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Recording back and arm conditions on an injury log

Summary An occupational health nurse asked whether repetitive-work back discomfort should be logged as an injury or illness and how to log a combined back and arm condition. OSHA said back cases were classified as injuries under its older guidance. A single exposure affecting multiple body parts was recorded as one case, and the combined example was treated as a repetitive trauma disorder.
Document
Federal opinion letter
Agency
Occupational Safety and Health Administration (OSHA)
Document number
1997-02-19-0
Date issued
February 19, 1997
Status
Archived by the agency
OSHA labels this an archive document and warns that it may no longer represent OSHA policy.
Status last verified October 9, 2026

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NOTICE: This is an OSHA Archive Document, and may no longer represent OSHA Policy. It is presented here as historical content, for research and review purposes only.

Feburary 19, 1997
Ms. Monica Verros, R.N.,C.O.H.N.
IBP, Inc.
[Recipient address omitted]
Dear Ms. Verros:
Thank you for your letter dated January 22, requesting an interpretation regarding the proper recording procedures for back cases. Whenever possible, I will refer to the Recordkeeping Guidelines of Occupational Injuries and Illnesses by stating the appropriate page and Q&A numbers.
Q1. An employee performs repetitive work duties and complains of back discomfort which requires restricted work activity and/or prescription medication. Should this be recorded as an injury or an illness?
A1. Back cases should always be classified as injuries. This generalization was made to keep the recordkeeping determinations as simple and equitable as possible (See Q&A D-4, page 38 of the Recordkeeping Guidelines). Cases involving the back are the only conditions for which this generalization was made.
Q2. An employee performs repetitive work duties and complains of arms and back discomfort which requires prescription medication and/or restricted work activity. Should this example be recorded as one illness, or should this be recorded as two cases (injury for the back and an illness for the bilateral arms).
A2. Multiple injuries and illnesses resulting from a single event or exposure are recorded as a single case on the OSHA Log. Because there is more involved than just the back in the above situation, the case should be evaluated on all the information available. This case should be characterized as a cumulative trauma disorder involving multiple body parts, and a check placed in column 7(f), "Disorders associated with repeated trauma".
I hope you find this information useful. If you have any further questions, please contact us at Area Code (202) 219-6463.
Sincerely,
Bob Whitmore
Chief
Division of Recordkeeping Requirements

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