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OSHA Recordkeeping Advisor

OSHA Recordkeeping Advisor

Did the affected employee’s injury or illness result in any of the following?
Please check all that apply:

Days away from work

Days of restricted work or transfer to another job

Medical treatment beyond first aid

A significant diagnosed injury or illness

A needle stick injury or a cut from a sharp object

Cuts, punctures or scratches

Exposure to blood or other bodily fluids

Medical removal under an OSHA standard

Work-related tuberculosis

Work-related Standard Threshold Shift in hearing in one or both ears

Loss of consciousness

Death

None of the above

UNITED STATES
DEPARTMENT OF LABOR

U.S. DEPARTMENT OF LABOR

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Washington, DC 20210
1-866-4-USA-DOL
1-866-487-2365
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www.dol.gov

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