Disability (DIS)

DOE-STD-1190-2007

*Days restricted due to

Column K of OSHA's Form 300 (Rev. 01/2004),

injury

to be filled in only if an illness is involved

Column L of OSHA's Form 300 (Rev. 01/2004),

*Occupational Injury Code

to be filled in only if an illness is involved

Code for occupational illness without workday

*Days lost due to illness

loss/restriction(Note if Column J of OSHA's

Form 300 (Rev. 01/2004) is checked and

Column M(2, 3, 4, 5, or 6) is also checked.)

*Days restricted due to

Illness or Injury, as described in columns E and

illness

F of OSHA's Form 300 (Rev. 01/2004)

Coding cannot be provided without a description

*Occupational Illness

10.

of the event (see item 11)

Code

A narrative description is necessary in order to

11.

*Description of event

provide an occupational illness code. Otherwise

the event cannot be coded.

*Data elements marked with an asterisk indicate required fields.*

Clearly, some OSHA-recordable health events could involve long-term disability leave

followed by an eventual RTW clearance. In such cases the RTW clearance record for

such a worker would be reported as well as the worker's OSHA recordable health

event.

5.3 Disability (DIS). These health events are the result of a disability that leads to

retirement.

On notification from the Personnel Office (or other information source)

that a worker has left the work force due to a disability retirement, but no information

on the medical condition resulting in the disability retirement is available, site

occupational medicine staff are encouraged to contact the worker to obtain a diagnosis.

For a disability retirement, the data coordinator should report the following

information: