Employers, Doctors Intentionally Under Reporting Workplace Injuries and Illnesses

America’s workers suffer more workplace injury and illness than employers report, and medical professionals are under pressure from employers to misdiagnose and under-treat work related health conditions, according to a new report from the Government Accountability Office (GAO). The report confirms what workers and worker advocacy organizations have known for a long time—Occupational Safety and Health Administration (OSHA) statistics do not reflect the real risk workers face from workplace hazards.

“The consequences of misdiagnosis, missing medical treatment, and misinformation are real and deadly for America’s working families. Under reporting is not just a technical violation of the law. Resource allocation, from inspections to the targeting of specific hazards, depends on accurate reporting. Injuries and disease that could have been prevented needlessly take a toll in workers’ lives and well being as a result,” according to Eric Frumin, Health and Safety Coordinator for Change to Win.

As the report indicates, the motivation for employer abuse is built into the system. There are few incentives or protections for workers or medical professionals who resist employer intimidation.

For employers, fewer reported injuries often mean fewer OSHA inspections and lower workers compensation costs. For workers, seemingly benign employer sponsored programs to reward work groups with the fewest reported injuries or illnesses are a thinly veiled effort to discourage accurate reporting. And medical professionals report direct pressure from employers to under diagnose or even withhold treatment in order to keep the severity of injuries and illnesses below the reporting threshold.

Most importantly, the report reveals the pervasive level of fear workers have in reporting an injury or illness. More than two-thirds of health professionals observed worker fear in reporting.

“This is an unparalleled abuse of a basic workplace law that is fundamental to the lives and health of America’s working families. Congress should act now on the Protecting America’s Workers Act. The Act would specifically prohibit current under reporting abuses and give OSHA the means to correct the abuses. Workers must also have a voice at work. Too often employers can easily silence workers and suppress their rights. A worker voice means safer workplaces,” said Frumin.

The report was requested by U.S. Sens. Tom Harkin (D-IA) and Patty Murray (D-WA), and U.S. Reps. George Miller (D-CA) and Lynn Woolsey (D-CA). For a PDF of the report, send an e-mail with the words “GAO/OSHA Injury Report” in the subject line to tfm@groupc.com.


  1. I worked at Cambria quartz countertops and the boss decided to lock out the ventilation system because he didn’t want to pay the heating bill.
    Cambria calls themselves “Natural Quartz Surfaces.” The reality is Cambria is made by man with resin and small quartz stones.
    I called OSHA, and OSHA sent out a compliance officer…
    The ventilation system had a lock out tag on it when the OSHA officer entered the building. He interviewed the employees, and everyone said the vents are never on… The entire shop is a cloud of dust. We are breathing in dust, glue vapors, and the boss refuses to run the ventilation system.
    OSHA found that CAMBRIA was “under” Personal Exposure Limits, and said the dust was the same kind of dust we breathe in our houses. OSHA’s Officer said he wished “they” never wrote MSDS Sheets, and said I was paranoid…
    OSHA has no accountability. You call OSHA and there is no headquarters, you always get your local branch office.
    WELL, I FOUND out the ventilation system was required to run because of the unvented natural gas heaters that required a 1000 cubic feet per minute of mechanical air displacement. OSHA still did NOTHING!
    The building inspector, Randy Roberts, said OSHA was the enforcer of this violation. I called OSHA and after 3 months I was able to speak to a supervisor, Nancy Newman. Nancy told me I was a moving target who changed their story, and when you are a moving target, you are going to get shot down. Nancy said I was testing her patience, and she appreciated my interpretation of codes, and blew me off!
    OSHA is a failure.

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