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DOE-STD-1190-2007
6.
*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),
7.
*Occupational Injury Code
to be filled in only if an illness is involved
Code for occupational illness without workday
8.
*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
9.
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:
13


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