The facts
- A warehouse worker steps on a nail that has come through a pallet.
- The wound is cleaned and flushed, and the clinic administers a tetanus booster because the employee's last one was over ten years ago.
- No prescription is issued, no restriction is imposed, and they finish the shift.
The determination
Not recordable
Work-related, but it meets none of the 1904.7(a) recording criteria, so it is not recordable.
Decision trail
- 01
Did an event or exposure in the work environment cause or contribute to the case?
Yes — presumed work-related, subject to the 1904.5(b)(2) exceptions.
29 CFR § 1904.5(a)(a) Basic requirement. You must consider an injury or illness to be work-related if an event or exposure in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing injury or illness. Work-relatedness is presumed for injuries and illnesses resulting from events or exposures occurring in the work environment, unless an exception in § 1904.5(b)(2) specifically applies.
- 02
Is this a new case?
Yes.
29 CFR § 1904.6(a)(a) Basic requirement. You must consider an injury or illness to be a “new case” if:
- 03
Does the case meet one or more of the general recording criteria in 1904.7(a)?
No — the only treatment provided appears on the exhaustive first-aid list.
29 CFR § 1904.7(a)(a) Basic requirement. You must consider an injury or illness to meet the general recording criteria, and therefore to be recordable, if it results in any of the following: death, days away from work, restricted work or transfer to another job, medical treatment beyond first aid, or loss of consciousness. You must also consider a case to meet the general recording criteria if it involves a significant injury or illness diagnosed by a physician or other licensed health care professional, even if it does not result in death, days away from work, restricted work or job transfer, medical treatment beyond first aid, or loss of consciousness.
29 CFR § 1904.7(b)(5)(iii)(iii) Are any other procedures included in first aid? No, this is a complete list of all treatments considered first aid for part 1904 purposes.
Computed at build time by Job13’s engine from the facts above — not written by hand. Change the facts and re-run it yourself →
What is actually going on here — Job13's explanation
A tetanus shot is one of the few immunizations the regulation carves out as first aid by name. Cleaning and flushing the wound is also on the list. Nothing here crosses into medical treatment, so on these facts there is nothing to record.
The carve-out is narrow and it is worth reading the parenthetical: the same provision names Hepatitis B and rabies vaccine as medical treatment. A post-exposure hepatitis B shot after the same puncture would make the case recordable.
Watch what happens next, too. If the puncture later becomes infected and the employee is put on antibiotics, that prescription is medical treatment and the case becomes recordable then.
The provisions this turns on
In the regulation's own words
(B) Administering tetanus immunizations (other immunizations, such as Hepatitis B vaccine or rabies vaccine, are considered medical treatment);
(C) Cleaning, flushing or soaking wounds on the surface of the skin;
Change one fact
If a hepatitis B vaccine had been given instead
Only tetanus immunization is first aid. The same provision names Hepatitis B and rabies vaccine as medical treatment, which makes the case recordable on treatment alone.
The determination on those facts instead
Recordable
Recordable — the case meets the 1904.7(a) criterion: Medical treatment beyond first aid.
Criteria met
- • Medical treatment beyond first aid
Decision trail
- 01
Did an event or exposure in the work environment cause or contribute to the case?
Yes — presumed work-related, subject to the 1904.5(b)(2) exceptions.
29 CFR § 1904.5(a)(a) Basic requirement. You must consider an injury or illness to be work-related if an event or exposure in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing injury or illness. Work-relatedness is presumed for injuries and illnesses resulting from events or exposures occurring in the work environment, unless an exception in § 1904.5(b)(2) specifically applies.
- 02
Is this a new case?
Yes.
29 CFR § 1904.6(a)(a) Basic requirement. You must consider an injury or illness to be a “new case” if:
- 03
Does the case meet one or more of the general recording criteria in 1904.7(a)?
Yes — Medical treatment beyond first aid.
29 CFR § 1904.7(a)(a) Basic requirement. You must consider an injury or illness to meet the general recording criteria, and therefore to be recordable, if it results in any of the following: death, days away from work, restricted work or transfer to another job, medical treatment beyond first aid, or loss of consciousness. You must also consider a case to meet the general recording criteria if it involves a significant injury or illness diagnosed by a physician or other licensed health care professional, even if it does not result in death, days away from work, restricted work or job transfer, medical treatment beyond first aid, or loss of consciousness.
29 CFR § 1904.7(b)(5)1904.7(b)(5)(ii)(B) makes only tetanus immunization first aid and names Hepatitis B and rabies vaccine as medical treatment.
Your case is not this case
Scenarios are worked examples on stated facts. Small differences — who recommended the treatment, whether participation was voluntary, what the employee’s routine functions actually are — change the answer. Run your own facts, and the determination will show you which step decided it.
Check your case — freeNot legal advice. This page republishes 29 CFR Part 1904 as published by the eCFR and explains it. The recordkeeping duty is the employer’s. Where the rule requires judgement, Job13 says so rather than guessing — run your own case through the free check.