Federal agency decisions, searchable in plain English.

Workplace-safety cases from the Occupational Safety and Health Review Commission (OSHRC) and mine-safety cases from the Federal Mine Safety and Health Review Commission (FMSHRC), each with a plain-English summary, the standards it cites, and whether it counts as precedent. More agencies are coming.

5,593 decisions and counting · Latest decision July 17, 2026
5 decisions 29 C.F.R. § 1910.1030(d)(2)(i)

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ALJ

Genesis HealthCare Corp. d/b/a Cooper River East Center

Needle-safety violations affirmed and sharps item vacated

Genesis operated a nursing home where an employee sustained a needlestick from a prefilled syringe that lacked a built-in guard. The judge found that nurses had used prefilled syringes without the required add-on needle guards and that Genesis could not show reliable annual training or records…

September 22, 2004 ·Michael H. Schoenfeld
Mixed result
COMM

Marcella Nursing & Rehabilitation Center, Cinnaminson Nursing Center, and Geriatric Medical Services, Cooper River, East

EAJA eligibility remanded for parent-control findings

Three nursing facilities prevailed when the judge vacated their bloodborne-pathogen citations and then sought attorney fees and expenses under the Equal Access to Justice Act. Each facility independently met the employee and net-worth limits, but their parent company, Genesis Health Ventures…

September 21, 2004
Remanded
ALJ

Lourdes Hospital

Bloodborne items vacated, lockout items affirmed

OSHA cited Lourdes Hospital for operating-room practices under the bloodborne-pathogens standard and maintenance procedures under the lockout/tagout standard. The judge found that Lourdes' neutral-zone policy, including a limited exception for hand-to-hand sharps transfers, satisfied the…

March 29, 2004 ·Covette Rooney
Mixed result
ALJ

Marcella Nursing & Rehabilitation Center, Cinnaminson Nursing Center, Geriatric & Medical Services

Bloodborne-pathogen citations vacated

OSHA cited three related New Jersey nursing facilities for using traditional syringes rather than safety syringes, and cited Marcella for the location of containers used to discard disposable razors. The judge found that OSHA's prior guidance did not give the facilities fair notice that safety…

June 18, 2001 ·Irving Sommer
Citations vacated
ALJ

Thoroughgood, Inc., d/b/a Azalea Court

Most bloodborne pathogen and vermin citations affirmed at a personal care home

Thoroughgood, Inc., doing business as Azalea Court, runs a residential personal care home in downtown Philadelphia that housed about 70 to 80 residents. After a September 1996 inspection, OSHA cited the home for failing to control rodents and insects and for ten separate violations of the…

April 5, 1999 ·Nancy J. Spies
Mixed result

What these documents are

  • Commission decisions: Rulings by the Occupational Safety and Health Review Commission itself, the highest level of agency review. These are citable as Commission precedent, though a decision may have been appealed to a U.S. Court of Appeals after issuance.
  • ALJ decisions: Rulings by OSHRC Administrative Law Judges after a hearing. When no Commissioner directs review, an ALJ decision becomes a final order under 29 U.S.C. § 661(j): it binds the parties in that case but is not binding precedent in other cases.
  • Why finality matters: Every page here says which kind of decision you are reading, so you know whether it is precedent you can cite or a final order that only shows how one judge ruled on one set of facts.
  • Where they come from: Every page links the official OSHRC public release, and the full text on the page is that release. The plain-English summaries are written by Ezel.