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1109 DEATH resulting from occupational skin diseases or disorders |
Dust Diseases of the Lungs (Pneumoconioses) |
1111 Silicosis - caused by the depositing of dust containing free silica into the lung |
1112 Asbestosis - caused by the presence of asbestos in the lung |
1113 Coal worker's pneumoconiosis (formerly known as black lung) - caused by the depositing of coal dust |
in the lung |
FRA Guide for Preparing Accident/Incident Reports |
APPENDIX E - Continued |
Appendix E - 3 Injury and Illness Codes |
1114 Byssinosis (formerly known as brown lung) - caused by the depositing of cotton dust in the lung |
1115 Pneumoconioses, other. Other lung diseases characterized by the presence of dust in the lungs and the |
lungs reaction to that dust. |
1119 DEATH resulting from dust diseases of the lungs |
Respiratory Conditions Due to Toxic Agents |
1121 Pneumonitis - inflammation of the lungs |
1122 Pharyngitis - inflammation of the throat |
1123 Rhinitis - inflammation of the nose |
1124 Acute congestion due to chemicals, dust, gases, or fumes |
1125 Farmers lung |
1126 Other respiratory conditions due to toxic agents |
1129 DEATH resulting from respiratory conditions due to toxic agents |
Poisoning (Systemic Effects of Toxic Materials) |
1131 Poisoning by lead, mercury, cadmium, arsenic, or other metals |
1132 Poisoning by carbon monoxide, hydrogen sulfide or other gases |
1133 Poisoning by benzol, carbon tetrachloride, or other organic solvents |
1134 Poisoning by insecticide sprays such as parathion, lead arsenate |
1135 Poisoning by chemicals such as formaldehyde, plastics and resins |
1136 Other poisoning due to the systemic effects of toxic materials |
1139 DEATH resulting from poisoning |
Disorders Due to Physical Agents (Other than Toxic Materials |
1141 Heat stroke/sun stroke - serious heat-related condition in which the patient often stops sweating and |
experiences a marked rise in core temperature |
FRA Guide for Preparing Accident/Incident Reports |
APPENDIX E - Continued |
Appendix E - 4 Injury and Illness Codes |
1142 Effects of ionizing radiation - refers to the various effects of ionizing radiation, e.g. gamma rays or xrays |
1143 Effects of non-ionizing radiation - refers to the effects of electro-magnetic radiation, e.g., radio waves, |
microwaves, welding flash, ultraviolet rays of the sun, etc. |
1144 Heat exhaustion - heat-related condition of moderate degree which, if not treated, may lead to heat |
stroke. |
1145 Freezing/frostbite - freezing of tissue with disruption of the blood supply |
1146 Other disorders due to physical agents other than toxic materials |
1149 DEATH resulting from physical agents (other than toxic materials) |
Disorders Due to Repeated Trauma |
1151 Noise-induced hearing loss - a standard threshold shift (STS). An STS is a change in hearing noiseinduced hearing loss. If an employee’s hearing test (audiogram) reveals that the employee has |
experienced a work-related STS in hearing in one or both ears, and the employee’s total hearing level is |
25 decibels (dB) or more above audiometric zero (averaged at 2000, 3000, and 4000 Hz) in the same |
ear(s) as the STS, you must report the case on Form FRA F 6180.55a. |
A standard threshold shift, or STS, is defined in the occupational noise exposure standard at 29 CFR |
1910.95(g)(10)(i) as a change in hearing threshold, relative to the baseline audiogram for that employee, |
of an average of 10 dB or more at 2000, 3000, and 4000 Hz in one or both ears. |
STS. If the employee has never previously experienced a recordable hearing loss, you must compare |
the employee’s current audiogram with that employee’s baseline audiogram. If the employee has |
previously experienced a recordable hearing loss, you must compare the employee’s current audiogram |
with the employee’s revised baseline audiogram (the audiogram reflecting the employee’s previous |
recordable hearing loss case). |
25-dB loss. Audiometric test results reflect the employee’s overall hearing ability in comparison to |
audiometric zero. Therefore, using the employee’s current audiogram, you must use the average |
hearing level at 2000, 3000, and 4000 Hz to determine whether or not the employee’s total hearing level |
is 25 dB or more. |
See additional instructions in Chapter 6. |
1152 Synovitis - inflammation of the membrane around a joint or other musculoskeletal element |
1153 Tenosynovitis - inflammation of the tendon (fibrous tissue that connects the muscle to a bone) or the |
membrane that surrounds it, e.g., epicondylitis or tendinitis. |
1154 Bursitis - inflammation of the bursa (a membranous pouch that is used for cushioning the joints |
FRA Guide for Preparing Accident/Incident Reports |
APPENDIX E - Continued |
Appendix E - 5 Injury and Illness Codes |
1155 Raynaud’s phenomena - a symptom complex usually related to poor circulation of an extremity |
characterized by loss of feeling, blanching (whitening) and coolness of the part, typically a finger, toe, |
hand, or foot |
1156 Carpal tunnel syndrome |
1157 Other conditions associated with repeated motion, vibration, pressure, or repeated trauma. |
1159 DEATH resulting from repeated trauma |
Other Occupational Illnesses Not Listed above |
1191 Anthrax - bacterial disease, typically spread from infected animals to humans |
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