Severe injury reporting

OSHA Amputation Reporting and Recordkeeping: What Safety Teams Should Do First

Report a work-related amputation to OSHA within 24 hours, including fingertip amputations with or without bone loss, then record the case on the 300 Log.

Updated 4 min readBy 300log Editorial Team
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The answer up front

Report a work-related amputation to OSHA within 24 hours, including fingertip amputations with or without bone loss, then record the case on the 300 Log. Amputations include body parts that are later reattached.

Key dates

  • 8 hours: report a work-related fatality, counted from when you learn of it (deaths within 30 days of the incident).
  • 24 hours: report an in-patient hospitalization, amputation, or loss of an eye (events within 24 hours of the incident).
  • 7 calendar days: record the case on the 300 Log and complete the 301.
  • Year end: the case is part of the reviewed log and the certified 300A.

The rule in plain English

Report to OSHA within 8 hours after a work-related fatality, and within 24 hours after a work-related in-patient hospitalization, amputation, or loss of an eye (29 CFR 1904.39). Report by phone or in person to the nearest Area Office, by calling 1-800-321-6742, or online at osha.gov/report; voicemail, fax, and email do not count. A fatality is reportable only if the death occurs within 30 days of the incident, and a hospitalization, amputation, or eye loss only if it occurs within 24 hours. The clock starts when you or your agent learn of the event and that it was work-related. Reporting does not replace recording: the case still goes on the 300 Log.

What to do in the first hours

Amputation cases create parallel duties that should not be handled in separate silos. Report covered work-related amputations within 24 hours and evaluate the recordable case separately.

  1. Confirm the event facts.
  2. Report if required.
  3. Create the log entry.
  4. Control follow-up communications.

If you miss it

Report as soon as you realize the deadline passed, and give OSHA the actual times: when the incident happened, when you learned of it, and when you reported. Late reporting can be cited, with a maximum of $16,550 per serious or other-than-serious violation in 2026. Then make sure the case is on the 300 Log as well.

Where teams go wrong

Teams sometimes treat the OSHA report as a substitute for the OSHA 300 entry.

Reporting decisions are made under pressure with partial facts, and a call that waits on an investigation is usually a late call. The fix is a written escalation path: who decides, who calls, which number, and what to have in hand, so the report never waits for the investigation.

As the safety manager you usually own the decision itself, so the most useful habit is writing down the fact each call rests on at the time you make it.

Situations that change the answer

  • The medical definition and the internal injury description need careful handling.
  • A heart attack at work that leads to death or hospitalization must be reported; the Area Office decides whether to investigate.

A worked example

A press operator loses the tip of an index finger, and surgeons reattach it. It is still an amputation: the site reports within 24 hours and records the case. A deep avulsion of skin from the same finger, with no loss of the fingertip, would not be a reportable amputation, though it is recordable.

Where 300log helps

300log records on each case's 301 whether the employee was treated in an emergency room or hospitalized overnight as an in-patient, and any date of death, so the log entry sits next to the facts behind a report. The report itself goes to OSHA by phone or at osha.gov/report.

For a quick answer without an account, use the free recordability checker.

Frequently asked questions

What if we learn about the event later?

The 8- or 24-hour clock starts when you or your agent learn of the event, or learn that it was work-related.

Does an emergency room visit count as hospitalization?

Not by itself. Only formal admission to in-patient service for care or treatment is reportable. Treatment and release from the emergency room is not.

What must be reported to OSHA within 24 hours?

Any work-related in-patient hospitalization, amputation, or loss of an eye that occurs within 24 hours of the incident.

How do I report to OSHA?

Call the nearest OSHA Area Office, call 1-800-321-6742, or use the online form at osha.gov/report. If the Area Office is closed, use the 800 number or the online form.

Sources

Primary regulation and agency guidance this article relies on.

  1. [1]29 CFR 1904.39: Reporting fatalities, hospitalizations, amputations, and losses of an eyeOccupational Safety and Health Administration · osha.gov(opens in a new tab)
  2. [2]29 CFR 1904.29: OSHA Forms 300, 300A, and 301Occupational Safety and Health Administration · osha.gov(opens in a new tab)
  3. [3]29 CFR 1904.7: General recording criteriaOccupational Safety and Health Administration · osha.gov(opens in a new tab)

Written and reviewed by the 300log Editorial Team. Guidance, not legal advice: confirm edge cases with OSHA or counsel.

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Keep the log, the 301s and the 300A in one place

300log turns each case into its OSHA 300 Log entry and 301 report, keeps privacy cases off the shared log, totals the 300A and files it with OSHA's ITA for you as soon as you authorize it.