0800-01-03-.05
Reporting Fatality, Injury And Illness Information
Cite as Tenn. Comp. R. & Regs. 0800-01-03-.05
(1)
Reporting fatalities and multiple hospitalization incidents to TOSHA.
(a)
Basic requirement.
1.
Within eight (8) hours after the death of any employee as a result of a work-
related incident, you must report the fatality to the TOSHA Division of the
Tennessee Department of Labor and Workforce Development.
2.
Within twenty-four (24) hours after the in-patient hospitalization of one or more
employees, an employee’s amputation, or an employee’s loss of an eye, as a
result of a work-related incident, you must report the in-patient hospitalization,
amputation, or loss of an eye to TOSHA.
3.
You must report the fatality, in-patient hospitalization, amputation, or loss of an
eye using one of the following methods:
(i)
By telephone or in person to the TOSHA Area Office that is nearest to the
site of the incident.
(ii)
By telephone to the TOSHA toll-free central telephone number, 1-800-249-
8510.
(iii)
By electronic submission using the reporting application located on
OSHA’s public website at www.osha.gov.
(b)
Implementation.
1.
If the Area Office is closed, may I report the fatality, in-patient hospitalization,
amputation, or loss of an eye by leaving a message on TOSHA’s answering
machine, faxing the Area Office, or sending an e-mail? No, if the Area Office is
closed, you must report the fatality, in-patient hospitalization, amputation, or loss
of an eye using either the 800 number or the reporting application located on
OSHA’s public website at www.osha.gov.
2.
What information do I need to give to TOSHA about the in-patient hospitalization,
amputation, or loss of an eye? You must give TOSHA the following information
for each fatality, in-patient hospitalization, amputation, or loss of an eye:
(i)
The establishment name;
(ii)
The location of the work-related incident;
(iii)
The time of the work-related incident;
(iv)
The type of reportable event (i.e., fatality, in-patient hospitalization,
amputation, or loss of an eye);
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(v)
The number of employees who suffered a fatality, in-patient hospitalization,
amputation, or loss of an eye;
(vi)
The names of the employees who suffered a fatality, in-patient
hospitalization, amputation, or loss of an eye;
(vii)
Your contact person and his or her phone number; and
(viii) A brief description of the work-related incident.
3.
Do I have to report the fatality, in-patient hospitalization, amputation, or loss of an
eye if it resulted from a motor vehicle accident on a public street or highway? If
the motor vehicle accident occurred in a construction work zone, you must report
the fatality, in-patient hospitalization, amputation, or loss of an eye. If the motor
vehicle accident occurred on a public street or highway, but not in a construction
work zone, you do not have to report the fatality, in-patient hospitalization,
amputation, or loss of an eye to TOSHA. However, the fatality, in-patient
hospitalization, amputation, or loss of an eye must be recorded on your OSHA
injury and illness records, if you are required to keep such records.
4.
Do I have to report the fatality, in-patient hospitalization, amputation, or loss of an
eye if it occurred on a commercial or public transportation system? No, you do
not have to report the fatality, in-patient hospitalization, amputation, or loss of an
eye to TOSHA if it occurred on a commercial or public transportation system
(e.g., airplane, train, subway, or bus). However, the fatality, in-patient
hospitalization, amputation, or loss of an eye must be recorded on your OSHA
injury and illness records, if you are required to keep such records.
5.
Do I have to report a work-related fatality or in-patient hospitalization caused by a
heart attack? Yes, your local TOSHA Area Office supervisor will decide whether
to investigate the event, depending on the circumstances of the heart attack.
6.
What if the fatality, in-patient hospitalization, amputation, or loss of an eye does
not occur during or right after the work-related incident? You must only report a
fatality to TOSHA if the fatality occurs within thirty (30) days of the work-related
incident. For an in-patient hospitalization, amputation, or loss of an eye, you must
only report the event to TOSHA if it occurs within twenty-four (24) hours of the
work-related incident. However, the fatality, in-patient hospitalization, amputation,
or loss of an eye must be recorded on your OSHA injury and illness records, if
you are required to keep such records.
7.
What if I don’t learn about a reportable fatality, in-patient hospitalization,
amputation, or loss of an eye right away? If you do not learn about a reportable
fatality, in-patient hospitalization, amputation, or loss of an eye at the time it
takes place, you must make the report to TOSHA within the following time period
after the fatality, in-patient hospitalization, amputation, or loss of an eye is
reported to you or to any of your agent(s): eight (8) hours for a fatality, and
twenty-four (24) hours for an in-patient hospitalization, an amputation, or a loss
of an eye.
8.
What if I don’t learn right away that the reportable fatality, in-patient
hospitalization, amputation, or loss of an eye was the result of a work-related
incident? If you do not learn right away that the reportable fatality, in-patient
hospitalization, amputation, or loss of an eye was the result of a work-related
incident, you must make the report to TOSHA within the following time period
OCCUPATIONAL SAFETY AND HEALTH STANDARDS
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after you or any of your agent(s) learn that the reportable fatality, in-patient
hospitalization, amputation, or loss of an eye was the result of a work-related
incident: eight (8) hours for a fatality, and twenty-four (24) hours for an in-patient
hospitalization, an amputation, or a loss of an eye.
9.
How does TOSHA define “in-patient hospitalization”? TOSHA defines in-patient
hospitalization as a formal admission to the in-patient service of a hospital or
clinic for care or treatment.
10.
Do I have to report an in-patient hospitalization that involves only observation or
diagnostic testing? No, you do not have to report an in-patient hospitalization that
involves only observation or diagnostic testing. You must only report to TOSHA
each in-patient hospitalization that involves care or treatment.
11.
How does TOSHA define “amputation”? An amputation is the traumatic loss of a
limb or other external body part. Amputations include a part, such as a limb or
appendage, that has been severed, cut off, amputated (either completely or
partially); fingertip amputations with or without bone loss; medical amputations
resulting from irreparable damage; amputations of body parts that have since
been reattached. Amputations do not include avulsions, enucleations,
deglovings, scalpings, severed ears, or broken or chipped teeth.
(2)
Providing records to government representatives.
(a)
Basic requirement. When an authorized government representative asks for the
records you keep under this rule, you must provide copies of the records within four (4)
business hours.
(b)
Implementation.
1.
What government representatives have the right to get copies of my injury and
illness records? The government representatives authorized to receive the
records are:
(i)
A representative of the Commissioner of Labor and Workforce
Development conducting an inspection or investigation under the Act;
(ii)
A representative of the Secretary of Health and Human Services (including
the National Institute for Occupational Safety and Health - NIOSH)
conducting an investigation under Section 20(b) of the Occupational Safety
and Health Act of 1970, as amended.
2.
Do I have to produce the records within four (4) hours if my records are kept at a
location in a different time zone? TOSHA will consider your response to be timely
if you give the records to the government representative within four (4) business
hours of the request. If you maintain the records at a location in a different time
zone, you may use the business hours of the establishment at which the records
are located when calculating the deadline.
(3)
Electronic submission of Employer Identification Number (EIN) and injury and illness records
to OSHA.
(a)
Basic requirements.
OCCUPATIONAL SAFETY AND HEALTH STANDARDS
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1.
Annual electronic submission of information from OSHA Form 300A Summary of
Work-Related Injuries and Illnesses.
(i)
If your establishment had 20 or more but fewer than 250 (20–249)
employees at any time during the previous calendar year, and your
establishment is classified in an industry listed in Appendix A Rule 0800-
01-03-.05, then you must electronically submit information from OSHA
Form 300A Summary of Work-Related Injuries and Illnesses to OSHA or
OSHA’s designee. You must submit the information once a year, no later
than the date listed in paragraph (c) of this section of the year after the
calendar year covered by the form.
(ii)
If your establishment had 250 or more employees at any time during the
previous calendar year, and this part requires your establishment to keep
records, then you must electronically submit information from OSHA Form
300A Summary of Work-Related Injuries and Illnesses to OSHA or OSHA’s
designee. You must submit the information once a year, no later than the
date listed in paragraph (c) of this section of the year after the calendar
year covered by the form.
2.
Annual electronic submission of information from OSHA Form 300 Log of Work-
Related Injuries and Illnesses and OSHA Form 301 Injury and Illness Incident
Report by establishments with 100 or more employees in designated industries.
If your establishment had 100 or more employees at any time during the previous
calendar year, and your establishment is classified in an industry listed in
Appendix B to Rule 0800-01-03-.05, then you must electronically submit
information from OSHA Forms 300 and 301 to OSHA or OSHA’s designee. You
must submit the information once a year, no later than the date listed in
paragraph (c) of this section of the year after the calendar year covered by the
forms.
3.
Electronic submission of 0800-01-03 records upon notification. Upon notification,
you must electronically submit the requested information from your 0800-01-03
records to OSHA or OSHA’s designee.
4.
Electronic submission of the Employer Identification Number (EIN). For each
establishment that is subject to these reporting requirements, you must provide
the EIN used by the establishment.
(b)
Implementation.
1.
Does every employer have to routinely make an annual electronic submission of
information from Rule 0800-01-03 injury and illness recordkeeping forms to
OSHA? No, only three categories of employers must routinely submit information
from these forms. The first category is establishments that had 20–249
employees at any time during the previous calendar year and are classified in an
industry listed in Appendix A to this subpart; establishments in this category must
submit the required information from Form 300A to OSHA once a year. The
second category is establishments that had 250 or more employees at any time
during the previous calendar year and are required by this part to keep records;
establishments in this category must submit the required information from Form
300A to OSHA once a year. The third category is establishments that had 100 or
more employees at any time during the previous calendar year and are classified
in an industry listed in Appendix B to this subpart; establishments in this category
must also submit the required information from Forms 300 and 301 to OSHA
OCCUPATIONAL SAFETY AND HEALTH STANDARDS
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once a year, in addition to the required information from Form 300A. Employers
in these three categories must submit the required information by the date listed
in paragraph (c) of this section of the year after the calendar year covered by the
form (for example, 2024 for the 2023 form(s)). If your establishment is not in any
of these three categories, then you must submit the information to OSHA only if
OSHA notifies you to do so for an individual data collection.
2.
Do part-time, seasonal, or temporary workers count as employees in the criteria
for number of employees in paragraph (a) of this section? Yes, each individual
employed in the establishment at any time during the calendar year counts as
one employee, including full-time, part-time, seasonal, and temporary workers.
3.
How will OSHA notify me that I must submit information as part of an individual
data collection under paragraph (a)3. of this section? OSHA will notify you by
mail if you will have to submit information as part of an individual data collection
under paragraph (a)3. OSHA will also announce individual data collections
through publication in the Federal Register and the OSHA newsletter, and
announcements on the OSHA website. If you are an employer who must
routinely submit the information, then OSHA will not notify you about your routine
submittal.
When do I have to submit the information? If you are required to submit
information under paragraph (a)1. or 2. of this section, then you must submit the
information once a year, by the date listed in paragraph (c) of this section of the
year after the calendar year covered by the form (for example, 2019 for the 2018
form). If you are submitting information because OSHA notified you to submit
information as part of an individual data collection under paragraph (a)3. of this
section, then you must submit the information as specified in the notification.
5.
How do I submit the information? You must submit the information electronically.
OSHA will provide a secure website for the electronic submission of information.
For individual data collections under paragraph (a)3. of this section, OSHA will
include the website’s location in the notification for the data collection.
6.
Do I have to submit information if my establishment is partially exempt from
keeping OSHA injury and illness records? If you are partially exempt from
keeping injury and illness records under 0800-01-03-.02(2) and/or 0800-01-03-
.02(3), then you do not have to routinely submit information under paragraphs
(a)1. and 2. of this section. You will have to submit information under paragraph
(a)3. of this section if OSHA informs you in writing that it will collect injury and
illness information from you. If you receive such a notification, then you must
keep the injury and illness records required by this part and submit information
as directed.
7.
Do I have to submit information if I am located in a State Plan State? Yes, the
requirements apply to employers located in State Plan States.
8.
May an enterprise or corporate office electronically submit information for its
establishment(s)? Yes, if your enterprise or corporate office had ownership of or
control over one or more establishments required to submit information under
paragraph (a) of this section, then the enterprise or corporate office may collect
and electronically submit the information for the establishment(s).
OCCUPATIONAL SAFETY AND HEALTH STANDARDS
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9.
If I have to submit information under paragraph (a)2. of this section, do I have to
submit all of the information from the recordkeeping forms? No, you are required
to submit all of the information from the forms except the following:
(i)
From the Log of Work-Related Injuries and Illnesses (OSHA Form 300):
Employee name (column B).
(ii)
From the Injury and Illness Incident Report (OSHA Form 301): Employee
name (field 1), employee address (field 2), name of physician or other
health care professional (field 6), facility name and address if treatment
was given away from the worksite (field 7).
10. My company uses numbers or codes to identify our establishments. May I use
numbers or codes as the establishment name in my submission? Yes, you may
use numbers or codes as the establishment name. However, the submission
must include a legal company name, either as part of the establishment name or
separately as the company name.
(c)
Reporting dates. Establishments that are required to submit under paragraph (3)(a)1.
or 2. of this section must submit all of the required information by March 2 of the year
after the calendar year covered by the form(s) (for example, by March 2, 2024, for the
forms covering 2023).
1.
In 2017 and 2018, establishments required to submit under paragraph (3)(a)1. or
2. of this rule must submit the required information according to the table in this
paragraph (3)(c)1.:
Submission
Year
Establishments submitting
under paragraph (3)(a)1. of
this rule must submit the
required information from
this form/these forms
Establishments submitting
under paragraph (3)(a)2. of
this rule must submit the
required information from
this form:
Submission
deadline
300A
300A
July 1, 2017
300A, 300, 301
300A
July 1, 2018
2.
Beginning in 2019, establishments that are required to submit under paragraph
(3)(a)1. or 2. of this rule will have to submit all of the required information by
March 2 of the year after the calendar year covered by the form or forms (for
example, by March 2, 2019, for the forms covering 2018).
Appendix A to 0800-01-03-.05 — Designated Industries for 0800-01-03-.05(3)(a)1.(i) Annual Electronic
Submission of Information from OSHA Form 300A Summary of Work-Related Injuries and Illnesses by
Establishments With 20-249 Employees in Designated Industries
NAICS
Industry
Agriculture, forestry, fishing and hunting.
Utilities.
Construction.
31-33
Manufacturing.
Wholesale trade.
Automotive parts, accessories, and tire stores.
Furniture stores.
Home furnishings stores.
Building material and supplies dealers.
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Lawn and garden equipment and supplies stores.
Grocery stores.
Specialty food stores.
Department stores.
General Merchandise Stores, including Warehouse Clubs and
Supercenters.
Used merchandise stores.
Vending machine operators.
Direct selling establishments.
Scheduled air transportation.
General freight trucking.
Specialized freight trucking.
Urban transit systems.
Interurban and rural bus transportation.
Taxi and limousine service.
School and employee bus transportation.
Charter bus industry.
Other transit and ground passenger transportation.
Scenic and sightseeing transportation, land.
Support activities for air transportation.
Support activities for rail transportation.
Support activities for water transportation.
Support activities for road transportation.
Other support activities for transportation.
Postal service.
Couriers and express delivery services.
Local messengers and local delivery.
Warehousing and storage.
Cable and other subscription programming.
Lessors of real estate.
Automotive equipment rental and leasing.
Consumer goods rental.
General rental centers.
Services to buildings and dwellings.
Waste collection.
Waste treatment and disposal.
Remediation and other waste management services.
Other ambulatory health care services.
General medical and surgical hospitals.
Psychiatric and substance abuse hospitals.
Specialty (except psychiatric and substance abuse) hospitals.
Nursing care facilities.
Residential Intellectual and Developmental Disability, mental health,
and substance abuse facilities.
Continuing Care Retirement Communities and Assisted Living Facilities
for the Elderly.
Other residential care facilities.
Community food and housing, and emergency and other relief
services.
Vocational rehabilitation services.
Performing arts companies.
Spectator sports.
Museums, historical sites, and similar institutions.
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Amusement parks and arcades.
Gambling industries.
Traveler accommodation.
RV (recreational vehicle) parks and recreational camps.
Special food services.
Commercial and industrial machinery and equipment (except
automotive and electronic) repair and maintenance.
Dry-cleaning and laundry services.
Appendix B to Rule 0800-01-03-.05 — Designated Industries for 0800-01-03-.05(3)(a)2. Annual
Electronic Submission of Information from OSHA Form 300 Log of Work-Related Injuries and Illnesses
and OSHA Form 301 Injury and Illness Incident Report by Establishments With 100 or More Employees in
Designated Industries.
NAICS
Industry
Oilseed and Grain Farming
Vegetable and Melon Farming
Fruit and Tree Nut Farming
Greenhouse, Nursery, and Floriculture Production
Other Crop Farming
Cattle Ranching and Farming
Hog and Pig Farming
Poultry and Egg Production
Other Animal Production
Logging
Fishing
Hunting and Trapping
Support Activities for Crop Production
Support Activities for Animal Production
Support Activities for Forestry
Water, Sewage and Other Systems
Foundation, Structure, and Building Exterior Contractors
Animal Food Manufacturing
Sugar and Confectionery Product Manufacturing
Fruit and Vegetable Preserving and Specialty Food Manufacturing
Dairy Product Manufacturing
Animal Slaughtering and Processing
Seafood Product Preparation and Packaging
Bakeries and Tortilla Manufacturing
Other Food Manufacturing
Beverage Manufacturing
Leather and Hide Tanning and Finishing
Footwear Manufacturing
Sawmills and Wood Preservation
Veneer, Plywood, and Engineered Wood Product Manufacturing
Other Wood Product Manufacturing
Plastics Product Manufacturing
Rubber Product Manufacturing
Clay Product and Refractory Manufacturing
Glass and Glass Product Manufacturing
Cement and Concrete Product Manufacturing
Other Nonmetallic Mineral Product Manufacturing
Steel Product Manufacturing from Purchased Steel
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Nonferrous Metal (except Aluminum) Production and Processing
Foundries
Forging and Stamping
Architectural and Structural Metals Manufacturing
Boiler, Tank, and Shipping Container Manufacturing
Hardware Manufacturing
Spring and Wire Product Manufacturing
Machine Shops; Turned Product; and Screw, Nut, and Bolt
Manufacturing
Coating, Engraving, Heat Treating, and Allied Activities
Agriculture, Construction, and Mining Machinery Manufacturing
Metalworking Machinery Manufacturing
Motor Vehicle Manufacturing
Motor Vehicle Body and Trailer Manufacturing
Motor Vehicle Parts Manufacturing
Ship and Boat Building
Household and Institutional Furniture and Kitchen Cabinet
Manufacturing
Office Furniture (including Fixtures) Manufacturing
Other Furniture Related Product Manufacturing
Motor Vehicle and Motor Vehicle Parts and Supplies Merchant
Wholesalers
Lumber and Other Construction Materials Merchant Wholesalers
Metal and Mineral (except Petroleum) Merchant Wholesalers
Miscellaneous Durable Goods Merchant Wholesalers
Grocery and Related Product Merchant Wholesalers
Beer, Wine, and Distilled Alcoholic Beverage Merchant Wholesalers
Automotive Parts, Accessories, and Tire Stores
Home Furnishings Stores
Building Material and Supplies Dealers
Lawn and Garden Equipment and Supplies Stores
Grocery Stores
Department Stores
General Merchandise Stores, including Warehouse Clubs and
Supercenters
Used Merchandise Stores
Direct Selling Establishments
Scheduled Air Transportation
General Freight Trucking
Specialized Freight Trucking
Urban Transit Systems
Interurban and Rural Bus Transportation
Taxi and Limousine Service
School and Employee Bus Transportation
Other Transit and Ground Passenger Transportation
Scenic and Sightseeing Transportation, Land
Support Activities for Air Transportation
Support Activities for Water Transportation
Other Support Activities for Transportation
Postal Service
Couriers and Express Delivery Services
Warehousing and Storage
Consumer Goods Rental
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Waste Collection
Waste Treatment and Disposal
Other Ambulatory Health Care Services
General Medical and Surgical Hospitals
Psychiatric and Substance Abuse Hospitals
Specialty (except Psychiatric and Substance Abuse) Hospitals
Nursing Care Facilities (Skilled Nursing Facilities)
Residential Intellectual and Developmental Disability, Mental Health,
and Substance Abuse Facilities
Continuing Care Retirement Communities and Assisted Living Facilities
for the Elderly
Other Residential Care Facilities
Vocational Rehabilitation Services
Performing Arts Companies
Spectator Sports
Amusement Parks and Arcades
Traveler Accommodation
RV (Recreational Vehicle) Parks and Recreational Camps
Special Food Services