OF THE FOLLOWING: DEATHS INJURIES RESULTING IN ANY OF THE FOLLOWING . LOST WORK DAYS MEDICAL TREATMENT . LOSS OF CONSCIOUSNESS RESTRICTION OF WORK OR MOTION TRANSFER . TERMINATION ILLNESSES INCLUDING. BUT NOT LIMITED TO, THE FOLLOWING CATEGORIES - . SKIN DISEASES OR DISORDERS . DUST DISEASES OF THE LUNGS RESPIRATORY CONDITIONS DUE TO TOXIC AGENTS POISONING (SYSTEMIC EFFECTS OF TOXIC MATERIA LS DISORDERS DUE TO PHYS1CA L AGENTS (OTHER THAN TOXIC MATERIALS) . DISORDERS ASSOCL'^TED WITH REPEATED TRAUMA ALL OTHER OCCUPATIONAL 090048 CLASSIFICATION BY EXTENT OF INJURY OR ILLNESS - DEATHS - LOST WORK DAY CASES INVOLVING DAYS AWAY FROM WORK -- WEEKENDS -- IRREGULAR SHIFTS -- DOUBTFUL CASES -- FULL SHIFTS ONLY -- RESTRICTED DAYS - LOST WORK DAY CASES WITH DAYS OF RESTRICTED WORK ACTIVITY ONLY -- TEMPORARY ASSIGNMENT . -- LOSS OF PART OF SHIFT -- RESTRICTED WORK ACTIVITY - NON-FATAL CASES WITHOUT LOST WORK DAYS RESTRICTION OF MOTION 090049 OSMA NO. 100 LOG OF OCCUPATIONAL INJURIES AND ILLNESSES file NUMBER DATE OF INJURY OR ONSET OF ILLNESS EMPLOYEE'S NAME (Firtt wm m* m4#i mi>#i. loot **> OCCURATI ON UiUti rfyl*r tOO !!. fif euviv imslsvM wi por UmlA| IfliwfOtf Of t t.l DEPARTMENT (Enttr Mpiftmodt In wtilch ttt mpiovo* is rofulofJy mployod.) Mo tdmylyr 11 1 (21 131 141 IS) 090050 WORK ENVIRONMENT- { tiDg.trpm a thermal or chemical fers, and Terminations is contained comprised of the physical ' Wru,5-ii 4h4&fidd lai rix\ injti^CpDl' ' in location, equipment, materials art'iUncs case.) ( Leas of consciousness or the processed or uses' and* the kinds of operations r,rformed by an employee in' trie per* romance of his work, whether on or off the employer's premises. There are no slated exclusions of place or circumstance. Therefore, injuries or illnesses occurring in such places as,the employee park ing lot, lunch room or rest room, or during rest or lunch period on 2") Dtttt* bbinlies' itf/' the . (Pneumoconioses)--Examples: Sili-,,. cotisf - tltostoaK Cdal > "worker's : pneumoconiosis, byssmosis, and other poeumoeonioses. 3) Respiratory Conditions Due to Toxic Agents--Examples: Pneu monitis, pharyngitis, rhinitis or acute congestion'due td chemicals, dusts, gases, or fumes; fanner's lung; etc. any. r,time is self explanatory. I ibn'of mo- Mart it vat define#, specifically in fte CJShA-publications of in the law. Each care must be judged in dividually to determine if there is more than a trivial amount of re stricted motion, such as would occur when a small adhesive bandage was placed on the second joint of the finger. It should be noted here that damage to prostbescs (such as the employer's premises can be 4) Poisoning (Systemic Effects of false teeth) is not in and of itself work-related. The final determina Toxic Materials) -- Examples: Poi grounds far recordability unless ac tion of whether any case is work- soning by lead, mercury, cadmium, companied by other damage to the related, must be made by the em arsenic, or other metals, poisoning body that meets the recordability ployer. Responsibility or fault does - by csrbon-Rionoxide.-hydrsgtn sul criteria. ______ not enter into the decision of fide or other gases: poisoning by The distinction between medical whether a case is work-related. In benzol, carbon tetrachloride, or treatment and first aid is probably doubtful situauoos, a case should other organic solvents; poisoning by the most difficult of the recordability be recorded. insecticide sprays such as parathion. criteria to interpret. Medical treat lead arsenate; poisoning by other ment and first aid are defined in the Section II--Rocostability chemicals such as formaldehyde, same paragraph of the OSHA 100 plastics and resins, etc.; Log as follows: Recordable Cases Work-related cases are recordable that involve any of the following: Deaths -- AH occupational deaths regardless of the lime between injury and death or length of illness. Injuries--All occupational injuries resuming in any of the following: 1) Lost Workdays (either Days Away From Work or Days of Restricted Activity); 2) Medical treatment other than first aid; 3) Loss ol consciousness; 4) Restriction of work or mo tion; 5) Disorders Due to Physical Agents (Other Than Toxic Mate rials)--Examples: Heatstroke, sun stroke, heat exhaustion and other effects of environmental heat; freezing, frostbite and effects of exposure to tow temperatures; cais son disease; effects of ionizing radiation (isotopes. X-rays, radium); effects of nonionizing radiation (welding flash, ultraviolet rays, microwaves, sunburn), etc.; 6) Disorders Associated With Re pealed Trauma--Examples: Noiseinduced hearing loss; synovitis, tenosynovitis, and bursitis; Ray naud's phenomena; and other con ditions due to repeated motion, vibration, or pressure. MED1CAL TREATMENT includes treatment (other than first aid) administered by a physician or by registered pro fessional personnel under the standing orders of a physician. Medical treatment does NOT include first aid treatment (one time treatment and subsequent observation of minor scratches, cuts, burns, splinters, apd so forth, which do not ordinarily require medical care) even though provided bv a physician or registered professional per sonnel. /" The important point to be j [stressed is that the decision as to I I whether a case involves medical / j treatment should be made on the [ 5) Transfer. Temporary or per manent transfer to anotner job; 61 Termination of the injured or ill employees. Illnesses--All occupational illnesses including, but not limited to. the following categories and examples: 11 Occupational Skin Diseases nr Ihtorders - Examples Contact dermatitis, eczema, nr rash caused hv primary irritants and sensitizers 7) All Other Occupational Ill / basis of whether the case normally \ nesses--Examples Anthrax, brucel y would require medical treatment, r losis. infectious hepatitis, malignant j The decision cannot be made on \ and benign tumors, food poisoning, the basis of who treats the case. \ histoplasmosis, coccidioidomycosis, First aid can be administered by a j etc physician and medical treatment by j V^someone o.her than a physician. ,< NOTE Ccrdiiir-s resulting It is not possible to list all types from anin.v one- such as of medical procedures and treat insect or sntixe nites, or from ments and on that basis alone de one-tini:- expovure it' chemi termine if first aid or medical treat cals an- consuls-et: to be in juries ment was involved. For example, whirlpool treatments, heat treat or poisonous plants, oil acne; A discuv jor. (>f what constitutes ments. application of hot or cold chronic ulcers, chemical burns or Days Awa\ Frols' Work, Pavs of compresses, or claslic bandages are tnflamnunons. etc (Direct contact RestfictcJ Work Aciiviiy. Tempo not in and of themselves either first . jusrng tissue damage only, result- rary Transfers, Permanen' Trgns- aid or medical treatment 090051 Whai follows is a discussion of Diagnostic procedures and preven tive procedures and treatments, both of which are not in and of them selves medical treatment. Next is a discussion of Treatments that are almost always medical treatment, and comments on Medical treatment and first aid for certain types of injuries. Diagnostic procedures Hospitalisation for observation, where no medical treatment is rendered other than first aid, is not considered medical treatment. How ever. if the employee misses any part of his next scheduled shift, the ""case "would become recordable be cause of lost workdays. Visits to a physician or nurse for observation only or for a routine change of dressing are not medical treatment. X-ray examination for fractures is considered diagnostic procedure and as such is not medical treat ment or first aid. Where the X-ray is negative, the case is not record able, unless the injury required other medical treatment or met one of the other criteria for recordability Physical examination yielding few tv no findings, and not substantiat ing subjective complaints in ques tionable cases, is not medical treat ment. Reactions to or side effects of diagnostic procedures, which are necessitated by a work-related in jury or illness and which meet the criteria for recordability. should be recorded Preventive procedures end treatments Tetanus shots--Either initial tet anus shots or boosters, are con sidered preventive in nature and are nor in and of themselves con sidered medical treatment However, treatment of a reaction to a tetanus shot administered because of an iniurv would be considered medical treatment, and would make the case recoi liable Prescription medication - Any use of prescnption medication normally soiisiuiiles medical lieatmenl How es cr. it should be ionsidcrcd first aid when a sing), dose nr applica tion of a piesei iption medication is given on the ru von mrrclv for r.i*. f o' pur- or a.- preventive treat ment for a min'tr injury. This situa tion ran occur at facilities having dispensaries stocked with prescrip tion medications frequently used for preventive treatment and relief of pain and attended by a physician or nurse operating under the standing orders of a physician. The admin istration of nonprescription medica tion in similar circumstances would be considered first aid. Ointments and aakraa--'The appli cation of ointments and salves .to prevent the drying or cracking of skin at the site of a minor injury can be considered first aid. Antiseptics and dressings -- The application*'of'antiseptics to minor injuries, which do not themselves require medical treatment, can be considered first aid. Changing the bandage or dressing on an injury, which did not require medical treat ment. because the bandage or dress ing has become dirty, is considered to be first aid Preventive medication -- Reac tion to preventive medication (not administered because of an oc-upational injury or illness) administered in plant (such as flu shots) would not constitute a recordable case. Ofl-lhc-job cases -- In-plant treat ment of off-the-job injuries and ill nesses is not recordable Treatments that ar almost always medical treatment Sutures -- The suturing of any wound. Fractures -- Treatment of fractures. Casts -- Application of a cast or other professional means of im mobilizing an injured pan >f*the body Infections--Ttea'mcn' of infection arising ou' nl an iniurv Bruises -- Treatment of a bruise bv iirainii^v of blood Debridement -- Sutgical debride ment. that >s the removal of dead or damaged -.kin Abrasions Treatment of nbra- sions that tvmr to r'crV'r than lull skin depth Prescription' -- V.lministmijrw of prescription medi.':nes are u-uallv medteed :rrnt"ier: a'so Pre ventive procedures and treatments.) Borns -- The treatment of second and third degree bums is almost always medical treatment. Medical lioalmoot and first aid far contain typos of bs|uriat Cuts and iatintfou First aid treatmeut is limited to cleaning wound, soaking, applying antiseptic ard Dcopreacription medi cation and bancaging on first visit. Follow-up visits limited to observa tion including changing dressing and bandage. Additional cleaning and application of antiseptic' (pgmisr. sible as first aid where it is_requjrei by work duties that are likely to soil the bandage. The application of butterfly closures for cosmetic purposes only can be considered first aid. Medical treatment includes the application of butterfly closures for noncosmetic purposes, sutures (stitches), surgical debridement (cutting away dead skin), treat ment of infection, or other pro fessional treatment. Abrasions First aid treatment for abrasions is the same as for cuts and lacera tions except ointments can be added on follow-up visits to prevent drying and cracking of skin. Medical treatment includes care ful examination for removal of im bedded foreign material, multiple soakings, whirlpool treatment, treat ment of infection, or other profes sional treatment. Any case involv ing more than a minor, spot-type injury. Treatment of abrasions occurring to greater than full skin depth is considered medical treat ment. Bruises-- First aid treatment is limiied to a single soaking or application of cold compresses Follow-up visits limited only to observation Medical treatment includes multi ple soakings. draining of collected blood, or other extended care hevond observation. Splinters and puncture wounds-- First uitl treatment is limited to cleaning the wound, removal of foreign obiectfs) by tweezers or other simple techniques, applica tion of antiseptics and nonprescrip- 090053V