The Costs of Overlooking Medical Surveillance Testing - Worksite Medical
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OSHA and Medical Surveillance


Time is a valuable resource on a productive worksite.

Employers and workers focus on the tasks at hand, and sometimes they overlook required comprehensive medical surveillance.

Keeping medical screenings and surveillance on the back-burner puts workers at risk for health complications and injuries.

In many cases, it creates extreme health issues, and it leads to fines and even shutdowns.

The Bipartisan Budget Act of 2015 increased OSHA penalties, and caused fines to spike from an average of $3,285 to $5,085 in the matter of a year.

Without proper medical surveillance plans in place, fines increase dramatically. OSHA’s top enforcement cases show that companies face penalties of more than $40,000, with some as high as $500,000.

The fact of the matter is that OSHA violations are costly.

How costly? That depends on the amount of violations, and their severity.

Just one infraction costs up to $132,598.

So, how much could you end up paying? See the chart below:

Violation Type Maximum Penalty
Other than Serious Violations $13.260
Failure to Abate $13,260 per day beyond the abatement date
Willful or Repeated $132,598


Fines begin with other-than-serious violations, or ones that neither cause death or injury, but are nevertheless related to employee safety and health.

OSHA considers “lesser” violations as “de minimis” violations, or technical violations of OSHA rules that do not have an impact on health or safety. Under those circumstances, inspectors issue no fines, but instead give verbal warnings with notes on your case inspection file.

If an employer knows, or should know, of a situation that has a probable chance of causing serious injury or death, but does not take steps to solve it, OSHA will issue a serious violation.

Willful and repeat violations result in even heavier fines.


Top Health Violations


Violations affecting health such as hazard communication and respiratory protection always appear on the top-10 OSHA violations list.


Related Article: 2018 OSHA Top-10 Violations List


Respiratory health hazards are easily avoidable, yet employers constantly receive fines for the following infractions:

  1. 1910.134(e)(1) Medical evaluation for respiratory protection
  2. 1910.134(c)(1) Respiratory protection requirement
  3. 11910.134(f)(2) Respirator fit testing
  4. 1910.134(c)(2)(i) Employer must establish respiratory program
  5. 1910.134(d)(1)(iii) The employer shall identify and evaluate the respiratory hazard(s) in the workplace


Related: Download your free respirator refresher guide!


Medical Surveillance Testing is Easier Than Ever


Performing comprehensive medical surveillance doesn’t need to disrupt a work day.

Worksite Medical bring the medical testing right to your job site.

Get a comprehensive review of all occupational screenings with recommendations provided to each individual employee. We keep your team at work, and your worksite OSHA compliant. That means saving money, time, and lives.

Contact Worksite Medical today by completing the form below, or call us at 1-844-OCCUMED to schedule!

Request a Quote or Schedule Your Testing