Key Takeaways:
In a recent development, OSHA has officially withdrawn its proposal to amend the OSHA 300 Log to include a separate column for musculoskeletal disorders (MSDs). This decision, highlighted in Industrial Health and Safety News (ISHN) on July 18, 2025, reflects a long and complex rulemaking history and the agency’s conclusion that such a column would not significantly improve national injury data, aid enforcement, or support workplace-level interventions.
OSHA first introduced the idea of an MSD-specific column on its injury and illness reporting form—the OSHA 300 Log—in 2001. The aim was to better identify and track work-related MSDs. However, the rule was delayed and ultimately revoked in 2003, with OSHA stating the data gained wouldn’t meaningfully improve injury statistics or enforcement capabilities.
The idea resurfaced in 2010, when OSHA reopened public comments and engaged small businesses in discussions. Despite these efforts, the agency has now decided to abandon the proposal once again.
After reviewing updated comments and records, OSHA concluded that the arguments for the MSD column remain unchanged since 2003. Specifically, the data does not support the idea that such a column would:
Let’s look at each of these areas more closely.
Supporters of the MSD column argued it would provide better aggregate data and make it easier to estimate cases not resulting in days away from work (DAFW). However, OSHA found this reasoning flawed for several key reasons:
Claims of Underreporting Not Substantiated
Some commenters argued that MSDs are underreported because employers keep workers on light duty or use medications to avoid classifying the injuries as DAFW. Others said an MSD column would raise awareness and lead to more accurate reporting.
OSHA disagreed, stating that:
OSHA also found that adding an MSD column would not enhance its ability to target enforcement or outreach efforts. Here’s why:
Some industry groups warned that an MSD column could give the illusion of insight without real clarity. For example, the U.S. Chamber of Commerce pointed out that unlike well-defined conditions such as hearing loss or respiratory illnesses, MSDs involve many different causes, making it difficult to act on aggregated data.
One of OSHA's major considerations was whether the MSD column would help employers and workers identify and address ergonomic risks in their workplaces. The conclusion: It wouldn’t.
Ultimately, OSHA determined that any value from the MSD column is already obtainable through existing means—just with a bit more effort. A checkbox would not replace the detailed analysis needed to link injuries to workplace conditions.
Real-World Examples Show MSD Column Would Be Redundant
Numerous companies and organizations submitted comments describing their own effective injury tracking systems:
Even the United Food and Commercial Workers Union (UFCW) was able to perform meaningful analysis of MSDs in the meatpacking and poultry industries using existing 300 Logs—without the proposed column.
Final Thoughts: No Justification for the Change
OSHA emphasized that its withdrawal of the proposal does not affect existing employer obligations to record work-related injuries and illnesses, including MSDs. Employers must still fill out the 300 Log and 301 Incident Reports as usual.
But adding an MSD column would have:
In short, those proposing the change failed to demonstrate meaningful benefits in OSHA’s eyes.
OSHA’s Conclusion:
“MSD injuries are unique due to the variety of causes and symptoms. A simple column on the 300 Log would not provide the insight needed to address them effectively. The detailed information already collected remains the best way to understand and prevent these injuries.”
Bottom Line
As a consultant who works daily with employers, safety professionals, and frontline workers to prevent musculoskeletal disorders (MSDs), I respectfully disagree with OSHA’s recent decision to withdraw the proposal to add an MSD-specific column to the OSHA 300 Log. While the agency’s rationale is rooted in administrative pragmatism and statistical conservatism, the practical realities of injury prevention and workplace safety management tell a different story.
Here’s why the decision is a missed opportunity—and a step backward in efforts to reduce one of the most prevalent and costly workplace injury categories.
OSHA argues that an MSD column would only produce aggregate numbers without detail, making it difficult to interpret. But in my experience, aggregate data is often the critical starting point for identifying injury trends.
An MSD column would:
Perfect data should not be the enemy of actionable data. An MSD column would not replace detailed logs but complement them by offering a clearer signal that something needs attention.
OSHA claims that employers already record MSDs under various labels (e.g., "strained back") and that nothing prevents them from analyzing those logs. While true in theory, this assumes a level of data hygiene and consistency that simply doesn’t exist in many organizations.
In practice:
Without a distinct identifier, MSDs often go unrecognized and under-analyzed, especially when non-specialists review the data. Adding a checkbox would standardize and simplify identification, reducing the barrier to meaningful analysis.
Even if the column adds only modest statistical benefit, it has symbolic and behavioral value:
The presence of a dedicated MSD column would encourage more proactive prevention efforts, instead of reactive responses after patterns become severe or chronic.
OSHA’s rationale rests heavily on conclusions from 2003, reaffirmed without significant adjustment in 2025. But much has changed:
By relying on outdated reasoning, OSHA risks missing opportunities to modernize injury prevention to reflect today’s workplaces.
While a few large corporations already track MSDs internally with sophisticated systems, as noted in OSHA’s summary, most do not — they lack ergonomic expertise, even if they can afford expensive analytical tools. Most organizations would benefit from a simple, low-burden MSD column.
The MSD checkbox would:
Contrary to OSHA’s implication, the column would not be a redundant burden for these employers—it would be a practical tool.
OSHA dismisses concerns about underreporting, suggesting there’s no evidence that employers avoid recording MSDs to game the system. As someone who audits injury logs regularly, I can say with confidence: underreporting is real, and MSDs are among the most misclassified or omitted injuries.
Why?
A visible, dedicated column would provide a low-stakes way to capture and monitor MSDs—raising the overall level of honesty and transparency in reporting.
Conclusion: OSHA Missed a Chance to Make Prevention Easier
MSDs account for nearly one-third of all workplace injuries in the U.S. and lead to billions in costs, lost productivity, and pain. OSHA’s withdrawal of the MSD column proposal ignores the real-world utility of simple, structured data collection in driving injury prevention.
The MSD column will not solve all problems—but it would have:
In the field of prevention, visibility leads to action. OSHA had an opportunity to make one of the most common injury types more visible and easier to manage—and chose not to take it.
We urge OSHA to revisit this decision, engage directly with front-line safety professionals, and consider how a practical, low-burden change like the MSD column could support the mission of reducing preventable injuries nationwide.
At ErgoScience, we’ve spent decades helping employers transform that visibility into action - protecting employees, lowering costs, and building safer workplaces. Ready to see how we can help your organization? Book a call with us today.
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