In a survey of 504 occupational health practitioners (including company doctors & nurses), the U.S. Government Accountability Office (GAO) concluded that the government has not done enough to ensure that the reporting has been accurate.
The findings include:
More than 33% of the doctors/nurses said they were pressured to provide insufficient treatment so that the job-related injuries [...]
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Effective September 30, 2009, OSHA has begun a new National Emphasis Program (NEP) for inspecting the accuracy
of the Occupational Injury and Illness Recording and Reporting Requirements for low rate establishments in selected industries.
OSHA postulates the most likely places where under-recorded injuries and illnesses may exist
would be low rate establishments operating in historically high rate industries. [...]