BILL ANALYSIS                                                                                                                                                                                                    Ó




                                                                  AB 326
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          Date of Hearing:   April 10, 2013

                     ASSEMBLY COMMITTEE ON LABOR AND EMPLOYMENT
                               Roger Hernández, Chair
                    AB 326 (Morrell) - As Amended:  April 3, 2013
           
          SUBJECT  :   Occupational safety and health standards: reporting.

           SUMMARY  :   Modifies specified reporting requirements related to  
          occupational safety and health.  Specifically,  this bill  :

          1)Provides that every employer shall make an immediate report to  
            the Division of Occupational Safety and Health (DOSH) of each  
            fatality or hospitalization incident that occurs within 30  
            days of a work-related incident.

          2)Provides that nothing in this bill shall be construed to  
            require the reporting of any work-related fatality or  
            hospitalizations that occurs after 30 days of a work-related  
            incident.

           EXISTING LAW  :

          1)Requires every employer to file a report to the Department of  
            Industrial Relations (DIR) of every injury or occupational  
            illness that results in lost work time or which requires  
            medical treatment beyond first aid.  The report is required to  
            be filed within five days after the employer obtains knowledge  
            of the injury or illness.

          2)Provides that in every case involving a serious injury or  
            illness or death, the employer shall also make an immediate  
            report to DOSH.  An employer who violates this requirement may  
            be assessed a civil penalty of not less than $5,000.

          3)Provides that whenever a fire or police agency is called to an  
            accident in which a serious injury or illness or death occurs  
            the responding agency shall immediately notify DOSH.

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   This bill is sponsored by the Public Agency Safety  
          Management Association (PASMA) and appears designed to modify  
          the state law reporting requirements for specified occupational  
          safety and health incidents to more closely mirror federal law.   









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          "Specifically, the concern is that essentially any  
          hospitalization which may be considered work-related, regardless  
          of the length of time that has passed since the original  
          incident, must be reported to Cal/OSHA."<1>







           Existing Reporting Requirements Under State Law  

          Current California law requires every employer to file a report  
          to DIR of every injury or occupational illness that results in  
          lost work time or which requires medical treatment beyond first  
          aid.  The report is required to be filed within five days after  
          the employer obtains knowledge of the injury or illness.

          In addition, current law provides that in every case involving a  
          serious injury or illness or death, the employer shall also make  
          an immediate report to DOSH.  An employer who violates this  
          requirement may be assessed a civil penalty of not less than  
          $5,000.

          "Serious injury or illness" is defined in Section 330(h) of the  
          regulations as any hospitalization for a period in excess of 24  
          hours for other than medical observation.















          ---------------------------
          <1> PASMA Legislative and Regulatory Representative Bill Taylor,  
          quoted in "Bill Seeks Changes to § 342(a) Rules."  Cal-OSHA  
          Reporter (March 8, 2013).





















                                                                  AB 326
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          The $5,000 civil penalty<2> for failure to immediately report a  
          serious injury or illness or death was added by AB 2837 (Koretz)  
          from 2002.  The legislative history of AB 2837 indicates that  
          the impetus for the bill was raised in a series of articles in  
          the Orange County Register in October 2001 which reported on  
          problems with fatal workplace accidents in Orange County that  
          were not timely reported or investigated.  That issue was also  
          discussed at a hearing of the Senate Committee on Labor and  
          Industrial Relations in November 2001.

          The regulations governing the existing "immediate" reporting  
          requirement provide that:

               "Immediately means as soon as practically possible but not  
          longer than 8 hours after the 
               employer knows or with diligent inquiry would have known of  
               the death or serious injury or illness.  If the employer  
               can demonstrate that exigent circumstances exist, the time  
               frame for the report may be made no longer than 24 hours  
               after the incident."  (8 C.C.R. § 342(a)).

          A 2003 decision of the Occupational Safety and Health Appeals  
          Board explains the policy rationale behind the reporting  
          requirement and explains in further detail the contours of the  
          "immediate" reporting requirement as follows:

               "The purpose of the reporting requirement is to allow the  
               Division to quickly respond to injuries or illnesses  
               occurring on the job. The Board has long noted that the  
               purpose of requiring a rapid response is necessary to  
               inspect potentially dangerous conditions close to the time  
               of the accident or illness and to examine any equipment  
               that may have caused an injury or illness. (Alpha Beta  
               Company, Cal/OSHA App. 77-853, Decision After  
               Reconsideration (Nov. 2, 1979)) An additional policy behind  
               the requirement is to provide for a timely inspection by  
               the Division of potentially dangerous conditions or  
               equipment that may have caused the injury and that may pose  
               a safety or health risk to other employees. (Welltech  
               Incorporated, Cal/OSHA App. 90-784, Decision After  
               Reconsideration (Aug. 22, 1991))?

          ---------------------------
          <2> Although the specific application of the $5,000 civil  
          penalty is not at issue in this bill, it is worth noting that  
          the $5,000 penalty has been somewhat of a controversial issue  
          before the OSHA Appeals Board.  The main controversy has  
          surrounded whether the legislative history of AB 2837 supports  
          allowing DOSH and the OSHA Appeals Board to modify the $5,000  
          penalty under certain circumstances.  In its most recent  
          decision on this issue, the OSHA Appeals Board has adopted a  
          rule that generally provides that the $5,000 penalty is  
          mandatory when an employer fails to report a serious injury or  
          illness or death, but that the penalty may be modified in  
          situations where the report is late.  "Treating this employer  
          who reported a few days late, the same as those who fail to  
          report at all leads to unjust and absurd results."  Central  
          Valley Engineering & Asphalt, Inc. (December 4, 2012).  This  
          standard may or may not comport with the legislative intent of  
          AB 2837.








                                                                  AB 326
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               ?In order for the purpose of the regulatory requirement to  
               be served, an employer must be required to report a serious  
               injury or illness to the Division immediately when the  
               employer knows or with diligent inquiry would have known of  
               the death, serious injury or illness. Consistent with the  
               terms in the regulation and public policy considerations  
               stated above, it is the facts giving rise to Petitioner's  
               actual or constructive 'knowledge' of the serious injury  
               which are dispositive for determining a violation of the  
               eight-hour rule in section 342(a)?

               ?Since the Act is aimed at promoting a safe working  
               environment for all working Californians, liberally  
               construing the Act consistent with its objectives is  
               required."
               
          (Benicia Foundry & Iron Works, Inc. (April 24, 2003).

           Reporting Requirements Under Federal OSHA  

          Federal law under the Occupational Safety and Health Act (OSHA)  
          contains different reporting requirements for employers after  
          specified incidents.  Specifically, the regulations implementing  
          the federal law provide as follows:

               "Within eight (8) hours after the death of any employee  
               from a work-related incident or the inpatient  
               hospitalization of three or more employees as a result of a  
               work-related incident, you must orally report the  
               fatality/multiple hospitalization by telephone or in person  
               to the Area Office of the Occupational Safety and Health  
               Administration (OSHA), U.S. Department of Labor, that is  
               nearest to the site of the incident."  (29 C.F.R. §  
               1904.39(a)).

          In addition, the federal regulations provide as follows:

               "(6) Do I have to report a fatality or hospitalization that  
          occurs long after the incident?
               No, you must only report each fatality or multiple  
               hospitalization incident that occurs within thirty (30)  
               days of an incident."  (29 C.F.R. § 1904.39(b)(6)).

           Changes Proposed by This Bill  










                                                                  AB 326
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          This bill provides that every employer shall make an immediate  
          report to DOSH of each fatality or hospitalization incident that  
          occurs within 30 days of a work-related incident.  The bill also  
          provides that nothing shall be construed to require the  
          reporting of any work-related fatality hospitalizations that  
          occurs after 30 days of a work-related incident.

          Thus, it appears that this bill seeks to generally track the  
          federal 30-day reporting requirement.  As introduced, the bill  
          referred to "multiple hospitalizations," which seemed to track  
          the federal definition for "inpatient hospitalization of three  
          or more employees."  However, the bill has subsequently been  
          amended to delete the reference to "multiple" hospitalizations.


           ARGUMENTS IN SUPPORT  :

          The author states the following in support of this bill:

            "There are several problems with this approach to injury  
            reporting.  Requiring California employers and Fire and Police  
            Agencies to report every employee hospitalization to OSHA  
            within 8 hours is neither reasonable, feasible, nor effective.  
             Because there is no statute of limitations on reporting these  
            hospitalizations, California employers, including Public  
            Sector employers, could be cited and fined $5,000 for any  
            hospitalization, such as one for back or carpal tunnel  
            surgery, which frequently occurs several months or even years  
            after the date of the injury.

                This low threshold for injury reporting and the lack of a  
            statute of limitations is not consistent with Federal/OSHA  
            language, specifically, 29 CFR Section 1904.39(b)(6), which  
            requires that only fatalities and multiple hospitalization  
            incidents which occur within 30 days of the incident are  
            required to be reported.  It is estimated that over 95% of  
            work-related hospitalizations which occur 30 days or more  
            after the initial injury are for non-emergency type medical  
            procedures such as orthopedic injuries, such as back or carpal  
            tunnel surgeries.  These hospitalizations almost always occur  
            several months or even years after the actual injury. 

                The legislative intent of reporting fatalities and  
            multiple hospitalizations incidents that occur within 30 days  
            of an incident was to allow OSHA to focus more closely and  









                                                                  AB 326
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            respond immediately to those serious hazards in workplaces,  
            and to immediately address any imminent hazards so that OSHA  
            could make the corrections to protect other workers from  
            suffering similar injuries.   The hospitalizations which occur  
            more than 30 days after incident do not rise to the level of  
            serious injuries or illness which should require an onsite  
            inspection and investigation by an OSHA compliance officer. 

            In addition to the problem of reporting hospitalizations which  
            occurs several months after an incident, the reporting of  
            every hospitalization creates a tremendous burden on our Fire  
            Departments who also have to report any work-related  
            hospitalizations.  If a Fire Department does not report each  
            work-related hospitalization they can be assessed a $5,000  
            penalty.  

            Based on Recent data from the Fed/OSHA EFAME audits, because  
            California has such a low threshold for reporting, California  
            employers and fire/police departments are reporting 14 times  
            as many injuries to Cal/OSHA compared to those employers and  
            Fire/Police departments in other states.  The result is that a  
            significant amount of time is being misallocated as a result  
            of the requirements for gathering  information and reporting  
            these hospitalization incidents for what in many cases are  
            either relatively minor injuries, or injuries that don't rise  
            to the level of what Fed/OSHA considers to be a serious  
            incident. 
          
            In California a significant portion of staff time and a  
            Cal/OSHA compliance officer's workday is spent responding to  
            these reported accidents. In fact, a recent audit of the  
            Cal/OSHA program by Fed/OSHA revealed that 26% of all  
            inspections in California were result of accidents reported to  
            Cal/OSHA.  In comparison, in almost every State OSHA plan,  
            accident related inspections accounted for 2% of all OSHA  
            inspections.   California is diverting limited staff and  
            resources responding to these "accident reports", when if the  
            Federal Standard were followed more staff time could be  
            allocated to conducting programmed or focused inspections on  
            high hazard workplaces, rather than responding to many of  
            these less severe reported hospitalizations.  California's  
            inspection priorities appear to be adapted to a more reactive  
            rather than proactive mode as it relates to injury prevention  
            and workplace safety efforts."










                                                                  AB 326
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          Similarly, other supporters, including the California Chamber of  
          Commerce, argue that a "limitless" reporting period is  
          unwarranted and creates confusion and unjust liability for  
          employers.  The purpose of immediate reporting of a serious  
          injury or fatality due to a work-related incident is so that  
          DOSH can quickly open an investigation and inspect the  
          workplace's conditions.  This is to ensure preservation of  
          evidence and to determine whether any modification could prevent  
          similar subsequent occurrences.  Supporters argue that such  
          rationale vanishes after substantial times has passed after the  
          incident.

           ARGUMENTS IN OPPOSITION  :

          The California Labor Federation opposes this measure and states  
          that current law states that employers must "immediately" report  
          workplace injuries and illnesses to DOSH, in most cases within  
          eight hours.  This short time frame is critical for several  
          reasons, chief among them the pressing need for DOSH experts to  
          examine the worksite and assess whether or not other workers  
          also face the risk of harm.

          The California Labor Federation argues that, simply because an  
          injury is recent, the hazard responsible for the injury may not  
          be.  Workers at a given site may have been working under  
          unreasonably or illegally dangerous conditions for years.  In  
          such a case, it is still imperative that inspectors get to the  
          site and take necessary precautionary measures as soon as  
          possible.  Otherwise, easily preventable injuries connected to  
          the same hazard could happen at any time.

          The California Labor Federation states that this bill would  
          eliminate an employer's responsibility to report a workplace  
          injury or illness if a worker seeks treatment more than 30 days  
          after the incident.  This change would hide many injuries from  
          DOSH's purview and thus preserve countless serious and  
          potentially fatal hazards in every industry sector across  
          California.  What is worse is that some of the most crippling  
          workplace illnesses carry latency periods much longer than 30  
          days.  This bill would prolong workers' exposure to the most  
          serious hazard.

          The California Nurses Association writes the following in  
          opposition to this bill:










                                                                  AB 326
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               "The premise of [this bill] relies upon an assumption that  
               the safety of a workplace is tied directly to the length of  
               time it takes for an injured worker to seek medical  
               treatment, and that a fatality or hospitalization that  
               occurs more than 30 days after a hazardous incident occurs  
               does not rise to the level of a serious injury or illness  
               triggering a Cal/OSHA inspection.  We disagree with this,  
               and assert that there are a variety of reasons that an  
               injured worker may not seek medical treatment until after  
               30 days of a workplace injury or illness has occurred.  For  
               example, registered nurses (RN) may be exposed to a variety  
               of infectious diseases through their daily course of work,  
               some of which, including tuberculosis and HIV, have  
               incubation periods that may extend beyond 30 days.   
               Further, RNs and other health care workers regularly  
               sustain musculoskeletal injuries while on duty,  
               particularly from lifting and handling patients.  Some of  
               these injuries may not rise to the level of hospitalization  
               within 30 days, but over time may require hospitalization.   
               Under this bill, fatalities or hospitalizations for these  
               ill or injured employees would go unreported, and Cal/OSHA  
               would not be able to hold the employer accountable and  
               ensure that action by the employer is taken to prevent  
               similar hazards from occurring.

               The length of time an employee takes to seek treatment for  
               a work-related injury or illness is not indicative of  
               whether or not a workplace is safe or an employer is taking  
               the appropriate precautions to prevent hazards from  
               occurring.  Cal/OSHA should be informed of workplace  
               hazards regardless of how long a fatality or  
               hospitalization occurs after an incident so that it can  
               promptly inspect and ensure that employers are properly  
               protecting employees and providing safe and healthy  
               workplaces." 

          Similarly, other opponents state that, for various reasons,  
          injured workers often do not seek medical treatment until  
          sometime after an incident occurred.  Symptoms frequently take  
          days, months, or even years to manifest, employees may fear  
          retaliation, or a worker may not even realize that their  
          condition stems from a work-related injury.  The fact that a  
          worker has waited to seek care can mean any number of things,  
          but it does not in any way relate to the question of whether or  
          not the hazard responsible still exists.









                                                                  AB 326
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           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Associated General Contractors of California
          Associated Roofing Contractors of the Bay Area Counties, Inc.
          California Association of Joint Powers Authorities
          California Chamber of Commerce
          California Chapter of American Fence Association
          California Farm Bureau Federation
          California Fence Contractors' Association
          California Framing Contractors Association
          California Manufacturers and Technology Association
          California Professional Association of Specialty Contractors
          California State Association of Counties
          Engineering Contractors' Association
          Flasher Barricade Association
          Marin Builders Association
          Public Agency Safety Management Association (sponsor)
          Residential Contractor's Association
          Walter & Prince LLP

           Opposition 
           
          California Labor Federation, AFL-CIO
          California Nurses Association
          California Rural Legal Assistance Foundation
          California State Association of Electrical Workers
          California State Pipe Trades Council
          National Lawyers Guild, Labor and Employment Committee
          State Building and Construction Trades Council
          Western States Council of Sheet Metal Workers
          WORKSAFE


           Analysis Prepared by  :    Ben Ebbink / L. & E. / (916) 319-2091