ASTM E2920-19
(Guide)Standard Guide for Recording Occupational Injuries and Illnesses
Standard Guide for Recording Occupational Injuries and Illnesses
SIGNIFICANCE AND USE
4.1 This guide is intended to define work-related injuries and illnesses in a way that can be easily understood and measured across countries. These injuries and illnesses can be used to evaluate, compare, and continually improve management systems and programs related to worker safety and health. Although several levels of severity may be defined, the primary objective is to identify cases with meaningful connection to work and cases with such potential consequence that they have value for prevention purposes. The resultant data and incidence rates should improve global benchmarking consistency.
4.2 This guide defines recording criteria for Level One cases—cases that have a clear connection to the workplace and consequences that are significant for driving injury and illness prevention and efforts.
4.3 While not mandated by this guide, recording of Level Two cases is encouraged and will still be mandatory in many jurisdictions. Level Two cases are those cases currently required to be reported by countries, states, and other jurisdictions.
SCOPE
1.1 This guide is intended to establish definitions and criteria for recording occupational injuries and illnesses to be used for measuring safety performance, evaluating safety program performance, and improving consistency when comparing international performance. A measurement system is desired that is precise and accurate, difficult to manipulate, significant and meaningful for safety program evaluation, and appropriate for accountability purposes in a global environment.
1.2 Objectives of the occupational injury and illness measurement guide are as follows:
1.2.1 Provide a uniform and objective framework for recording work-related injuries and illnesses,
1.2.2 Facilitate use of injury and illness rates as a means of evaluating programs designed to control such injuries and illnesses, and
1.2.3 Establish a basis for meaningful comparison of injury and illness rates across industries and countries.
1.3 In this guide, definitions and procedures necessary to maintain work-related injury and illness records and incidence rates are covered.
1.4 Key elements of this guide include work relationship, definition of injuries and illnesses, levels of severity of occupational incidents, accountability for contractor relationships, and specifications for injury and illness rate calculations.
1.5 Units—The values stated in English (or Imperial) units are to be regarded as the standard. The values given in parentheses are mathematical conversions to SI units that are provided for information only.
1.6 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use. This standard is not a substitute for any legally required injury and illness recordkeeping obligations.
1.7 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
General Information
- Status
- Published
- Publication Date
- 14-Aug-2019
- Technical Committee
- E34 - Occupational Health and Safety
- Drafting Committee
- E34.80 - Industrial Health
Relations
- Effective Date
- 15-Aug-2019
- Effective Date
- 01-Jan-2020
- Effective Date
- 01-Feb-2018
- Effective Date
- 01-Aug-2010
- Effective Date
- 01-Apr-2004
- Effective Date
- 01-Jan-1998
Overview
ASTM E2920-19: Standard Guide for Recording Occupational Injuries and Illnesses provides a globally applicable framework for defining, classifying, and recording workplace injuries and illnesses. Developed by ASTM International, this standard supports organizations in measuring and comparing occupational safety performance and achieving consistency in safety program evaluation across industries and countries. With a strong focus on work-relatedness and severity, ASTM E2920-19 enables precise and objective safety data collection-crucial for benchmarking, compliance, and continual improvement in worker safety and health management systems.
Key Topics
- Uniform Definitions: Establishes clearly defined terms for work-related injuries, illnesses, employees, contractors, and levels of incident severity.
- Work Relationship Criteria: Outlines a three-step analysis to determine whether an incident is truly work-related, factoring in the scope of employment, the direct link to workplace exposure, and employer authority.
- Severity Levels:
- Level One Cases: Incidents with significant consequences directly linked to the workplace (e.g., fatalities, amputations, permanent impairments, life-altering illnesses, or severe injuries).
- Level Two Cases: Incidents required by local, state, or national regulations. These may encompass additional reporting requirements varying by jurisdiction.
- Inclusion of Employers and Contractors: Provides guidance on recordkeeping responsibilities, including contractor relationships and supervision levels.
- Calculation of Incident Rates: Specifies a standardized formula for expressing injury and illness rates per 1,000,000 work hours, facilitating accurate benchmarking.
Applications
Organizations worldwide can use ASTM E2920-19 to:
- Benchmark Safety Performance Internationally: By applying uniform definitions and recording criteria, organizations can accurately compare their occupational injury and illness rates across regions, industries, or peer companies.
- Evaluate and Improve Safety Programs: The guide's data-driven approach enables effective measurement of safety initiatives, helping companies identify trends, target high-risk activities, and refine prevention strategies.
- Support Regulatory Compliance: While not a substitute for jurisdiction-specific requirements, this standard can assist organizations in aligning their recordkeeping practices with global best practices and legal obligations.
- Enhance Accountability: By defining clear inclusion rules for employees and certain contractor types, organizations can ensure comprehensive and transparent injury and illness records.
- Drive Continuous Improvement: Consistent, accurate injury and illness data lay the foundation for ongoing improvements in workplace health and safety management systems.
Related Standards
For comprehensive occupational safety and health management, consider referencing these additional standards:
- ASTM E1542: Terminology Relating to Occupational Health and Safety – provides key definitions supporting the understanding and implementation of E2920-19.
- ISO 45001: Occupational Health and Safety Management Systems – an international standard for workplace safety management systems.
- OSHA Recordkeeping Requirements (29 CFR Part 1904): U.S. federal regulations for recording and reporting occupational injuries and illnesses.
- ILO Guidelines: International Labour Organization standards and recommendations for occupational injury and disease recordkeeping.
Keywords: ASTM E2920-19, occupational injuries, occupational illnesses, work-related incidents, injury and illness rates, safety performance, global benchmarking, safety management, workplace health, contractor safety.
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Frequently Asked Questions
ASTM E2920-19 is a guide published by ASTM International. Its full title is "Standard Guide for Recording Occupational Injuries and Illnesses". This standard covers: SIGNIFICANCE AND USE 4.1 This guide is intended to define work-related injuries and illnesses in a way that can be easily understood and measured across countries. These injuries and illnesses can be used to evaluate, compare, and continually improve management systems and programs related to worker safety and health. Although several levels of severity may be defined, the primary objective is to identify cases with meaningful connection to work and cases with such potential consequence that they have value for prevention purposes. The resultant data and incidence rates should improve global benchmarking consistency. 4.2 This guide defines recording criteria for Level One cases—cases that have a clear connection to the workplace and consequences that are significant for driving injury and illness prevention and efforts. 4.3 While not mandated by this guide, recording of Level Two cases is encouraged and will still be mandatory in many jurisdictions. Level Two cases are those cases currently required to be reported by countries, states, and other jurisdictions. SCOPE 1.1 This guide is intended to establish definitions and criteria for recording occupational injuries and illnesses to be used for measuring safety performance, evaluating safety program performance, and improving consistency when comparing international performance. A measurement system is desired that is precise and accurate, difficult to manipulate, significant and meaningful for safety program evaluation, and appropriate for accountability purposes in a global environment. 1.2 Objectives of the occupational injury and illness measurement guide are as follows: 1.2.1 Provide a uniform and objective framework for recording work-related injuries and illnesses, 1.2.2 Facilitate use of injury and illness rates as a means of evaluating programs designed to control such injuries and illnesses, and 1.2.3 Establish a basis for meaningful comparison of injury and illness rates across industries and countries. 1.3 In this guide, definitions and procedures necessary to maintain work-related injury and illness records and incidence rates are covered. 1.4 Key elements of this guide include work relationship, definition of injuries and illnesses, levels of severity of occupational incidents, accountability for contractor relationships, and specifications for injury and illness rate calculations. 1.5 Units—The values stated in English (or Imperial) units are to be regarded as the standard. The values given in parentheses are mathematical conversions to SI units that are provided for information only. 1.6 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use. This standard is not a substitute for any legally required injury and illness recordkeeping obligations. 1.7 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
SIGNIFICANCE AND USE 4.1 This guide is intended to define work-related injuries and illnesses in a way that can be easily understood and measured across countries. These injuries and illnesses can be used to evaluate, compare, and continually improve management systems and programs related to worker safety and health. Although several levels of severity may be defined, the primary objective is to identify cases with meaningful connection to work and cases with such potential consequence that they have value for prevention purposes. The resultant data and incidence rates should improve global benchmarking consistency. 4.2 This guide defines recording criteria for Level One cases—cases that have a clear connection to the workplace and consequences that are significant for driving injury and illness prevention and efforts. 4.3 While not mandated by this guide, recording of Level Two cases is encouraged and will still be mandatory in many jurisdictions. Level Two cases are those cases currently required to be reported by countries, states, and other jurisdictions. SCOPE 1.1 This guide is intended to establish definitions and criteria for recording occupational injuries and illnesses to be used for measuring safety performance, evaluating safety program performance, and improving consistency when comparing international performance. A measurement system is desired that is precise and accurate, difficult to manipulate, significant and meaningful for safety program evaluation, and appropriate for accountability purposes in a global environment. 1.2 Objectives of the occupational injury and illness measurement guide are as follows: 1.2.1 Provide a uniform and objective framework for recording work-related injuries and illnesses, 1.2.2 Facilitate use of injury and illness rates as a means of evaluating programs designed to control such injuries and illnesses, and 1.2.3 Establish a basis for meaningful comparison of injury and illness rates across industries and countries. 1.3 In this guide, definitions and procedures necessary to maintain work-related injury and illness records and incidence rates are covered. 1.4 Key elements of this guide include work relationship, definition of injuries and illnesses, levels of severity of occupational incidents, accountability for contractor relationships, and specifications for injury and illness rate calculations. 1.5 Units—The values stated in English (or Imperial) units are to be regarded as the standard. The values given in parentheses are mathematical conversions to SI units that are provided for information only. 1.6 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use. This standard is not a substitute for any legally required injury and illness recordkeeping obligations. 1.7 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
ASTM E2920-19 is classified under the following ICS (International Classification for Standards) categories: 13.100 - Occupational safety. Industrial hygiene; 35.240.80 - IT applications in health care technology. The ICS classification helps identify the subject area and facilitates finding related standards.
ASTM E2920-19 has the following relationships with other standards: It is inter standard links to ASTM E2920-14, ASTM E1542-20, ASTM E1542-18, ASTM E1542-10, ASTM E1542-93(2004), ASTM E1542-93(1998). Understanding these relationships helps ensure you are using the most current and applicable version of the standard.
ASTM E2920-19 is available in PDF format for immediate download after purchase. The document can be added to your cart and obtained through the secure checkout process. Digital delivery ensures instant access to the complete standard document.
Standards Content (Sample)
This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the
Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
Designation: E2920 − 19
Standard Guide for
Recording Occupational Injuries and Illnesses
This standard is issued under the fixed designation E2920; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope This standard is not a substitute for any legally required injury
and illness recordkeeping obligations.
1.1 This guide is intended to establish definitions and
1.7 This international standard was developed in accor-
criteria for recording occupational injuries and illnesses to be
dance with internationally recognized principles on standard-
used for measuring safety performance, evaluating safety
ization established in the Decision on Principles for the
program performance, and improving consistency when com-
Development of International Standards, Guides and Recom-
paring international performance. A measurement system is
mendations issued by the World Trade Organization Technical
desired that is precise and accurate, difficult to manipulate,
Barriers to Trade (TBT) Committee.
significant and meaningful for safety program evaluation, and
appropriate for accountability purposes in a global environ-
2. Referenced Documents
ment.
2.1 ASTM Standards:
1.2 Objectives of the occupational injury and illness mea-
E1542 Terminology Relating to Occupational Health and
surement guide are as follows:
Safety
1.2.1 Provide a uniform and objective framework for re-
3. Terminology
cording work-related injuries and illnesses,
1.2.2 Facilitate use of injury and illness rates as a means of
3.1 Definitions—For definitions not in this standard related
evaluating programs designed to control such injuries and
to this guide, refer to Terminology E1542.
illnesses, and
3.1.1 contractor, n—person or business that provides goods
1.2.3 Establish a basis for meaningful comparison of injury
or services for an enterprise but works for, is directly super-
and illness rates across industries and countries.
vised by, and is paid by a separate person or business.
1.3 In this guide, definitions and procedures necessary to
3.1.1.1 contractor—employer supervised, n—person who is
maintain work-related injury and illness records and incidence directly supervised by an employer on a day-to-day basis but is
rates are covered.
paid indirectly through an agency or third party. Examples
include daily workers and temporary workers.
1.4 Key elements of this guide include work relationship,
definition of injuries and illnesses, levels of severity of 3.1.1.2 contractor—independent, n—person who works for,
occupational incidents, accountability for contractor is directly supervised by, and is paid by one person or business
relationships, and specifications for injury and illness rate but performs services at various other businesses. Examples
calculations. includepersonsengagedintemporaryprojectssuchasmachine
rigging, ventilation installation, or construction. Other ex-
1.5 Units—The values stated in English (or Imperial) units
amples are copy machine repair and package delivery.
are to be regarded as the standard. The values given in
3.1.1.3 contractor—nested, n—person who performs rou-
parentheses are mathematical conversions to SI units that are
tine services for an enterprise but works for, is directly
provided for information only.
supervised by, and is paid by a separate person or business.
1.6 This standard does not purport to address all of the
Examples include on-site guard, logistics, or maintenance
safety concerns, if any, associated with its use. It is the
services.
responsibility of the user of this standard to establish appro-
3.1.2 employee, n—person who works for another in return
priate safety, health, and environmental practices and deter-
forpayment.Asusedinthisguide,thetermincludesemployer-
mine the applicability of regulatory limitations prior to use.
supervised contractors, but does not include independent or
nested contractors.
This guide is under the jurisdiction ofASTM Committee E34 on Occupational
Health and Safety and is the direct responsibility of Subcommittee E34.80 on
Industrial Heath. For referenced ASTM standards, visit the ASTM website, www.astm.org, or
Current edition approved Aug. 15, 2019. Published August 2019. Originally contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM
approved in 2014. Last previous edition approved in 2014 as E2920 – 14. Standards volume information, refer to the standard’s Document Summary page on
DOI:10.1520/E2920-19. the ASTM website.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
E2920 − 19
3.1.2.1 Discussion—As used in this guide, the term “em- 5.1.1.2 Iftheanswertoanyofthesethreequestionsis“yes,”
ployee” includes contractors that are directly supervised by the then the case is “in scope” and may be considered work related
employer. Temporary workers and workers with individual if the following additional two tests are satisfied.
contract relationships may be included in this category. Inde- 5.1.2 Test 2—Was there a direct connection between the
pendent and nested contractors are not included in the term
exposure and the resulting employee condition? Did the
“employee.” exposure either trigger the onset of symptoms or contribute to
the severity of the case?
3.1.3 illness, n—occurrence of physical or mental harm or
5.1.2.1 If the answer is “no,” then the case is not work
disease that develops over time in the course of work not as the
related.
result of a single or instantaneous event.
5.1.2.2 If the answer is “yes,” then the case is connected to
3.1.4 injury, n—occurrence of physical or mental harm in
work and may be considered work related if the other two tests
the course of work as a result of a single or instantaneous
are satisfied.
event.
5.1.2.3 Alternatively, for Test 2, ask: “would the case have
3.1.5 Level One cases—LevelOnecasesarethosecasesthat
occurred at the same time and with the same degree of severity
satisfy the work relationship and severity criteria of this guide.
without the work exposure identified in 5.1.1 above?”
3.1.6 Level Two cases—Level Two cases are those cases
(1) If the answer is “yes,” then the case is not work related.
currently required to be reported by countries, states, and other
(2) Iftheansweris“no,”thenthecaseisconnectedtowork
jurisdictions.
and may be considered work related if the other two tests are
satisfied.
3.1.7 work related, adj—those cases that arise from activi-
5.1.3 Test 3—At the time of the incident/exposure, was the
ties within the scope of employment or are related to a
activity the employee engaged in, or the environmental fac-
condition of employment, or both.
tor(s) that contributed to the case, subject to the general
4. Significance and Use
authority/control of the employer?
4.1 This guide is intended to define work-related injuries 5.1.3.1 If the answer is “no,” then the case is not work
and illnesses in a way that can be easily understood and
related.
measured across countries. These injuries and illnesses can be
5.1.3.2 If the answer is “yes,” then the case may be
used to evaluate, compare, and continually improve manage-
considered work related if the other two tests are met.
ment systems and programs related to worker safety and
5.1.3.3 When applying Test 3, even if the tests in 5.1.1 and
health.Although several levels of severity may be defined, the
5.1.2 are met, do not consider the case work related if the
primary objective is to identify cases with meaningful connec-
exposure was so personal in nature as to negate its relevance
tion to work and cases with such potential consequence that
for prevention purposes. Examples:
theyhavevalueforpreventionpurposes.Theresultantdataand
(1) Employee throws back out from common-cold-related
incidence rates should improve global benchmarking consis-
sneeze (normal body movement).
tency.
(2) Employee injures herself while preparing her own food
or drink.
4.2 This guide defines recording criteria for Level One
(3) Employee injures himself while conducting personal
cases—cases that have a clear connection to the workplace and
grooming.
consequences that are significant for driving injury and illness
prevention and efforts.
NOTE 1—Employees can be doing something other than a specific work
task and still be subject to the employer’s authority/control. This includes
4.3 While not mandated by this guide, recording of Level
support functions connected to work processes and operations, adminis-
Two cases is encouraged and will still be mandatory in many
trative functions connected to work, and normal living activities that
jurisdictions. Level Two cases are those cases currently re-
routinely take place at work if the employer has the authority to regulate
quired to be reported by countries, states, and other jurisdic-
how those living activities are conducted.
tions.
5.1.4 Injuries and illnesses of complex or multiple origins,
including musculoskeletal conditions and certain occupational
5. Work Relationship
diseasessuchashearingloss,areconsideredworkrelatedifthe
5.1 An injury or illness to an employee is considered to be
above work-related criteria contributed sufficiently to the
work related if it meets the following three tests:
condition to increase the severity level of the condition or
5.1.1 Test 1—Was the case related to a condition of employ-
trigger the onset of the condition.
ment and therefore within the general scope of employment?
5.1.5 Examples of injury and illness exposures are provided
Specifically, was the employee:
in Appendix X1.
(1) Being paid at the time of the injury and illness
5.2 The following factors, although sometimes useful when
exposure, or
investigating or evaluating a case, are not used to determine
(2) Required by his or her employer to do the job or task,
work relationship or level of severity:
or both, or
5.2.1 Whether or not a worker receives compensation for
(3) Performing the activity because the performance of the
wages lost as a result of the effects of an injury or illness;
job mandated that the activity be undertaken?
5.2.2 Whether an employee receives disability payments;
5.1.1.1 If the answer is “no” to all three conditions, then the
case is not work related. 5.2.3 Whether time off work is prescribed;
E2920 − 19
category as accurate and consistent as possible to facilitate comparison of
5.2.4 The type of treatment provided;
injury
...
This document is not an ASTM standard and is intended only to provide the user of an ASTM standard an indication of what changes have been made to the previous version. Because
it may not be technically possible to adequately depict all changes accurately, ASTM recommends that users consult prior editions as appropriate. In all cases only the current version
of the standard as published by ASTM is to be considered the official document.
Designation: E2920 − 14 E2920 − 19
Standard Guide for
Recording Occupational Injuries and Illnesses
This standard is issued under the fixed designation E2920; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope
1.1 This guide is intended to establish definitions and criteria for recording occupational injuries and illnesses to be used for
measuring safety performance, evaluating safety program performance, and improving consistency when comparing international
performance. A measurement system is desired that is precise and accurate, difficult to manipulate, significant and meaningful for
safety program evaluation, and appropriate for accountability purposes in a global environment.
1.2 Objectives of the occupational injury and illness measurement guide are as follows:
1.2.1 Provide a uniform and objective framework for recording work related work-related injuries and illnesses,
1.2.2 Facilitate use of injury and illness rates as a means of evaluating programs designed to control such injuries and illnesses,
and
1.2.3 Establish a basis for meaningful comparison of injury and illness rates across industries and countries.
1.3 In this guide, definitions and procedures necessary to maintain work-related injury and illness records and incidence rates
are covered.
1.4 Key elements of this guide include work relationship, definition of injuries and illnesses, levels of severity of occupational
incidents, accountability for contractor relationships, and specifications for injury and illness rate calculations.
1.5 Units—The values stated in English (or Imperial) units are to be regarded as the standard. The values given in parentheses
are mathematical conversions to SI units that are provided for information only.
1.6 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility
of the user of this standard to establish appropriate safety safety, health, and healthenvironmental practices and determine the
applicability of regulatory limitations prior to use. This standard is not a substitute for any legally required injury and illness
recordkeeping obligations.
1.7 This international standard was developed in accordance with internationally recognized principles on standardization
established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued
by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
2. Referenced Documents
2.1 ASTM Standards:
E1542 Terminology Relating to Occupational Health and Safety
3. Terminology
3.1 Definitions:Definitions—For definitions of some terms used in this not in this standard related to this guide, refer to
Terminology E1542.
3.1.1 contractor, n—person or business that provides goods or services for an enterprise but works for, is directly supervised
by, and is paid by a separate person or business.
3.1.1.1 contractor—nested, contractor—employer supervised, n—person who performs routine services for an enterprise but
works for, is directly supervised by, and is paid by a separate person or business. Examples include on-site guard, logistics, or
This guide is under the jurisdiction of ASTM Committee E34 on Occupational Health and Safety and is the direct responsibility of Subcommittee E34.80 on Industrial
Heath.
Current edition approved Jan. 1, 2014Aug. 15, 2019. Published January 2014August 2019. DOI:10.1520/E2920-14.Originally approved in 2014. Last previous edition
approved in 2014 as E2920 – 14. DOI:10.1520/E2920-19.
For referenced ASTM standards, visit the ASTM website, www.astm.org, or contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Standards
volume information, refer to the standard’s Document Summary page on the ASTM website.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
E2920 − 19
maintenance services.by an employer on a day-to-day basis but is paid indirectly through an agency or third party. Examples
include daily workers and temporary workers.
3.1.1.2 contractor—independent, n—person who works for, is directly supervised by, and is paid by one person or business but
performs services at various other businesses. Examples include persons engaged in temporary projects such as machine rigging,
ventilation installation, or construction. Other examples are copy machine repair and package delivery.
3.1.1.3 contractor—employer supervised, contractor—nested, n—person who performs routine services for an enterprise but
works for, is directly supervised by an employer on a day-to-day basis but is paid indirectly through an agency or third party.
Examples include daily workers and temporary workers.by, and is paid by a separate person or business. Examples include on-site
guard, logistics, or maintenance services.
3.1.2 employee, n—person who works for another in return for payment. As used in this guide, the term includes
employer-supervised contractors, but does not include independent or nested contractors.
3.1.2.1 Discussion—
As used in this guide, the term “employee” includes contractors that are directly supervised by the employer. Temporary workers
and workers with individual contract relationships may be included in this category. Independent and nested contractors are not
included in the term “employee.”
3.1.3 illness, n—occurrence of physical or mental harm or disease that develops over time in the course of work not as the result
of a single or instantaneous event.
3.1.4 injury, n—occurrence of physical or mental harm in the course of work as a result of a single or instantaneous event.
3.1.5 Level One cases—Level One cases are those cases that satisfy the work relationship and severity criteria of this guide.
3.1.6 Level Two cases—Level Two cases are those cases currently required to be reported by countries, states, and other
jurisdictions.
3.1.7 work related, adj—those cases that arise from activities within the scope of employment or are related to a condition of
employment, or both.
4. Significance and Use
4.1 This guide is intended to define work-related injuries and illnesses in a way that can be easily understood and measured
across countries. These injuries and illnesses can be used to evaluate, compare, and continually improve management systems and
programs related to worker safety and health. Although several levels of severity may be defined, the primary objective is to
identify cases with meaningful connection to work and cases with such potential consequence that they have value for prevention
purposes. The resultant data and incidence rates should improve global benchmarking consistency.
4.2 This guide defines recording criteria for Level One cases—cases that have a clear connection to the workplace and
consequences that are significant for driving injury and illness prevention and efforts.
4.3 While not mandated by this guide, recording of Level Two cases is encouraged and will still be mandatory in many
jurisdictions. Level Two cases are those cases currently required to be reported by countries, states, and other jurisdictions.
5. Work Relationship
5.1 An injury or illness to an employee is considered to be work related if it meets the following three tests:
5.1.1 Test 1—Was the case related to a condition of employment and therefore within the general scope of employment?
Specifically, was the employee:
(1) Being paid at the time of the injury and illness exposure, or
(2) Required by his or her employer to do the job or task, or both, or
(3) Performing the activity because the performance of the job mandated that the activity be undertaken?
5.1.1.1 If the answer is “no” to all three conditions, then the case is not work related.
5.1.1.2 If the answer to any of these three questions is “yes,” then the case is “in scope” and may be considered work related
if the following additional two tests are satisfied.
5.1.2 Test 2—Was there a direct connection between the exposure and the resulting employee condition? Did the exposure either
trigger the onset of symptoms or contribute to the severity of the case?
5.1.2.1 If the answer is “no,” then the case is not work related.
5.1.2.2 If the answer is “yes,” then the case is connected to work and may be considered work related if the other two tests are
satisfied.
5.1.2.3 Alternatively, for Test 2, ask: “would the case have occurred at the same time and with the same degree of severity
without the work exposure identified in 5.1.1 above?”
(1) If the answer is “yes,” then the case is not work related.
E2920 − 19
(2) If the answer is “no,” then the case is connected to work and may be considered work related if the other two tests are
satisfied.
5.1.3 Test 3—At the time of the incident/exposure, was the activity the employee engaged in, or the environmental factor(s) that
contributed to the case, subject to the general authority/control of the employer?
5.1.3.1 If the answer is “no,” then the case is not work related.
5.1.3.2 If the answer is “yes,” then the case may be considered work related if the other two tests are met.
5.1.3.3 When applying Test 3, even if the tests in 5.1.1 and 5.1.2 are met, do not consider the case work related if the exposure
was so personal in nature as to negate its relevance for prevention purposes. Examples:
(1) Employee throws back out from common cold related common-cold-related sneeze (normal body movement).
(2) Employee injures herself while preparing her own food or drink.
(3) Employee injures himself while conducting personal grooming.
NOTE 1—Employees can be doing something other than a specific work task and still be subject to the employer’s authority/control. This includes
support functions connected to work processes and operations, administrative functions connected to work, and normal living activities that routinely take
place at work if the employer has the authority to regulate how those living activities are conducted.
5.1.4 Injuries and illnesses of complex or multiple origins, including musculoskeletal conditions and certain occupational
diseases such as hearing loss, are considered work related if the above work-related criteria contributed sufficiently to the condition
to increase the severity level of the condition or trigger the onset of the condition.
5.1.5 Examples of injury and illness exposures that are provided in Appendix X1.
5.2 The following factors, although sometimes useful when investigating or evaluating a case, are not used to determine work
relationship or level of severity:
5.2.1 Whether or not a worker receives compensation for wages lost as a result of the effects of
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