1910.1030(h)(1)(i): Medical Records for Bloodborne Pathogen Exposure
Employers must set up and keep an accurate medical record for each employee with occupational exposure to blood or other potentially infectious materials, following 29 CFR 1910.1020.
Key takeaways
- 1910.1030(h)(1)(i) is part of OSHA's general industry standards (29 CFR Part 1910).
- OSHA cited it 13 times in the last 3 years, in 13 inspections, with $20,632 in current penalties.
- Most citations: TN (3), VA (3), MN (2).
- Related part: 1910.1030(h) Recordkeeping (481 citations).
- Free 5-minute toolbox talk for your crew below.
In this article
What this rule covers
29 CFR 1910.1030(h)(1)(i) is one requirement inside 1910.1030 Bloodborne pathogens, an OSHA general industry standard (Part 1910). 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
(i) The employer shall establish and maintain an accurate record for each employee with occupational exposure, in accordance with 29 CFR 1910.1020. 13 citations
Source: eCFR, text current as of 2026-10-15. Read all of 1910.1030.
Where and how often it was cited
| Year | Citations |
|---|---|
| 2024 | 2 |
| 2025 | 5 |
| 2026 | 6 |
Top states: TN (3), VA (3), MN (2), OR (1), NC (1)
Largest penalties
| Employer | Location | Penalty for this rule |
|---|---|---|
| EXTENDED STAY AMERICA | CHESAPEAKE, VA | $9,745 |
| COMPREHENSIVE AT ORLEANS, LLC | ALBION, NY | $6,384 |
| 158384 - CONCORD OPERATOR LLC | CONCORD, NC | $3,000 |
| 110687 - MINNESOTA DEPT OF CORRECTIONS - MOOSE LAKE | MOOSE LAKE, MN | $1,260 |
| 109277 - PREMIERE RESTORATION LLC | MANKATO, MN | $243 |
Free toolbox talk
A 5-minute crew talk on 1910.1030(h)(1)(i), plus alerts when this rule changes. Free.
OSHA interpretation letters
None exist. OSHA has not published a letter of interpretation for 1910.1030(h)(1)(i).
Related parts of this rule
- 1910.1030(h) Recordkeeping 481 citations
- 1910.1030(h)(2) Training Records 199 citations
- 1910.1030(h)(1) Medical Records 182 citations
- 1910.1030(h)(1)(ii) 164 citations
- 1910.1030(h)(1)(ii)(B) 158 citations
- 1910.1030(h)(2)(i) 154 citations
- 1910.1030(h)(5) Sharps injury log 91 citations
- 1910.1030(h)(5)(i) 87 citations
- 1910.1030(h)(2)(i)(C) 49 citations
- 1910.1030(h)(2)(ii) 44 citations
- 1910.1030(h)(2)(i)(D) 32 citations
- 1910.1030(h)(2)(i)(B) 18 citations
Get your crew competent
Trainers on Black Belt Safety: Marc Harvey, Dana Reyes
Trainers and suppliers: feature your business on this rule for $25/month.
Frequently asked questions
Who needs a medical record under this rule?
Each employee with occupational exposure.
What rule governs how the records are kept?
29 CFR 1910.1020.
Who keeps the record?
The employer must establish and maintain it.
About this page
Sources
- 29 CFR 1910.1030 (eCFR), text current as of 2026-10-15
- U.S. Department of Labor enforcement data: OSHA inspections, citations and accident records, copied nightly; data as of 2026-10-20
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.