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This section of the preamble first explains OSHA’s reasoning the day God took you home cardinalis cardinalis poster on the issue of work relationship, then discusses the exceptions to the general presumption and the comments received on the exceptions proposed,

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Some of these exceptions are included in the final rule, and therefore are discussed above, while others were rejected for various reasons. the day God took you home cardinalis cardinalis poster  The following discussion addresses those proposed exemptions not adopted in the final rule, or not adopted in their entirety. Recording only of diagnosed conditions directly attributable to a traumatic event in the workplace, involving either death or severe physical injury to the individual or a co-worker. Moreover, too little is known about the etiology of most mental conditions to justify any presumption or conclusion that a condition that surfaces at work was “caused” by something in the work environment. It is hard to imagine a mental illness appearing at work that is not a manifestation of a preexisting condition or predisposition.

Thus, the only sensible approach is to exclude all mental illnesses from recording requirements. Based on a review of the record, OSHA agrees with those commenters who supported a continuation of the Agency’s prior practice with regard to reliance on the geographic presumption for determinations of work-relatedness. OSHA finds that this approach, which includes all cases with a tangible connection with work, better serves the purposes of recordkeeping. Accordingly, the final rule relies on the geographic presumption, with a few limited exceptions, as the recordkeeping system’s test for work-relationship. The proposed rule also contained a similar definition of “work-related” and “work environment.” The only significant difference between the proposed and the final rule definitions is that the proposed rule also would not have required a “significant” aggravation of a pre-existing condition before it became recordable; under the proposal, any aggravation would have been sufficient