Articles | Cases

OSHA watch


Rulemaking for permanent COVID-19 Standard for Healthcare proposes major expansion of scope of coverage

The rulemaking record for a permanent COVID-19 Standard for Healthcare was reopened on March 22 and written comments are being accepted through April 22. A virtual public hearing is scheduled for April 27.

The Healthcare ETS expired in December 2021, although its recordkeeping obligations remain in effect. While aspects of the permanent standard are expected to be similar to the ETS, including requiring employers to maintain a safety plan, provide periodic training for employees on COVID-19 safety in the workplace, and clarify PPE expectations in the COVID-19 context, it considers removing the scope exemptions that were in the ETS. If the exemption is removed the standard would apply to ambulatory care, non-hospital settings where some healthcare services are provided, but that screen individuals for COVID-19 before entry and prevent COVID-19 infected individuals from entering. This means general industry manufacturers that have medical clinics onsite, dental and other doctors' offices, retail pharmacies, and so on could be subject to regulation under the standard. It's important that impacted employers participate in the rulemaking process.

Specifically, comments are requested on:

As with all other OSHA standards, if a standard is adopted the 22 states with OSHA-approved State Plans will be required to adopt a healthcare industry COVID-19 safety standard that is at least as protective as the federal standard.



New enforcement initiative targets health care facilities with COVID-19 patients

Effective March 9 and running through June 9, a three-month increase in inspections at hospitals and nursing care facilities that treat COVID-19 patients aims to verify employers' readiness to address current or future COVID-19 surges/variants. Follow-up inspections will be conducted at establishments that were previously issued citations and those that didn't have in-person inspections after receiving complaints. Together with the COVID-19 National Emphasis Program, these inspections are expected to comprise 15% of the enforcement activity.



Proposed rule to amend the occupational injury and illness recordkeeping regulation

The proposed rule would significantly expand public access to establishment-specific, case-specific injury and illness data and is similar to the 2016 rule from the Obama administration that was delayed and then rescinded under the Trump administration. The proposed rule would:

The requirement that all employers report any employee's work-related fatality within eight hours and in-patient hospitalization, amputation, or loss of an eye in 24 hours would continue.

Employers should determine if they will be subject to the proposed requirements and should evaluate each injury and illness that they report to ensure the standards require that they be recorded. The deadline for submitting comments electronically to the federal docket folder number OSHA-2021-0006 is May 31, 2022.



Region 7 office launches Noise Emphasis Program

Region 7 office in Kansas City, which includes Iowa, Kansas, Missouri, and Nebraska, has launched an inspection and enforcement program for occupational noise exposures in the Midwest. Site selection for inspections under the REP will involve consulting lists of general and construction industries targeted by the program and state workers' compensation data for noise-induced hearing loss.

Compliance safety and health officers (CSHOs) will begin inspections by determining whether there are any temporary workers at a facility or site. They will also review employers' noise exposure monitoring program, hearing conservation program, and 300 injury and illness logs for any standard threshold hearing shifts or other health hazards.



Budget increases by $20 million

The final fiscal year 2022 budget (Oct. 1, 2021 - Sept. 30, 2022) is $612 million, which is a $20 million increase from FY2021. A sizable portion of the $20 million increase is slated for enforcement (nearly $7.3 million), while compliance assistance efforts will receive nearly $3.7 million more than in FY 2021.



New inspection tracker tool

The Workplace Safety and Catastrophe Management team at Fisher Phillips, a national labor and employment firm, has created an Inspection Tracker map that shows the location, industry, and company size of inspections that have taken place since the first of the year. While the data is limited, the firm notes that State Plans are being particularly aggressive in enforcement efforts, employers of any size can be targeted, but inspections are disproportionately directed at medium and large employers, construction and manufacturing are the two top industries and retail was a surprising third.



Standard interpretation: Determining if injuries or illnesses are work-related when involved in a motor vehicle accident

For purposes of Part 1904, the longstanding position is that injuries and illnesses that occur during an employee's normal commute from home to work, and from work to home, are not work-related and therefore not recordable. However, in the scenario presented, the employee had completed his normal commute to and from work for the day and was directed back to the workplace by the employer to assist with a work-related emergency. Since the employee was required to return to the workplace outside of his normal commute, the employee was engaged in a work activity "in the interest of the employer," and was traveling as a "condition of employment." Accordingly, the resulting injury and hospitalization is work-related and must be recorded on the OSHA 300 log.



State OSHA

Oregon OSHA

Virginia (VOSH)

Nearly two years after enacting the first-in-the-nation permanent COVID-19 workplace safety and health standard, the Virginia Safety and Health Codes Board voted to rescind its COVID-19 standard, effective March 23, 2022. VOSH will continue to inspect and cite employers for COVID-19-related safety concerns under existing regulations and has issued Guidance for Employers to Mitigate the Risk of COVID-19 to Workers, which encourages employers to continue taking certain steps to protect employees from the virus.



Recent fines and awards

California

Florida

Massachusetts

New Jersey

New York

North Carolina

Pennsylvania

Rhode Island

Tennessee

West Virginia

Wisconsin

For more information