National Enforcement Program to Address Amputations in Manufacturing

Amputation NEP Manufacturing

After recordkeeping rules were updated at the end of last year to include hospitalizations, loss of an eye, and amputations, it became clear that OSHA was putting additional focus preventing and highlighting major injuries in the workplace. To further address the risk and frequency of amputatins—especially in the manufacturing industry—OSHA updated its National Emphasis Program on Amputations earlier this year.

With amputations in manufacturing occurring at a rate more than twice that of the private sector as a whole (1.7 incidence rate vs. 0.7), the new directive focuses on 80 activities with heightened risk of amputation.

Industry Focus: What High-Risk Industries Are Targeted?

The following 80 industries were highlighted as part of the NEP, derived through a progression of evaluating data from primarily four factors in three categories:

Category 1 (High IMIS and OIS Numbers):

OSHA selected five standards (29 CFR 1910.147, .212, .213, .217, and .219) that are generally recognized as related to amputation hazards, followed by identifying those industries with 40 or more OSHA inspections with one or more violations.

Category 2 (High Amputation rates from the Bureau of Labor and Statistics (BLS))

OSHA used the most recent five years of BLS Data (Calendar year 2009, 2010, 2011, 2012 and 2013) on incidence rates for nonfatal occupational injuries and illnesses involving days away from work per 10,000 full-time workers, selecting NAICS with incidence rates of 10.0 or greater for any given year.

Category 3 (High Amputation numbers from BLS)

OSHA used the most recent five years of BLS Data (Calendar year 2009, 2010, 2011, 2012 and 2013) on the number of amputations. OSHA selected NAICS with BLS numbers of 50 or more amputations per year.

The 80 Industries Highlighted in Amputation NEP

The 80 6-Digit NAICS codes that comprise the scope of this NEP have either High IMIS/OIS Numbers coupled with High BLS Amputation Rates or High IMIS/OIS Numbers coupled with High BLS Amputation Numbers.

  • There are 14 6-digit NAICS codes with high inspection counts and high BLS rates (categories 1 and 2 above).
  • There are 76 6-digit NAICS codes with high inspection counts and high BLS case counts (categories 1 and 3 above).

After eliminating the overlap between the two groups, the final total is the following 80 6- Digit NAICS codes.

NAICS Code NAICS Description Number of Employers


Food Manufacturing
311411 Frozen Fruit, Juice, and Vegetable Manufacturing 323
311412 Frozen Specialty Food Manufacturing 555
311511 Fluid Milk Manufacturing 771
311512 Creamery Butter Manufacturing 47
311513 Cheese Manufacturing 660
311514 Dry, Condensed, and Evaporated Dairy Product Manufacturing 639
311611 Animal (except Poultry) Slaughtering 2026
311612 Meat Processed from Carcasses 1128
311613 Rendering and Meat Byproduct Processing 243
311615 Poultry Processing 543
311811 Retail Bakeries 17748
311812 Commercial Bakeries 3788
311813 Frozen Cakes, Pies, and Other Pastries Manufacturing 304
311991 Perishable Prepared Food Manufacturing 274
311999 All Other Miscellaneous Food Manufacturing 2953


Wood Product Manufacturing
321113 Sawmills 2435
321114 Wood Preservation 640
321911 Wood Window and Door Manufacturing 1339
321912 Cut Stock, Resawing Lumber, and Planing 1257
321918 Other Millwork (including Flooring) 11132
321920 Wood Container and Pallet Manufacturing 3137


Paper Manufacturing
322211 Corrugated and Solid Fiber Box Manufacturing 1499
322212 Folding Paperboard Box Manufacturing 207
322219 Other Paperboard Container Manufacturing 646
322220 Paper Bag and Coated and Treated Paper Manufacturing 1710


Printing and Related Support Industries  
323111 Commercial Printing (except Screen and Books) 43417
323113 Commercial Screen Printing 3934
323117 Books Printing 467


Plastics and rubber products manufacturing  
326111 Plastics Bag and Pouch Manufacturing 283
326112 Plastics Packaging Film and Sheet (including Laminated) Manufacturing 144
326113 Unlaminated Plastics Film and Sheet (except Packaging) Manufacturing 820
326150 Urethane and Other Foam Product (except Polystyrene) Manufacturing 1175
326160 Plastics Bottle Manufacturing 290


Nonmetallic mineral product manufacturing  
327320 Ready-Mix Concrete Manufacturing 4155
327390 Other Concrete Product Manufacturing 4058


Primary Metal Manufacturing  
331491 Nonferrous Metal (except Copper and Aluminum) Rolling, Drawing, and Extruding 713
331492 Secondary Smelting, Refining, and Alloying of Nonferrous Metal (except Copper 292


Fabricated Metal Product Manufacturing  
332111 Iron and Steel Forging 912
332112 Nonferrous Forging 132
332114 Custom Roll Forming 29
332117 Powder Metallurgy Part Manufacturing 55
332119 Metal Crown, Closure, and Other Metal Stamping (except Automotive) 2926
332311 Prefabricated Metal Building and Component Manufacturing 1585
332312 Fabricated Structural Metal Manufacturing 6694
332313 Plate Work Manufacturing 1645
332321 Metal Window and Door Manufacturing 1679
332322 Sheet Metal Work Manufacturing 5030
332323 Ornamental and Architectural Metal Work Manufacturing 2447
332710 Machine Shops 17928
332991 Ball and Roller Bearing Manufacturing 348
332992 Small Arms Ammunition Manufacturing 241
332993 Ammunition (except Small Arms) Manufacturing 108
332994 Small Arms, Ordnance, and Ordnance Accessories Manufacturing 988
332996 Fabricated Pipe and Pipe Fitting Manufacturing 848
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing 3857


Machinery Manufacturing  
333111 Farm Machinery and Equipment Manufacturing 2691
333112 Lawn and Garden Tractor and Home Lawn and Garden Equipment Manufacturing 649
333611 Turbine and Turbine Generator Set Units Manufacturing 621
333612 Speed Changer, Industrial High-Speed Drive, and Gear Manufacturing 258
333613 Mechanical Power Transmission Equipment Manufacturing 486
333618 Other Engine Equipment Manufacturing 792


Computer and electronic product manufacturing  
334510 Electromedical and Electrotherapeutic Apparatus Manufacturing 2470
334511 Search, Detection, Navigation, Guidance, Aeronautical, and Nautical System and instrument manufacturing 1911
334512 Automatic Environmental Control Manufacturing for Residential, Commercial, and Appliance use 1159
334513 Instruments and Related Products Manufacturing for Measuring, Displaying, and controlling industrial process variables 2021
334514 Totalizing Fluid Meter and Counting Device Manufacturing 350
334515 Instrument Manufacturing for Measuring and Testing Electricity and Electrical signals 1864
334516 Analytical Laboratory Instrument Manufacturing 1560
334517 Irradiation Apparatus Manufacturing 321
334519 Other Measuring and Controlling Device Manufacturing 2493


Transportation equipment manufacturing  
336211 Motor Vehicle Body Manufacturing 10 935
336212 Truck Trailer Manufacturing 1016
336213 Motor Home Manufacturing 86
336214 Travel Trailer and Camper Manufacturing 873


Furniture and related product manufacturing  
337110 Wood Kitchen Cabinet and Countertop Manufacturing 11574
337121 Upholstered Household Furniture Manufacturing 900
337122 Nonupholstered Wood Household Furniture Manufacturing 3178
337124 Metal Household Furniture Manufacturing 432
337125 Household Furniture (except Wood and Metal) Manufacturing 506
337127 Institutional Furniture Manufacturing 2353


How NEP Selection Works

For employers in these industries, inspections are scheduled and conducted according to the following priorities. Excluded from this list are Employers with less than 10 employees (CPL 02-00-051).

Selections are made by cycle, and a “Cycle” can be defined as a subset of establishments from the master list. Creating cycles from a randomized list allows the Area Office to use its enforcement resources more efficiently. Inspecting firms within a cycle in the order that makes the most efficient use of OSHA’s resources does not diminish the plan’s neutrality.

An Area Office (AO), can schedule inspections in the following manner:

  • If the AO intend to inspect the entire master list, it can schedule the inspections in any order. If the AO uses this method, it must account (through inspections and deletions) for the entire list. The AO cannot inspect off a new list until the entire previous list is completed.
  • The AO can inspect the facilities in the random number order provided. If the AO uses this method, it does not need to complete the entire list.
  • The Area Office can create cycles by choosing a set number of establishments from the establishment list sorted in random number order. For example the AO can select the first ten establishments on the list sorted by ascending random number as a first cycle of 10 establishments. The AO can then inspect those establishments in any order, but must finish the cycle prior to beginning a second cycle. Once the first cycle is complete, the office can select the next ten establishments from the randomized list as its second cycle

This results in a randomized inspection process that is unbiased. This also means that if you are in the industries above, you can expect your name to be drawn.

We look forward to sharing with you part 2 of this guide, “what to expect during an Amputation NEP Inspection,” to be published tomorrow.

Need immediate help? Call the Optimum Safety Management Safety Helpline at 1-888-70-SAFE-T (707-2338).


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