Employer’s Guide to OSHA Severe Injury and Fatality Reporting
As an employer in an OSHA‐regulated industry, understanding and adhering to OSHA’s reporting requirements for severe injuries and fatalities is crucial. This guide serves as a comprehensive resource for learning about reporting obligations, common causes of workplace fatalities—including OSHA’s “Fatal Four”—and how to maintain compliance to improve overall workplace safety. For additional insights on standard reporting procedures, visit our osha reporting page.
OSHA’s Role in the Workplace
The Occupational Safety and Health Administration (OSHA) is the federal agency responsible for enforcing workplace safety standards and regulations in high-risk industries. OSHA mandates that employers implement procedures to promptly report severe work-related injuries and fatalities to help reduce injuries, illnesses and deaths. This framework not only protects workers but also ensures that incidents such as an osha recordable accident are properly documented and addressed.
Types of OSHA Reporting
OSHA Severe Injury Reporting
Under OSHA’s severe injury reporting rule, employers must notify OSHA within 24 hours of learning about any work-related serious injuries. Reporting can be completed by calling OSHA’s confidential toll-free number, contacting the nearest OSHA office, or by submitting an electronic form. Employers are required to provide key details, including the company name, incident location, the type of event and a brief description of what occurred.
What Does OSHA Define as a Severe Injury?
OSHA classifies a severe injury as one that involves in-patient hospitalization, amputation, or the loss of an eye.
OSHA Hospitalization Reporting
Employers are required to report all work-related in-patient hospitalizations to OSHA within 24 hours of becoming aware of them. This requirement excludes cases involving only diagnostic testing or observation. Examples of reportable hospitalizations include injuries from electrical hazards or severe lacerations that necessitate overnight care.
Reporting Fatalities to OSHA
In the event of a work-related fatality, employers must report the incident to OSHA within 8 hours of learning about it. Even if the fatality is exempt from maintaining injury and illness records, the reporting requirement still applies. Employers should provide all pertinent details to ensure a thorough investigation can occur.
How to Report a Serious Injury to OSHA
Employers have several options for reporting a serious injury:
- Call OSHA’s Confidential Toll-Free Number: 1-800-321-OSHA.
- Contact the Nearest Federal OSHA Area Office: Available during business hours.
- Submit an Electronic Form: Use OSHA’s online reporting portal.
For more guidance and to avoid common pitfalls, review our page on common osha reporting mistakes.
The OSHA Fatal Four

In the construction industry, four hazards are most frequently associated with workplace fatalities. These are commonly referred to as the “Fatal Four”:
- Falls: The leading cause of fatalities, where lack of proper fall protection or unsafe working surfaces results in serious injuries.
- Struck by Object: Incidents where workers are hit by falling or moving objects.
- Electrocutions: Fatal injuries caused by electrical hazards, often due to inadequate insulation or improper use of equipment.
- Caught-In or Caught-Between: Situations where employees are trapped between moving machinery or structures.
For a deeper dive into these hazards and prevention strategies, explore our resources designed for the construction industry.
Do OSHA Regulations Prevent Injuries and Deaths?
Effective enforcement and compliance with OSHA regulations have been shown to significantly reduce workplace fatalities and severe injuries over time. Data and charts from multiple studies illustrate a marked decrease in fatal incidents as employers adopt safer practices and adhere to OSHA guidelines.
Chart Description: A chart titled “Decrease in Workplace Fatalities Over Time” demonstrates the downward trend in fatalities, reinforcing the impact of strict safety protocols.
Learn more about how these improvements contribute to overall workplace safety.
OSHA Reporting Services by Medcor
Medcor offers comprehensive OSHA reporting services designed to support employers before and after severe incidents occur. With our onsite safety staffing, we help prevent OSHA violations through proactive safety measures. If an incident does occur, our team ensures that all reports are filed quickly and accurately to maintain compliance and safeguard your operations. Discover how our safety staffing solutions can provide you with peace of mind and a streamlined reporting process.
Ready to Enhance Your Safety Protocols?
Contact Medcor today to learn more about our employer support services and OSHA reporting solutions. Let us help you protect your workforce and maintain a compliant, safe workplace.