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Health Care IndustryStep 7: Recordkeeping, Reporting, and Posting
  1. Recordkeeping. OSHA requires certain employers to keep records of workplace injuries and illnesses
    (29 CFR 1904).
    • First determine if you are exempt from the routine recordkeeping requirements. You are not required to keep OSHA injury and illness records (unless asked to do so in writing by OSHA or the Bureau of Labor Statistics) if:
      1) you had 10 or fewer employees during all of the last calendar year (29 CFR 1904.1); or
      2) you are in certain low-hazard industries (29 CFR Part 1904, Subpart B, Appendix A). The following types of health care facilities are exempt from OSHAs injury and illness recordkeeping requirements, regardless of size:
      • Offices and Clinics of Medical Doctors (SIC 801)
      • Offices and Clinics of Dentists (SIC 802)
      • Offices of Osteopathic Physicians (SIC 803)
      • Offices of Other Health Care Practitioners (SIC 804)
      • Medical and Dental Laboratories (SIC 807)
      • Health and Allied Services, Not Elsewhere Classified (SIC 809)
    • If you do not qualify for these exemptions, you must comply with OSHAs recordkeeping requirements.
  2. Reporting. OSHA requires all employers, regardless of size or industry, to report the work-related death of any employee or hospitalizations of three or more employees. Read about OSHA's reporting requirements (29 CFR 1904.39).

  3. OSHA Poster. All employers must post the OSHA Poster (or state plan equivalent) in a prominent location in the workplace. Download or order the OSHA Poster in English or Spanish.

  4. Access to Employee Exposure and Medical Records. An OSHA standard (29 CFR 1910.1020) requires employers to provide employees, their designated representatives, and OSHA with access to employee exposure and medical records. Employers generally must maintain employee exposure records for 30 years and medical records for the duration of the employee's employment plus 30 years.

NOTE: If your workplace is in a state operating an OSHA-approved state program, state plan recordkeeping and reporting regulations, although substantially identical to federal ones, may have different exemptions or more stringent or supplemental requirements, such as for reporting of fatalities and catastrophes. Contact your state program directly for additional information.

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