29 CFR 1910 · General Industry

1910.1020(d): Keeping Medical and Exposure Records

By Black Belt Safety Editorial Team Official text as of octubre 15, 2026 Data updated noviembre 1, 2026 4 min read

In plain words:

Unless another standard says otherwise, employers must keep each employee's medical record for the length of employment plus 30 years and each exposure record for at least 30 years. Some records are excepted, such as separate health insurance claims, minor first aid records, and records of workers employed less than one year if given to them when they leave.

Key takeaways

  • 1910.1020(d) is part of OSHA's general industry standards (29 CFR Part 1910).
  • OSHA cited it 15 times in the last 3 years, in 14 inspections, with $4,516 in current penalties.
  • Most citations: OH (3), MI (2), OR (2).
  • Related part: 1910.1020(d)(1) (15 citations).
  • Free 5-minute toolbox talk for your crew below.

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15citations, 3 years
$4,516current penalties
14inspections
0linked injury cases
In this article
  1. What this rule covers
  2. Official text
  3. Where and how often it was cited
  4. Free toolbox talk
  5. OSHA interpretation letters
  6. Related parts of this rule
  7. Get your crew competent
  8. Frequently asked questions
  9. About this page

What this rule covers

29 CFR 1910.1020(d) ("Preservation of records") is one requirement inside 1910.1020 Access to employee exposure and medical records, an OSHA general industry standard (Part 1910). It includes 11 sub-paragraphs. The official text below is copied word for word from the Electronic Code of Federal Regulations (eCFR). The numbers, injury cases and training on this page show how OSHA enforces it on real job sites.

Official text

(d) Preservation of records. 15 citations

(1) Unless a specific occupational safety and health standard provides a different period of time, each employer shall assure the preservation and retention of records as follows: Open (d)(1) 15 citations

(i) Employee medical records. The medical record for each employee shall be preserved and maintained for at least the duration of employment plus thirty (30) years, except that the following types of records need not be retained for any specified period: Open (d)(1)(i) 6 citations

(A) Health insurance claims records maintained separately from the employer's medical program and its records,

(B) First aid records (not including medical histories) of one-time treatment and subsequent observation of minor scratches, cuts, burns, splinters, and the like which do not involve medical treatment, loss of consciousness, restriction of work or motion, or transfer to another job, if made on-site by a non-physician and if maintained separately from the employer's medical program and its records, and

(C) The medical records of employees who have worked for less than (1) year for the employer need not be retained beyond the term of employment if they are provided to the employee upon the termination of employment.

(ii) Employee exposure records. Each employee exposure record shall be preserved and maintained for at least thirty (30) years, except that: Open (d)(1)(ii) 9 citations

(A) Background data to environmental (workplace) monitoring or measuring, such as laboratory reports and worksheets, need only be retained for one (1) year as long as the sampling results, the collection methodology (sampling plan), a description of the analytical and mathematical methods used, and a summary of other background data relevant to interpretation of the results obtained, are retained for at least thirty (30) years; and 1 citations

(B) Material safety data sheets and paragraph (c)(5)(iv) records concerning the identity of a substance or agent need not be retained for any specified period as long as some record of the identity (chemical name if known) of the substance or agent, where it was used, and when it was used is retained for at least thirty (30) years; 1 and Open (d)(1)(ii)(b)

(C) Biological monitoring results designated as exposure records by specific occupational safety and health standards shall be preserved and maintained as required by the specific standard.

(iii) Analyses using exposure or medical records. Each analysis using exposure or medial records shall be preserved and maintained for at least thirty (30) years.

(2) Nothing in this section is intended to mandate the form, manner, or process by which an employer preserves a record as long as the information contained in the record is preserved and retrievable, except that chest X-ray films shall be preserved in their original state. Open (d)(2)

Source: eCFR, text current as of 2026-10-15. Read all of 1910.1020.

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Export the list: 14 inspections cited 1910.1020(d) in the last 3 years, with employer, location, penalty and date.

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Where and how often it was cited

YearCitations
20231
20245
20252
20267

Top states: OH (3), MI (2), OR (2), LA (1), MA (1)

Largest penalties

EmployerLocationPenalty for this rule
WESCOTT STEEL INC.TREVOSE, PA$2,412
67370 - SWIFT PORK COMPANYLOUISVILLE, KY$1,000
NEWTOWN PUBLIC SCHOOLSNEWTOWN, CT$560
CALUMET SHREVEPORT, LLCSHREVEPORT, LA$544
AZTEC MANUFACTURING CORPORATIONROMULUS, MI$0

Free toolbox talk

A 5-minute crew talk on 1910.1020(d), plus alerts when this rule changes. Free.




OSHA interpretation letters

None exist. OSHA has not published a letter of interpretation for 1910.1020(d).

Related parts of this rule

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Frequently asked questions

How long must employee medical records be kept?

At least the duration of employment plus thirty (30) years, unless another standard sets a different period.

How long must exposure records be kept?

At least thirty (30) years, with some exceptions for background data.

Do first aid records for minor cuts need to be kept?

No, if they meet the rule's conditions, such as one-time treatment made on-site by a non-physician and kept separately.

About this page

Sources

3-year window. Federal OSHA only; state-plan rules are not counted. Plain-language text is a summary, not legal advice; the official text controls. Black Belt Safety is not part of OSHA or the Department of Labor.

Written and reviewed by

Black Belt Safety Editorial Team

Site Safety Officer and Safety Professional

OSHA 30 · CPR · USACE CQM

Written and reviewed by the Black Belt Safety team. Every post is checked against the OSHA standard or agency source it cites.

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