Report all suspected or confirmed cases of:
Serious work-related traumatic injury to a person under 18
Any minor/young adult with a serious work-related traumatic injury, defined as an injury that results in death or hospitalization, or, in the judgment of the treating health care provider, results in:
- Significant scarring or disfigurement
- Permanent disability
- Protracted loss of consciousness
- Loss of body part or function
- Less significant injury but similar to injuries sustained by others at the same workplace
Sharps injuries as required by 105 CMR 130.1001 et seq.
OHSP also collects and analyzes information regarding percutaneous injuries among healthcare workers providing care in a hospital or satellite unit covered by the hospital's license. The instructions and the Annual Summary for Sharps Injuries are listed below for your convenience:
Work-related acute chemical poisoning
Carbon Monoxide (CO) Poisoning
- Any patient with a physician’s diagnosis of CO poisoning AND a history of occupational exposure.
- Any patient with a physician’s diagnosis of acute systemic illness or subacute illness or condition (e.g. dermatologic, ophthalmologic) due to pesticides; AND a history of occupational exposure.
Other Acute Chemical Poisoning
- Any patient with acute poisoning caused by occupational exposure to any other chemical (e.g. cyanide, hydrogen sulfide, chlorinated hydrocarbon solvents).
Patients with a physician’s diagnosis of asthma AND an association between symptoms and work:
- Newly sensitized by exposures at work, OR
- With pre-existing asthma exacerbated by exposures at work, OR
- For whom a one-time exposure to chemical(s) at work resulted in generalized airway hyperactivity.
Other work-related lung diseases
Chemical or Hypersensitivity Pneumonitis
- Diagnosis of pneumonitis; with a history of recent work exposure to a suspect agent
- Diagnosis of silicosis, asbestosis, berylliosis or other pneumoconiosis
Other possible work-related lung diseases
- COPD, infectious disease, bronchiolitis obliterans with suspicion of work causation or exacerbation
Heavy metal absorption
- Mercury (blood >15 μg/L, or urine >35 μg/gram creatinine)
- Cadmium (blood >5 μg/L, or urine >5 μg/gram creatinine)
- Any other case of heavy metal absorption believed to be related to exposures at work
Providers are not required to report elevated lead levels. Lead levels >0 μg/dL in blood in persons 15 years and older are reported by laboratories to the Massachusetts Occupational Lead Poisoning Registry.
Outbreaks of work-related diseases
Occurrence in a workplace of cases of an illness in excess of the number of cases usually expected. Work-related disease is defined as a disease or condition which is believed to be caused or aggravated by conditions in the individual’s workplace. Outbreaks or clusters are identified by significant increases in the usual frequency of the disease, among the specified population, at the same season of the year.