Employers, Prepare Yourselves: OSHA to Begin Inspections to Ensure Compliance with COVID-19 Regulations

March 16, 2022

Over the next three months, the Occupational Safety and Health Administration (OSHA) intends to inspect healthcare facilities that have been issued Hazard Alert Letters to “verify and assess compliance actions taken” related to COVID-19 safety violations. A “healthcare facility” is any setting where an employee provides healthcare services or healthcare support services. Examples include hospitals, outpatient clinics, and private doctor’s offices.



Although this initiative will not create any new obligations upon healthcare employers, the current Healthcare ETS remains in effect, obligating healthcare facilities to maintain records of employees who have been positive for COVID-19 and report all COVID-19 related hospitalizations and deaths.

OSHA will accept continued compliance with the Healthcare ETS as one method of satisfying employers’ existing obligations under OSHA regulations.


Inspections for facilities selected as part of this initiative will fall into several categories: (1) follow-up inspections where a COVID-19-related citation or hazard alert letter (HAL) was issued; (2) follow-up or monitoring inspections for randomly selected closed COVID-19 unprogrammed activity (UPA); or (3) monitoring inspections for randomly selected, remote-only COVID-19 inspections where previous citations were issued.


Each inspection will include an assessment of COVID-19 mitigation strategies. The 22 states with approved State OSHA Plans are not required to implement this initiative. Massachusetts is a federal OSHA state, and therefore must abide. Connecticut, however, has an OSHA-approved state plan that only covers local and state government workers, not private sector employees.


Employers should remain cognizant of state and local vaccine mandates and other requirements that may impact COVID safety procedures. It is highly recommended that employers retain counsel to assess COVID-related safety measures to ensure full compliance with the latest OSHA regulations.


If you are a healthcare facility and would like more information on OSHA inspections or legal counsel in assessing OSHA compliance for your business, please contact the attorneys at The Royal Law Firm at (413)-586-2288.

July 25, 2025
On June 27, 2025, the U.S. Supreme Court ruled in Trump v. CASA that federal district courts cannot block executive orders for the entire country. The Court held that such broad injunctions exceed the authority Congress granted under the Judiciary Act of 1789. Courts may now only stop enforcement for the parties in the case—not for everyone else. What Happened in the Case President Trump issued Executive Order 14160 in early 2025. It denies birthright citizenship to children born in the U.S. if neither parent is a citizen or lawful permanent resident. Multiple lawsuits followed. Three federal courts blocked the order nationwide. The Supreme Court disagreed. It sent the case back and told the lower courts to revise the injunctions to cover only the named plaintiffs. The Court did not decide whether the order itself violates the Constitution. It ruled only on how far a court’s injunction can reach. Why It Matters to Employers The ruling affects how quickly and widely federal courts can stop controversial policies, especially during fast-changing political cycles. Employers have often relied on national injunctions to pause new mandates on wages, workplace safety, pay transparency, and non-compete agreements. This decision limits that option. The Court said nothing about injunctions under the Administrative Procedure Act, which governs agency rules. But the opinion raises doubts about whether even those can continue on a nationwide scale. Justice Kavanaugh suggested they might, but the Court left that question for another day. What This Means for You No nationwide protection unless you sue If your business is not part of the case, you likely cannot rely on someone else’s win. You must litigate directly to get relief. Rules may take effect in one state and not another A federal court in Texas may block a rule, while a court in New York upholds it. National companies may face conflicting rules and inconsistent enforcement. Trade groups cannot shield you Even if your industry association wins an injunction, it may apply only to their members or to the parties named in the lawsuit. Older rulings may now shrink Past national injunctions—on vaccine mandates, non-compete bans, overtime rules, or joint-employer standards—could be challenged or narrowed based on this ruling. More class actions are likely Some plaintiffs may now push for class certification to restore broader relief. Employers could face more complex litigation as a result. Next Steps for Employers Identify any current or past rules your business has relied on that are being blocked nationwide. Confirm whether you were covered by name or just assumed you were protected. Reassess your risk exposure for pending federal actions under OSHA, the EEOC, the DOL, or the NLRB. Monitor APA-based injunctions to see whether courts continue to grant broad relief under that statute. Consider joining strategic litigation early if new executive orders or agency rules would harm your operations. You cannot assume another company’s lawsuit will protect you. The Court narrowed that path. To block a federal mandate, you may now need to act alone—or join the fight directly. Michael P. Lewis is an attorney at The Royal Law Firm with experience advising clients through the litigation process. Michael helps employers resolve workplace challenges with focus, precision, and judgment. He counsels and defends businesses across Massachusetts and Connecticut, handling matters involving discrimination, harassment, retaliation, wage and hour claims, restrictive covenants, and breach of contract. His practice includes litigation in state and federal courts and before administrative agencies. If your business has any questions on this topic or any other matters, please do not hesitate to contact the attorneys at The Royal Law Firm at 413-586-2288.