Treatment FAQ

how to record restricted duty days when treatment is delayed from original injury date

by Mr. Nico Cummings PhD Published 2 years ago Updated 2 years ago

When an injury or illness involves one or more days away from work, you must record the injury or illness on the OSHA tab: Select R for the OSHA Recordable field Enter the appropriate information for the Privacy Case and Injury/Illness fields Select code 3 for Days Away From Work in the Severity field

Full Answer

When to record an injury or illness as a restricted work?

When an injury or illness involves restricted work or job transfer but does not involve death or days away from work, you must record the injury or illness on the OSHA Tab: Restricted work — Restricted work occurs when, as the result of a work-related injury or illness:

How do I record days away from work for an injury?

Days away from work. When an injury or illness involves one or more days away from work, you must record the injury or illness on the OSHA tab: Select R for the OSHA Recordable field. Enter the appropriate information for the Privacy Case and Injury/Illness fields. Select code 3 for Days Away From Work in the Severity field.

When does restricted work activity count as Restricted Duty work activity?

As long as the employee was physically able to perform his restricted duty job, and the doctor's recommendation not to work on the days in question was made solely to ensure that the employee was free to keep the appointment for observation, you would count the time as restricted work activity.

When is an employer not required to record Lost Days?

Therefore, employers need not record lost workdays when an injured employee is able to resume work, but simply refuses to do so." Ultimately, it is the employer's responsibility for making good-faith recordkeeping determinations ( Recordkeeping Guidelines Page 32, Q&A B-18).

How do you count restricted work days?

You must count days away from work using calendar days regardless of whether the employee was scheduled to work on those days or not. This applies to employees who work on a part-time or an as needed basis.

Is restricted duty considered recordable?

No, a recommended work restriction is recordable only if it affects one or more of the employee's routine job functions. To determine whether this is the case, you must evaluate the restriction in light of the routine functions of the injured or ill employee's job.

Is restricted duty considered lost time?

In some cases, an injured employee might be limited in the number of hours he can work each day. For example, perhaps the employee can work only four hours rather than the usual eight hours. This is still considered a restricted work case, not a lost time case.

What is days Away Restricted or Transferred?

The Days Away, Restricted, or Transferred (DART) Rate is designed to track any OSHA recordable workplace injury or illness that results in time away from work, restricted job roles, or an employee's permanent transfer to a new position.

What is restricted duty injury?

Restricted duty or work is a term that is used for work that an injured worker is able to do before they are fully recovered and able to return to the job they had before they were injured. It is also referred to as light duty work or transitional work.

What is a restricted work injury?

· Restricted work injuries (RWI) which are injuries resulting in some restrictions of duty or work hours lasting less than one week.

How do you count lost time injury?

How to Calculate Lost Time Injury Rate. Lost Time Injury rate follows a simple formula to indicate your performance. Divide the total number of lost time injuries in a certain time period by the total number of hours worked in that period, then multiply by 200,000 to get the LTIR.

How does OSHA interpret restricted work?

The OSHA definition of "employee's normal job duties" has been interpreted to include any tasks that the employee performs or may be expected to perform throughout the calendar year. Thus, any and all expected job duties should be considered when evaluating restricted work activity.

What is a lost time injury?

Lost time incidents are accidents that occur when a worker sustains a lost time injury (LTI) that results in time off from work, or loss of productive work (absenteeism or delays). Lost time injuries impact team morale, but also carry costs associated with downtime, compliance, and workers compensation.

What is DART days away restricted time?

DART (Days Away/Restricted or Transfer Rate) – A mathematical calculation that describes the number of recordable injuries and illnesses per 100 full-time employees that resulted in days away from work, restricted work activity and/or job transfer that a company has experienced in any given time frame.

How does OSHA define days from work?

You must count the number of CALENDAR DAYS the employee was unable to work as a result of the injury or illness, regardless of whether or not the employee was scheduled to work on those day(s). Weekend days, holidays, vacation days or other days off are included in the total number of days recorded.

What is the maximum number of days recorded per injury on the 300 log?

180 calendar daysA: According to OSHA, you are only required to record an injury or illness once. You must enter the total number of calendar days away in the OSHA 300 Log for the year in which the injury occurred. You may “cap” the total number of days away at 180 calendar days.

When do you have to record an injury on OSHA?

When an injury or illness involves one or more days away from work, you must record the injury or illness on the OSHA tab: If the employee is out for an extended period of time, you must enter an estimate of the days that the employee will be away, and update the day count when the actual number of days is known.

What is restricted work?

Restricted work — Restricted work occurs when, as the result of a work-related injury or illness: (A) You keep the employee from performing one or more of the routine functions of his or her job, or from working the full workday that he or she would otherwise have been scheduled to work; or. (B) A physician or other licensed health care ...

When to count days away?

When to begin counting days: You begin counting days away on the day after the injury occurred or the illness began. Weekends, holidays, or other days the employee would not have worked anyway: You must count the number of calendar days the employee was unable to work as a result of the injury or illness, regardless of whether or not ...

When do you update the day count?

If the employee is out for an extended period of time, you must enter an estimate of the days that the employee will be away, and update the day count when the actual number of days is known.

Is Canada outside the scope of the OSH Act?

As you are aware, your operation in Canada is outside the geographic scope for coverage under Section 4 (a) of the OSH Act of 1970. However, as you are also aware, by using the same criteria worldwide, you will be able to make valid comparisons of the safety records of all your establishments.

Do employers need to record lost workdays?

Therefore, employers need not record lost workdays when an injured employee is able to resume work, but simply refuses to do so.". Ultimately, it is the employer's responsibility for making good-faith recordkeeping determinations ( Recordkeeping Guidelines Page 32, Q&A B-18).

How to record an injury on OSHA 300?

When an injury or illness involves restricted work or job transfer but does not involve death or days away from work, you must record the injury or illness on the OSHA 300 Log by placing a check mark in the space for job transfer or restriction and an entry of the number of restricted or transferred days in the restricted workdays column.

How long do you have to report a work related death to OSHA?

You must also report any work-related fatality to OSHA within eight (8) hours, as required by § 1904.39. 1904.7 (b) (3)

What is the OSHA 300 log?

If a work-related injury or illness results in medical treatment beyond first aid, you must record it on the OSHA 300 Log. If the injury or illness did not involve death, one or more days away from work, one or more days of restricted work, or one or more days of job transfer, you enter a check mark in the box for cases where ...

What does 1904.7(b)(4)(ii) mean?

A physician or other licensed health care professional recommends that the employee not perform one or more of the routine functions of his or her job, or not work the full workday that he or she would otherwise have been scheduled to work. 1904.7 (b) (4) (ii)

What are the requirements for recording?

You must consider an injury or illness to meet the general recording criteria, and therefore to be recordable, if it results in any of the following: death, days away from work, restricted work or transfer to another job, medical treatment beyond first aid, or loss of consciousness. ...

Does a restricted work case have to be recorded?

If the answer to both of these questions is "Yes," then the case does not involve a work restriction and does not have to be recorded as such. If the answer to one or both of these questions is "No," the case involves restricted work and must be recorded as a restricted work case.

Is vacation included in the total number of days recorded?

Weekend days, holidays, vacation days or other days off are included in the total number of days recorded if the employee would not have been able to work on those days because of a work-related injury or illness. 1904.7 (b) (3) (v)

How many days off work for laceration?

The physician ultimately directed the employee to take "five days off work to allow her blood condition to stabilize.". The employee's own doctor stated that "absent the anticoagulant condition, the employee would have been able to return to work while the laceration healed.".

Why does an employee's doctor request that the employee return for periodic office visits?

The employee's doctor has requested that the employee return for periodic office visits so that he can observe the patient's improvement. The employee's doctor states that on the days the employee has an appointment, the employee is "unable to work that date.".

Do you count time as restricted work?

As long as the employee was physically able to perform his restricted duty job, and the doctor's recommendation not to work on the days in question was made solely to ensure that the employee was free to keep the appointment for observation, you would count the time as restricted work activity.

What happens if you assign an injured employee to a job other than his or her regular job?

If you assign an injured or ill employee to a job other than his or her regular job for part of the day, the case involves transfer to another job. Note: This does not include the day on which the injury or illness occurred.

What does it mean when a doctor says you can't work?

A physician or other licensed health care professional recommends that the employee not perform one or more of the routine functions of his or her job, or not work the full workday that he or she would otherwise have been scheduled to work.

What is partial day of work?

A partial day of work is recorded as a day of job transfer or restriction for recordkeeping purposes, except for the day on which the injury occurred or the illness began .

Do you have to record an injury on a 300 log?

You must record the injury or illness on the OSHA 300 Log as a restricted work case. If a physician or other licensed health care professional recommends a job restriction, you should ensure that the employee complies with that restriction. If you receive recommendations from two or more physicians or other licensed health care professionals, you may make a decision as to which recommendation is the most authoritative, and record the case based upon that recommendation.

Can a restricted work case be recorded?

If the answer to one or both of these questions is " No," the case involves restricted work and must be recorded as a restricted work case. If you are unable to obtain this additional information from the physician or other licensed health care professional who recommended the restriction, record the injury or illness as a case involving restricted work.

Is restricted work considered restricted work?

No, the case is considered restricted work only if the worker does not perform all of the routine functions of his or her job or does not work the full shift that he or she would otherwise have worked.

Can you record a work restriction?

No, a recommended work restriction is recordable only if it affects one or more of the employee's routine job functions. To determine whether this is the case, you must evaluate the restriction in light of the routine functions of the injured or ill employee's job. If the restriction from you or the physician or other licensed health care professional keeps the employee from performing one or more of his or her routine job functions, or from working the full workday the injured or ill employee would otherwise have worked, the employee's work has been restricted and you must record the case.

Why is a case designated as days away from work?

Under Part 1904, because the employer has the ultimate responsibility to determine if and how a case should be recorded, the case should be designated as "Days away from work.". You also inquired about "publishing a book that would be easy to refer to in answering recordkeeping questions.".

What is restricted work assignment?

Restricted work assignments may involve several steps: a Health Care Professional's (HCP) recommendation, or employer's determination to restrict the employee's work, the employer's analysis of jobs to determine whether a suitable job is available, and assignment of the employee to that job.

What is the preamble to the 2001 final rule addressing OSHA's revised injury and illness recordkeeping requirements

The preamble to the 2001 final rule addressing OSHA's revised injury and illness recordkeeping requirements in Part 1904 states: "The final rule's restricted work provisions also clarify that work restriction must be imposed by the employer or be recommended by a health care professional before the case is recordable.

Who has the ultimate responsibility for making good faith recordkeeping determinations regarding an injury and/or illness?

Under the OSHA recordkeeping system, the employer has the ultimate responsibility for making good-faith recordkeeping determinations regarding an injury and/or illness. Employers must decide if and how a particular case should be recorded and their decision must not be an arbitrary one.

Why do employers fail to record an injury?

Employers sometimes fail to record an injury because the employee did not report it immediately or on the same day it allegedly happened. They thought that the employee's failure to immediately report is fatal to his credibility, especially if the failure violated the company's immediate-reporting rule.

Why is the case recordable for an injured welder?

In the case of the injured welder who now is unable to climb a ladder, the case is recordable because he climbs ladders every day. These misconceptions nevertheless have all the tenacity of original sin. They were common even before the 2001 overhaul of the recordkeeping regulations.

What does OSHA not ask about?

What this response does not reflect, however, is OSHA's own special definition of aggravation, which does not ask about “preponderant” or “major” causes. Employers therefore should be alert for signs their physicians are failing to apply OSHA's definition or approaches to recordkeeping.

Is prescription medication recordable?

OSHA's recordkeeping rules state that the use of a prescription drug is recordable as medical treatment. Employers often overlook, however, that a physician's recommendation for an employee to use even a non-prescription drug at “prescription strength” is recordable.

Can an injury be recorded as a work restriction?

Employers commonly — but honestly — believe that an injury is not recordable as a work restriction if the injured employee still can perform useful work. Thus, I have seen employers try to avoid an OSHA recordable by assigning office work to injured carpenters.

Is light duty a work restriction?

Another common misconception is that light duty is not a work restriction. A recordkeeping regulation (§ 1904.7 (b) (4) (vii)) indicates that light duty can indeed amount to a work restriction. The regulation indicates — albeit indirectly — that light duty is presumptively a restriction.

Is a case recordable for OSHA?

Criteria for recordability and compensability are similar enough to be confused, and for the application of one to influence the other. This is understandable, for it is difficult and counter-intuitive to say that a case is not work-related or aggravated for compensability purposes but is recordable for OSHA purposes.

How long does an employer have to report a fatality to OSHA?

The employer must report the fatality within eight hours of the employee’s death in cases where the death occurs within 30 days of the incident.

What is safety record?

Safety Records: Recording Work-Related Illness and Injury. Each employer is required by OSHA to keep records of fatalities, injuries, and illnesses.

When was the OSHA recordkeeping rule revised?

Detailed Frequently Asked Questions for OSHA’s Injury and Illness Recordkeeping Rule. Since the publication of the revised rule in January 2001, OSHA has received numerous questions about how the provisions of the new rule will affect the recording and reporting of injuries and illnesses in various situations.

What is work relatedness in safety records?

As you can see from the exceptions above, determining work-relatedness is the key to ensuring you’re recording everything you need to in your safety records. There must be a causal connection between the employment and the illness or injury before the case is recordable.

What is work related case?

A case is work-related any time an event or exposure in the work environment either causes or contributes to an injury or illness or significantly aggravates a pre-existing injury or illness unless one of the exceptions in section 1904.5 (b) (2) applies.

Is oxygen case recordable?

If oxygen is administered as a purely precautionary measure to an employee who does not exhibit any symptoms of an injury or illness, the case is not recordable. If the employee exposed to a substance exhibits symptoms of an injury or illness, the administration of oxygen makes the case recordable. Question 7-16.

Is a work related injury case a record?

Yes, the case is work-related because the employee is injured as a result of conducting company business in the work environment. If the injury meets the general recording criteria of Section 1904.7 (death, days away, etc.), the case must be recorded. Question 5-2.

What does OSHA require for days away from work?

OSHA’s Answer: The employer must make an initial decision about the need for days away from work, a work restriction, or medical treatment based on the information available, including any recommendation by a physician or other licensed health care professional.

Can you stop the day count when a job is modified?

The only difference is that, if you permanently assign the injured or ill employee to a job that has been modified or permanently changed in a manner that eliminates the routine functions the employee was restricted from performing , you may stop the day count when the modification or change is made permanent.

Is loss of consciousness a recordable injury?

A. Loss of consciousness would be recordable if the preexisting injury or illness would likely not have resulted in loss of consciousness except for an occupational event or exposure .

Is oxygen recordable under OSHA?

If an employee is seen by a doctor and the only treatment was administering oxygen , would this be recordable under OSHA’s recordkeeping requirements? A. Administering oxygen is considered medical treatment and therefore, is recordable.

Definitions

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Restricted work— Restricted work occurs when, as the result of a work-related injury or illness: (A) You keep the employee from performing one or more of the routine functionsof his or her job, or from working the full workday that he or she would otherwise have been scheduled to work; or (B) A physician or other lice…
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Restrictions vs. Routine Functions

  • Is the injury or illness automatically OSHA recordable as a “restricted work” case If a physician or other licensed health care professional recommends a work restriction? No, a recommended work restriction is OSHA recordable only if it affects one or more of the employee’s routine job functions. To determine whether this is the case, you must evaluate the restriction in light of the …
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Vague Restrictions

  • How do you handle vague restrictions from a physician or other licensed health care professional, such as that the employee engage only in “light duty” or “take it easy for a week”? If you are not clear about the physician or other licensed health care professional’s recommendation, you may ask that person whether the employee can do all of his or her routine job functions and work all …
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Entering ”Job Transfers” vs. “Restricted Work” Cases on The Osha Tab

  • Both job transfer and restricted work cases are recorded using the same code (4 for Restricted Work Activity or Job Transfer) in the Severityfield of the OSHA Tab, and both use the OSHA Restricted Days field to keep count of both restricted work and job transfer days.
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