Recording and Reporting Occupational Injuries and Illnesses 29 CFR Part 1904 and COMAR 09.12.21 - PowerPoint PPT Presentation

1 / 105
About This Presentation
Title:

Recording and Reporting Occupational Injuries and Illnesses 29 CFR Part 1904 and COMAR 09.12.21

Description:

Title: 1904.1 Author: OSHA-USER Last modified by: mhaller Created Date: 12/12/2000 2:22:37 PM Document presentation format: On-screen Show (4:3) Company – PowerPoint PPT presentation

Number of Views:135
Avg rating:3.0/5.0
Slides: 106
Provided by: OSH128
Category:

less

Transcript and Presenter's Notes

Title: Recording and Reporting Occupational Injuries and Illnesses 29 CFR Part 1904 and COMAR 09.12.21


1
Recording and Reporting Occupational Injuries
and Illnesses29 CFR Part 1904 and COMAR 09.12.21
2
This presentation is derived from publically
available training materials developed by OSHAs
Office of Training and Education. It has been
edited for content to focus on proper
identification of recordable injuries. The
number of illness and injury scenarios has been
increased to give the student more practical
experience and the examples have been set in a
school environment. The materials are intended
to improve workplace health and safety, but do
not provide instruction on all that is necessary
to ensure a healthy and safe workplace. This
information must be understood as an
instructional tool, rather than an exhaustive
statement of City Schools legal obligations,
which are defined by statutes, regulations,
standards and policies. Over time, OSHA may
modify rules and interpretations. To keep
apprised of new information please visit
www.osha.gov. Please contact Baltimore City
Public Schools, Dept. of Health Safety at
443-984-8679 for more information.
3
Rationale Behind the Rule Preventing injuries
and illness in the workplace
  • Employers make management more aware of the
    causes types of injuries.
  • Safety Inspectors provide a source of
    information during inspections.
  • Bureau of Labor Statistics chart the nature
    and magnitude of workplace injury and illness
    nationwide identify trends.

4
Do all Fatalities, Injuries and Illnesses get
Recorded?
  • NOrecord only those that are
  • work related, and
  • new Cases, and
  • meet one or more of the general or specific
    criteria contained in the regulation.

5
Requirements of the Rule
  • Recording or reporting a work related injury,
    illness, or fatality does not mean
  • the employer or employee was at fault,
  • an OSHA/MOSH rule has been violated,
  • or that the employee is eligible for workers
    compensation or other benefits.

6
NOT RELATED TO WORKERS COMPENSATION
  • OSHA/MOSH injury and illness recordkeeping and
    workers compensation laws are independent of
    each other.

7
FIVE STEP PROCESS
8
Did the employee experience an injury or illness?
YES
Is the injury or illness work-related?
YES
YES
Does the injury or illness meet the general
criteria or the specific criteria for a case?
YES
RECORD THE INJURY OR ILLNESS
9
STEP 1 Did the employee experience an injury or
illness?
An injury or illness is an abnormal condition or
disorder. Injuries such as a cut, fracture,
sprain, or amputation. Illnesses include both
acute and chronic illnesses, such as, a skin
disease, or respiratory disorder.
10
STEP 1 Did the employee experience an injury or
illness?
Scenario A An administrative assistant reports
to nurses station with complaint of painful
wrists. Employee given 2 Advil and returned to
job.
Stop here there is no injury/illness OR Go on
an injury/illness has occurred OR Cant say -
need more information
Answer Go on to the next step. Painful wrists
was the injury experienced.
11
STEP 1 Did the employee experience an injury or
illness?
Scenario B There is a chemical spill in a high
school science lab and two teachers in the area
are taken to the Mercy Clinic. They are told to
stay home the next day as a precautionary
measure.
Stop here there is no injury/illness OR Go on
there has been an injury/illness OR Cant say
- need more information
Answer We need more information. Did the either
employee exhibit signs or symptoms of an
injury/illness? So far, we have an event or
exposure only.
12
Did the employee experience an injury or illness?
YES
Is the injury or illness work-related?
13
You must consider an injury or illness to be
work-related if, an event or exposure in the work
environment either caused or contributed to the
injury or illness or significantly aggravated a
pre-existing injury or illness. Work-relatedness
is presumed for injuries and illnesses
resultingfrom events or exposures occurring in
the work environmentunless an exception
specifically applies.
14
What is the Work Environment?
  • The work environment is defined as the
    establishment and other locations where one or
    more employees are working or present as a
    condition of employment.

15
What is Significant Aggravation?
  • A pre-existing injury or illness is significantly
    aggravated when an event or exposure in the work
    environment results in any of the following
    (which otherwise would not have occurred)
  • Death
  • Loss of consciousness
  • Days away, days restricted or
  • job transfer
  • Medical treatment

16
Exceptions
Winton Jazz Trio Johnson High School Friday,
September 7th, 8 p.m.
  • Employee is present as a member of the general
    public.
  • Symptoms surface at work but result solely from a
    non-work-related event or exposure that occurs
    outside the workplace.

17
Exceptions
  • Voluntary participation in wellness program,
    medical, fitness or recreational activity.
  • Eating, drinking or preparing food or drink for
    personal consumption.

18
Exceptions
  • Personal grooming, self medication for
    non-work-related condition, or intentionally
    self-inflicted.
  • Personal tasks outside assigned working hours.
  • Common cold or flu.

19
Exceptions
  • Motor vehicle accident in parking lot/access road
    during commute.
  • Mental illness, unless employee provides a
    medical opinion from a physician or licensed
    health care professional (PLHCP) having
    appropriate qualifications and experience that
    affirms work-relatedness.

20
Travel Status
  • An injury or illness that occurs while an
    employee is on travel status is work-related if
    it occurs while the employee is engaged in work
    activities in the interest of the employer. For
    example, an injury

experienced from a slip or fall on the lecture
room floor during a conference is work-related.
21
Travel Status
  • When travelling, upon check-in, the employee
    establishes a home away from home at his/her
    hotel.
  • A slip in the hotel shower is therefore not
    work-related.
  • A detour for personal reasons is also not
    work-related.

22
Work at Home
  • Performing work for pay from ones home means
    that ones normal duty hours are spent at home.
  • Taking work home, e.g., grading tests in the
    evening, is not work at home for OSHA purposes.

23
Scenario A A custodian gives blood at voluntary
employer-sponsored blood drive and passes out
(loss of consciousness).
Stop here not work-related OR Go on
work-related OR Cant say need more information
Answer Stop here. The injury or illness results
solely from voluntary participation in a
wellness program or in a medical, fitness, or
recreational activity such as blood donation,
physical examination, flu shot, exercise class,
racquetball, or baseball.
24
Scenario B A Para-professional sprains an ankle
in the school parking lot on his way in to work.
Stop here not work-related OR Go on
work-related OR Cant say need more information
Answer Go on. There is no exception that
applies. Parking lot exception is only for
vehicle accidents.lot exception applies only to
motor vehicle accidents during commute.
25
Scenario C To catch up on some work, a teacher
decides to stop by school on Saturday, employees
day off. The employee knows the building will be
open, because Mr. Jones drama club is practicing
for a play. She slips and falls in hallway,
breaking her arm.
Stop here not work-related OR Go On
work-related OR Cant say - need more information
Answer Stop, there is an exception. The injury
or illness is solely the result of an employee
doing work at school outside of the employees
assigned working hours.
26
Did the employee experience an injury or illness?
YES
YES
27
Determination of a new case Consider an
injury or illness a new case if the
employee has not previously experienced a
recorded injury or illnessof the same type that
affects the same part of the body, OR the
employee did previously experience such a
recorded injury or illness but had completely
recovered (all signs and symptoms had
disappeared) and an event or exposure in the work
environment caused the signs or symptoms to
reappear.
28
Determination of New Cases
  • If signs and symptoms of a chronic work-related
    illness recur even in the absence of exposure, it
    is not a new case (e.g., tuberculosis,
    asbestosis).
  • If an exposure in the work environment triggers
    the recurrence, it is a new case (e.g., asthma,
    rashes).
  • If there is a medical opinion regarding
    resolution of a case, the employer must follow
    that opinion.

29
Scenario A Five weeks ago, a cafeteria manager
sprained her wrist at work and received support,
prescription medication, and a no lifting work
restriction. Two weeks ago employee was back on
normal job and completely recovered. Today (7
weeks after the injury) employee complains of
pain in same wrist after moving boxes.
Stop here previously recorded case OR Go On
new case OR Cant say - need more information
Answer Go on. The employee had completely
recovered from the previous injury and a new
event or exposure occurred in the work
environment.
30
Scenario B Four weeks ago, a teacher sprained
his ankle at work and was given prescription
medication, and routine duties were modified.
Two weeks ago, employee was back on normal job,
but continued to take prescription medication.
Today (5 weeks after the injury) employee
complains of pain in same ankle after moving
boxes.
Stop here previously recorded case OR Go On
new case OR Cant say - need more information
Answer Stop. The employee had not completely
recovered from the previous injury or illness.
Prescription medication is still being takenhe
is still under a doctors care. Update the
previously recorded entry, if necessary.
31
Scenario C Athletic Director fractures foot at
work. Every six months or so it bothers him and
he is placed on a work restriction for a day or
two by the Mercy Clinic.
Stop here previously recorded OR Go On new
case OR Cant say - need more information
Answer We need more information. Was the
employee completely recovered from the first
injury? If no, stop. If yes, was there a new
event or exposure in the work environment?
32
Did the employee experience an injury or illness?
YES
YES
YES
Does the injury or illness meet the general
criteria or the specific criteria for a case?
33
Step 4 Does the injury or illness meet the
general criteria or the specific criteria?
  • General Criteria An injury or illness is meets
    the general criteria if it results in
  • Death
  • Days away from work
  • Restricted work activity
  • Transfer to another job
  • Medical treatment beyond first aid
  • Loss of consciousness
  • Significant injury or illness diagnosed by a
    PLHCP (even if it does not result in
    circumstances above)

34
Death
  • Record any work-related fatality.
  • Report any workplace fatality to MOSH within 8
    hourseven if it does not appear to be
    work-related. MOSH will decide whether to
    investigate.

35
Days Away From Work
  • Record if the case involves one or more days away
    from work.
  • Do not include the day of injury/illness even if
    the employee does not return to work that day.
  • If a medical opinion exists, employer must follow
    that opinion cant require employee to work.

36
Restricted Work Cases
  • Restricted work activity occurs when
  • the employer keeps the employee from performing
    routine job functions or from working the full
    workday, or
  • a PLHCP recommends the employee refrain from
    performing routine job functions or from working
    the full workday.
  • Routine job functions are those activities the
    employee regularly performs at least once per
    week.

37
Restricted Work Cases
  • If a PLHCP recommends a restriction, employer
    must follow that opinion cant require employee
    to perform restricted work.
  • If the recommendation is vague, e.g., light duty
    X 2 weeks, the employer must ascertain what
    duties can be safely performed considering the
    totality of the circumstances.

38
Restricted Work Cases
  • Record if the case involves one or more days of
    restricted work.
  • Do not include the day of injury/illness even if
    the employee cannot perform routine job functions
    that day.
  • You should ensure that the employee complies with
    the restriction.

39
Job Transfer
  • Injured/ill employee is assigned to a job other
    than his or her regular job.
  • Injured/ill employee performs his or her routine
    job duties for part of a day and is assigned to
    another job for part of the day.

40
Medical Treatment
Medical treatment is the management and care of a
patient to combat disease or disorder. It
includes (but is not limited to
  • prescribing medications,
  • re-setting bones,
  • surgical operations,
  • physical therapy

41
Medical Treatment
  • It does not include
  • visits to a PLHCP (Mercy Clinic) solely for
    observation or counseling,
  • diagnostic procedures such as X-rays, MRIs, or
    blood tests, or
  • first aid.

42
First Aid Exception
  • Using nonprescription medication at
    nonprescription strength.
  • Cleaning, flushing, or soaking surface wounds.
  • Tetanus immunizations.
  • Wound coverings, butterfly bandages, Steri-Strips.
  • Hot or cold therapy.

43
First Aid Exception
  • Non-rigid means of support.
  • Temporary immobilization device used to transport
    accident victims.
  • Drilling of fingernail or toenail, draining fluid
    from blister.
  • Eye patches.
  • Removing foreign bodies from eye using irrigation
    or cotton swab.

44
First Aid Exception
  • Removing splinters or foreign material from areas
    other than the eye by irrigation, tweezers,
    cotton swabs or other simple means.
  • Finger guards.
  • Massages.
  • Drinking fluids for relief of heat stress.

45
Loss of Consciousness
  • All work-related cases involving loss of
    consciousness must be recorded.

46
Significant Diagnosed Injury or Illness
  • The following work-related conditions must be
    recorded at the time of diagnosis by a PLHCP
  • Cancer
  • Chronic irreversible disease
  • Punctured eardrum
  • Fractured or cracked bone or tooth

47
Needlestick and Sharps Injuries
  • Record all work-related needlesticks and cuts
    from sharp objects that are contaminated with
    another persons blood or other potentially
    infectious material (includes human bodily
    fluids, tissues and organs other materials
    infected with HIV or HBV such as laboratory
    cultures).

48
Forms _______________
49
City Schools Employee Incident Report
  • IF EMPLOYEE IS SENT TO CLINIC
  • Complete all portions of this form before sending
    employee to Clinic. Remove Agency Copy for
    files. Send remaining copies with employee to
    clinic.
  • IF EMPLOYEE IS SENT TO HOSPITAL
  • Complete all portions of this form immediately
    after sending employee to the nearest medical
    facility for treatment. Remove Agency Copy for
    files. Send remaining copies to Clinic.
  • NOTE AGENCY COPY REQUIRES ADDITIONAL ACTION
    AFTER REMOVAL!

50
(No Transcript)
51
Discharge Instructions
  • Employee will be given discharge instructions
    indicating whether the employee is able to work
    or is placed on a work restriction.
  • Employees are required to provide the supervisor
    with a copy of the discharge instructions.

52
(No Transcript)
53
OSHA Form 300, Log of Work-Related Injuries and
Illnesses
  • Employers must enter each recordable case on the
    OSHA 300 Injury Log within 7 calendar days of
    receiving information that a recordable case has
    occurred.
  • Unknown information, such as total days away from
    work may be updated later when that information
    becomes known.

54
Counting Days Away/Days Restricted
  • Check the box for days away cases and enter the
    number of calendar days that the employee is
    away, restricted or transferred.
  • Enter an estimate if you are not surethis can be
    updated later.

55
Counting Days Away/Days Restricted
  • Cap day count at 180 days away and/or days
    restricted.
  • May stop the count if employee leaves company for
    a reason unrelated to the injury or illness.

56
Counting Days Away/Days Restricted
  • If a case occurs in one year but results in days
    away/restriction during the next calendar year
    only record the injury or illness once.
  • If the days extend into the next year, estimate
    the total number of calendar days
    away/restriction and use that number for the
    annual summary.
  • Update the initial log entry later when the day
    count is known or reaches the 180-day cap.

57
(No Transcript)
58
Recordkeeping
  • Records can be kept on a computer as long as they
    can be produced when they are needed.
  • Must provide copies of the records to government
    agencies within 4 business hours.

59
Privacy Protection
  • Do not enter the name of an employee on the OSHA
    Form 300 for privacy concern cases.
  • Enter privacy case in the name column.
  • Keep a separate confidential list of the case
    numbers and employee names.

60
Privacy Protection
  • Privacy concern cases are
  • an injury or illness to an intimate body part or
    reproductive system,
  • an injury or illness resulting from sexual
    assault,
  • mental illness,
  • HIV infection, hepatitis, tuberculosis,
  • needlestick and sharps injuries that are
    contaminated with another persons blood or other
    potentially infectious material, and
  • illness cases where the employee voluntarily
    requests to keep name off.

61
Privacy Protection
  • Employer may use discretion in describing other
    aspects of the case if employee can be
    identified. For example
  • You omit the name of the employee, and the nature
    of the injury, but describe the job title as
    teacher and the location as Room 106.
  • All staff know that Room 106 is used exclusively
    by the Art teacher, Ms. Doe.

62
Privacy Protection
  • If you give the forms to people not authorized by
    the rule, you must remove the names first
  • Exceptions for
  • Auditor/consultant
  • Workers compensation or other insurance
  • Public health authority or law enforcement agency

63
OSHA Form 300A, Summary of Work-Related Injuries
and Illnesses
  • In January each year, OSHA Form 300A Summary of
    Work-Related Illnesses and Injuries must be
    completed.
  • The 300A Summary must be posted by February 1st
    where it can be easily seen by employees.

Note Be cautious. Never post the OSHA Form 300.
64
(No Transcript)
65
Completing the OSHA Form 300A Summary
  • Review previous OSHA Form 300 entries for
    completeness and accuracy update and correct
    deficiencies.
  • Calculate average number of employees and total
    hours worked and enter this information under
    Employment Information (other categories will
    appear automatically).
  • Print the Summary.
  • Certify the Summarya company executive, (in
    schools, the principal) must ensure accuracy and
    sign the Summary.
  • Post the Summary for the 3-month period from
    February 1 to April 30 of the year following the
    year covered in the Summary.

66
Calculating Total Employees
  • Example There are 48 employees assigned to 102
  • Hudson Elementary Schoolbut they
    dont all work year-round.
  • Forty-five (45) are 10-month employees
  • They work the last weeks in August through the
    first weeks in June the following year (22 pays)
  • Three (3) are 12-month employees
  • They work January through December (26 pays)
  • 48 x 22 1056 (everyone gets 22 pays)
  • 3 x 4 12 (only 3 get the extra 4 pays)
  • 1068 (total number of pays for all
    employees)
  • 1068 (total pays) 26 (yearly pays) 41.07
  • Round to the nearest number 41 total average
    employees

67
Calculating Total Hours Worked
  • Example There are 48 employees assigned to 102
    Hudson Elementary Schoolbut they dont all work
    year-round.
  • 12-month 3 employees
  • 3 x 2,000 hrs annually 6,000
  • 10 Month 45 employees
  • 45 X 1,750 hrs annually 78,750
  • Total 84,750 hrs

68
Retention and Updating
  • Retain all forms/records for 5 years following
    the year that they cover.
  • Update OSHA Form 300 entries during that period
    if new information becomes available.
  • Need not update the OSHA Form 300A Summary.

69
Employee Involvement
  • Must set up a system for reporting and must
    inform each employee of how to report an injury
    or illness.

70
Employee Involvement
  • Must provide limited access to injury and illness
    records to employees, former employees their
    personal representatives (i.e., attorneys) and
    authorized representatives (i.e., union
    representatives).
  • Provide copy of OSHA Form 300 by end of next
    business day.
  • May not remove names from OSHA Form 300.

71
Employee Involvement
  • Provide copies of all Employee Incident Reports
    to authorized employee representative (under
    collective bargaining) within 7 calendar days.
  • Note You are only required to give information
    about the case, personal information must be
    removed/blocked.

72
Prohibition Against Discrimination
  • Cannot discriminate against an employee for
    reporting a work-related fatality, injury or
    illness, filing a safety and health complaint or
    asking for access to the records.

73
Fatality/Catastrophe Reporting
  • Report orally within 8 hours any work-related
    fatality or any incident involving 3 or more
    in-patient hospitalizations to MOSH Central
    Office.
  • Do not need to report highway or public street
    motor vehicle accidents (outside of construction
    zone).
  • Do not need to report commercial airplane, train,
    subway or commercial bus accidents
  • Report fatal heart attacks by calling MOSH
    Central OfficeMOSH will decide whether to
    investigate.

74
KNOWLEDGE CHECK
  • Please decide for each scenario whether the case
    is
  • Recordable
  • Not Recordable
  • or you Need More Information

75
While grading tests, a teacher cuts his hand on
the sharp metal edge of a desk. The injury is
cleaned, antiseptic is applied and the wound is
bandaged.
  • Not Recordable first-aid exception

76
2. The teacher in 1 (previous slide) complains of
pain and swelling 3 days after the original
injury. He reports to Mercy clinic and is given
antibiotics to combat an infection that has
developed.
  • Recordable general criteriamedical treatment
    other than first aid (prescription issued by
    Mercy).

77
3. A grounds crew worker gets particles of dry
leaves in his eye while trimming trees. The
school nurse assists him in rinsing the particles
from his eye and recommends that he wear an eye
patch for several days.
  • Not Recordable
  • first-aid exception.

78
4. A cafeteria worker slips and falls on spilled
water in the cafeteria during her lunch break.
She is taken to the Mercy ER where she is
diagnosed with cracked vertebrae and given 3
weeks off from work and 4 weeks of restricted
duty when she returns.
  • Recordable personal consumption exception does
    not apply because employee was walking, not
    consuming food.

79
A principal is rushing to the scene of a student
disturbance. In doing so, she trips on the
stairs and twists her ankle. X-rays are
taken.    
  • Need More Information an X-ray is only a
    diagnostic procedure.

80
6. A school police officer responding to the same
incident in 5 (above) is accidentally struck by a
student while attempting to separate them. His
nose is broken. He reports to Mercy clinic where
the injury is taped and he returns to work.
  • Recordable specific criteria broken bone.

81
7. An elementary school teacher assists a child
who is experiencing a nosebleed. In doing so she
gets a small amount of blood on her hand. In
washing her hands she realizes the blood landed
on an area of broken skin.
  • Not Recordable
  • this is only an exposure.
  • Note if the teacher later develops a blood borne
    illness as a result of the exposure, it would
    then be recordable.

82
8. Several students in classroom 105 have
contracted the H1N1 flu virus and have missed a
number of school days as a result. The teacher
in 105 has now been diagnosed with H1N1 flu and
is ordered by his doctor to remain at home for at
least 24 hours after his fever has ended.
  • Not Recordable
  • cold flu exception.

83
9. An administrative assistant has work-related
elbow pain. She reports to the Mercy clinic and
is given a prescription for 800 mg Motrin to be
taken as needed. Instead of filling the
prescription and paying her 15 dollar co-pay,
the employee uses generic ibuprofen in the
non-prescription dosage recommended on the label.
  • Recordable medical treatment other than first
    aid. Even if the employee does not take the
    proper dosage of the prescription, she is still
    under a doctors care.

84
10. A metal-shop teacher gets a small shard of
metal in his eye while cleaning up after a class.
He reports to the Mercy clinic where the shard
is easily and quickly removed using only a pair
of tweezers. He misses no work.
  • Recordable medical treatment other than first
    aid (tweezers may only be used on other parts of
    the body to be considered first aid).

85
11. A teacher trips over a projector cord and
strikes her forearm sharply against a student
desk. There is no fracture however, there is
significant pain and bruising (particularly to
her ego). Mercy Clinic places her on a no
lifting more than 25 pounds work restriction for
seven days.
  • Need More Information is lifting more than 25
    pounds within her routine job duties?

86
12. A high school boys track team coach
encourages his students to participate in the
Susan G. Komen Race for the Cure 5K run.
During the course of the race he sees several
members of his track team participating, so he
runs along with them. The teacher, who is
wearing his Frederick Douglass High sweatshirt,
injures his knee during the race.    
  • Not Recordable voluntary participation
    exception.

87
13. A paraprofessional slips and falls while
assisting a student. She strikes her head on a
table and briefly loses consciousness. She
regains consciousness and states that her head
hurts, but that she is otherwise fine. She
continues working and takes non-prescription
Tylenol for the pain.    
  • Recordable general criterialoss of
    consciousness.
  • Note Please have someone take this employee for
    medical care!

88
14. While picking up trash from around the school
fence, a custodian experiences a needle stick
through his glove from an uncovered syringe. The
syringe has clearly been used. The employee is
frightened and the principal recommends that he
report to Mercy for counseling.    
  • Recordable specific criteriacontaminated needle
    stick.
  • Note also a privacy case.

89
15. While typing at her desk, an administrative
assistant with a pre-existing heart condition
suffers a fatal heart attack.    
  • Not Recordable
  • no work-related event.
  • Note the fatality must be reported to MOSH
    within 8 hoursMOSH will decide whether to
    investigate.

90
16. A basketball coach sprains his finger while
demonstrating routine passing techniques. He
reports to Mercy Clinic and a finger guard is
applied to support the finger. He is told that
he may not actively demonstrate sports for two
weeks, but he returns to work.    
  • Recordable the injury resulted in a restriction
    to his routine duties even though only first aid
    was used (finger guard).

91
17. A custodian has a sprained wrist from a fall
he suffered at work last week that resulted in
him missing 2 days of work. Two weeks later, he
falls from a ladder while changing light bulbs in
the main office of his school. He fractures the
same wrist, exactly where the sprain had earlier
occurred.    
  • Recordable
  • significant aggravation of the injury and
    specific criteriabroken bone!
  • This would also be listed as a new case.

92
18. A cafeteria manager cuts her forearm on a
nail located in a food storage area. She reports
to Mercy where butterfly bandages are used to
close the wound. A tetanus immunization is
administered.  
  • Not Recordable first-aid exception.

93
19. Two students who share gym equipment have
been diagnosed with CA-MRSA (a community
associated staph infection, resistant to
antibiotics, which causes serious skin and soft
tissue infections and a serious form of
pneumonia). The physical education teacher has
an uncovered scrape on his hand and after
handling the same gym equipment, he likewise
contracts CA-MRSA.
  • Recordable work-relatedness is presumed if the
    illness or injury happens in the workplace.
    Sometimes, particularly for illnesses, its hard
    to tell. Look to the surrounding
    circumstancesyou should find this case to be
    work-related.

94
20. A custodian experienced a lower back injury
after he fell off a chair while on his morning
break. The incident occurred away from his work
area, outside by the loading dock. After an
evaluation by Mercy Clinic he was given three
days of light duty.
  • Need More Information the instruction is
    vagueare his routine job duties affected?

95
21. A food service manager suffers from a fear of
mice (musophobia). While moving some boxes, she
faints after discovering several of the rodents
have taken up residence around her work area.
  • Recordable specific criteriaa work related
    event caused the employee to lose consciousness.
  • Note also a privacy case due to
  • her phobia (phobias are considered to be mental
    illnesses).

96
22. A paraprofessional was injured while on the
job and Mercy assigned a work restriction that
would affect the performance of his routine
duties. The paraprofessional stated nonetheless
that he could perform his duties without pain and
proceeded to do so.
  • Recordable restricted duty was assignedeven if
    it was ignored.
  • Note only the clinic or other appropriate
    medical personnel should be discharging an
    employee back to full duties!

97
23. A principal scalds herself while sipping a
hot cup of coffee. She goes to the Mercy Clinic
where she is prescribed a prescription ointment.
 
  • Not Recordable personal food consumption
    exception.

98
24. An assistant principal is involved in an auto
accident on the school parking lot during his
morning commute. He experiences a concussion.
The Mercy Clinic prescribes a prescription
medication and instructs him to stay home from
work for three days.  
  • Not Recordable parking lot vehicle accident
    exception.

99
25. The school nurse accidentally sticks herself
with a needle while preparing a students insulin
injection.
  • Not Recordable needle was not contaminated with
    blood or other potentially infectious material.

100
26. On December 20, 2009, a maintenance worker
slipped in the school parking lot and fractured
his knee cap. Surgery was required and he missed
three months from work. Should this case be
recorded, and if so, should it go on the log for
2009, 2010, or both?
  • Recordable2009 only the total number of days
    away should be updated on the 2009 injury log
    when that becomes known. There is no need to
    update the 2009 year-end summary.

101
27. A teacher developed a significant case of
sunburn during a day-long school field trip to
Gunpowder State Park. As a result, Mercy Clinic
advised him he could not work for the next two
days.
  • Recordable work-related injury.

102
28. The school nurse provides a food service
worker with four 200 mg ibuprofen tablets (800 mg
prescription strength) after he complains of
minor musculoskeletal discomfort after doing a
repetitive job task.
  • Recordable non-prescription medication
    administered at prescription strength by a PLHCP.


103
29. A substitute teacher sprained her ankle after
she tripped and fell on the school parking lot.
She was entering the building at the beginning of
the day, but had not yet signed in.
  • Recordable parking lot exception is only for
    motor vehicle accidents.


104
30. An athletic director had an epileptic seizure
while walking through the gymnasium on his way to
the boys locker room. During the seizure he
fell and struck his head. His injury required
five stitches to his forehead and he was off work
for a week.
  • Not Recordable
  • not work related.

105
  • Contact Information
  • Mary Beth Haller, Esq. Manager, Environmental
    Compliance Department of Health Safety, Room
    407A Baltimore City Public Schools 200 E. North
    AvenueBaltimore, MD 21202 office 443-984-3617
    cell 443-984-4641 fax 410-659-6937mbhaller_at_bcps
    .k12.md.us
Write a Comment
User Comments (0)
About PowerShow.com