DICO-C Certification Practice Exam 2026 – Complete Study Guide

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Under OSHA rules, who may access an employee's medical record?

The employee

The employee and their designated representative

Access to an employee’s medical records is restricted to the employee themselves and to a designated representative the employee chooses in writing. This setup preserves privacy while still allowing the employee or someone they trust to review and use the information for health care, accommodations, or compliance purposes. The HR department does not automatically have access to medical records; they may see them only if the employee provides explicit written consent or as otherwise required by law. Public health authorities would only obtain access under specific legal provisions or if there’s a valid public health mandate, not through routine access.

The HR department

The public health authority

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