National Emphasis Program on Amputations in Manufacturing Industries

U.S. DEPARTMENT OF LABOR Occupational Safety and Health Administration
DIRECTIVE NUMBER: CPL 03-00-027
SUBJECT: National Emphasis Program on Amputations in Manufacturing Industries
DIRECTORATE: Directorate of Enforcement Programs
SIGNATURE DATE: 5/29/2025 EFFECTIVE DATE: 6/27/2025
ABST
RACT
Purpose: This Instruction describes policies and procedures for the continued
implementation of a National Emphasis Program (NEP) to identify and
reduce or eliminate amputation hazards in manufacturing industries.
Scope: Occupational Safety and Health Administration-wide (OSHA-wide).
Referen
ces: See S ection III for references.
Canc
ellations: This Instruction supersedes OSHA Instruction CPL 03-00-022, National
Emphasis Program on Amputations in Manufacturing Industries,
December 10, 2019.
State Impact: Notice of Intent and Adoption required. See Section VI.
Action Offices: OSHA National, Regional, and Area Offices, On-Site Consultation
Programs, and State Plans.
Origi
nating Office: Directorate of Enforcement Programs, Office of General Industry and
Agricultural Enforcement.
Conta
ct: Directorate of Enforcement Programs
Office of General Industry and Agricultural Enforcement
200 Constitution Avenue, NW, N3119
Washington, DC 20210
(202) 693-1850

ii
By and Under the Authority of
Amanda
Wood Laihow,
Acting Assistant Secretary

iii

Executive Summary

This Instruction provides updated guidance for the OSHA National, Regional, and Area Offices,
On-Site Consultation Programs, and State Plans for continued implementation of the NEP on
Amputations in Manufacturing Industries (Amputations NEP), which aims to identify and reduce
or eliminate amputation hazards in manufacturing industries. OSHA’s enforcement history
shows that employees are often injured when machinery or equipment is not properly guarded
or safely maintained, or when hazardous energy is not controlled. This NEP targets industrial
and manufacturing workplaces having machinery and equipment that can potentially cause
amputations.

Significant Changes

This update includes the following changes:
• Provides that any establishment that had an inspection that was initiated under this NEP in
the previous 24 months, with no reported amputations within those 24 months, may be
deleted from the programmed inspection list.
• Provides that unprogrammed inspections may be expanded to an Amputations NEP
inspection only if the NAICS code is listed in Appendix B of this NEP.
• Provides that any establishment that has 10 or fewer employees and that has their primary
NAICS code listed on the “Low-Hazard Industry Table” of the Appropriations Act Directive
should not be inspected under this NEP.
• Revises the OSHA Information Systems (OIS) coding instructions in Section XII for all OSHA
amputation inspections.
• Revises the industry targeting methodology in Appendix A – Amputations Targeting
Methodology.
• Updates Appendix B – Covered NAICS Codes, to reflect the revisions to Appendix A as well
as data from 2019-2023.

Table of Contents

I. Purpose. ............................................................................................................................................... 1
II. Scope. ................................................................................................................................................... 1
III. References. .......................................................................................................................................... 1
IV. Cancellations. ....................................................................................................................................... 1
V. Action Offices. ...................................................................................................................................... 1
A. Responsible Office. .......................................................................................................................... 1
B. Action Offices. ................................................................................................................................. 1
VI. Federal Program Change. .................................................................................................................... 2
VII. Expiration. ............................................................................................................................................ 2
VIII. Significant Changes. ............................................................................................................................. 2
IX. Background. ......................................................................................................................................... 3
X. Inspection Scheduling. ......................................................................................................................... 3
A. List and Cycle Generation. ............................................................................................................... 3
B. Scheduling Inspections. ................................................................................................................... 3
C. Deletions. ......................................................................................................................................... 4
D. Voluntary Protection Program (VPP) Sites. ...................................................................................... 4
XI. Inspection Procedures. ........................................................................................................................ 4
A. Scope. ............................................................................................................................................... 4
B. Opening Conference. ....................................................................................................................... 5
C. Walkaround...................................................................................................................................... 5
D. Training. ........................................................................................................................................... 6
XII. Recording in OIS. ................................................................................................................................. 6
A. Programmed Planned Inspections under the Amputations NEP Only. ........................................... 6
B. Unprogrammed Inspections Expanded under this Amputations NEP. ............................................ 6
C. Other Emphasis Program Inspections with Amputations NEP Inspections. .................................... 6
XIII. Outreach. ............................................................................................................................................. 6
Appendix A .................................................................................................................................................... A
Appendix B .................................................................................................................................................... C

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I. Purpose.
This Instruction describes policies and procedures for the continued implementation of
OSHA’s Amputations NEP to identify and reduce or eliminate amputation hazards in the
manufacturing industries.
II. Scope.
This Instruction applies OSHA-wide.
III. References.
A. Final Rule on
Occupational Injury and Illness Recording and Reporting
Requirements – NAICS Update and Reporting Revisions.
B. Recording and Reporting Occupational Injuries and Illnesses, 29 CFR Part 1904.
C. The Control of Hazardous Energy (Lockout/Tagout), 29 CFR 1910.147.
D. Machinery and Machine Guarding, 29 CFR Part 1910, Subpart O.
E. Hand and Portable Powered Tools & Other Hand-Held Equipment, 29 CFR Part
1910, Subpart P.
F. Field Operations Manual (FOM), CPL-02-00-164, December 22, 2022.
G. Scheduling System for Programmed Inspections, CPL 02-00-025, January 4, 1995.
H. Enforcement Exemptions and Limitations under the Annual Appropriations Act,
CPL 02-00-170, July 18, 2024, or successor guidance.
I. The Control of Hazardous Energy – Enforcement Policy and Inspection
Procedures, CPL 02-00-147, February 11, 2008.
J. Guidelines for Point of Operation Guarding of Power Press Brakes,
CPL 02-01-025, February 14, 1997.
K. Slide-locks – Enforcement Policy, Inspection Procedures and Performance
Guidance Criteria, CPL 02-01-043, September 14, 2007.
L. Procedures for the Approval of Local Emphasis Programs (LEPs), CPL 04-00-002,
November 13, 2018.
M. Machine Guarding eTool
IV. Cancellations.
This Instruction supersedes CPL 03-00-0 22, National Emphasis Program on Amputations
in Manufacturing Industries, December 10, 2019.
V. Action Offices.
A. Responsible Office.
Directorate of Enforcement Programs (DEP), Office of General Industry and
Agriculture Enforcement.
B. Action Offices.
OSHA Regional Administrators, Area Directors, and National Office Directors
must ensure that the policies and procedures set forth in this Instruction are
understood and followed by OSHA staff. Regional Administrators also must
ensure that Consultation Program Managers in their regions are informed of the
requirements of this Instruction and encourage involvement of On-Site
Consultation Programs in compliance assistance activities for workplace hazards

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associated with amputations in manufacturing industries.
VI.Federal Program Change.
This Instruction describes a federal program change, updating OSHA’s NEP covering
amputations in manufacturing industries. State Plans are required to have
enforcement policies and procedures in place that are at least as effective as those in
this instruction. State Plans have the option of adopting identical or different policies
and procedures, but they must be at least as effective as those in this Instruction.
Within 60 days of the date of notification in the State Plan Application (SPA), State
Plans must submit a notice of intent, indicating whether the State Plan will adopt or
already has in place policies and procedures that are identical to or different but at
least as effective as the federal program. State Plan adoption, either identical or
different, should be accomplished within six months. If adopting the identical
program, the State Plan must provide the date of adoption to OSHA, due within 60
days of adoption. If the State Plan adopts or maintains policies that differ from this
Instruction, the State Plan must identify the differences and may either post its policy
on its website and provide the link to OSHA or submit an electronic copy to OSHA
with information on how the public may obtain a copy. This action must occur within
60 days of the date of adoption. OSHA will post summary information of the State
Plan responses to this Instruction on its website at:
www.osha.gov/dcsp/osp/index.html.
VII.Expiration.
This instruction will terminate five years from the effective date.
VIII.Significant Changes.
A.Provides that any establishment that had an inspection that was initiated under this
NEP in the previous 24 months, with no reported amputations within those 24
months, may be deleted from the programmed inspection list.
B.Provides that unprogrammed inspections may be expanded to an Amputations NEP
inspection only if the NAICS code is listed in Appendix B of this NEP.
C.Provides that any establishment that has 10 or fewer employees and that has their
primary NAICS code listed on the “Low-Hazard Industry Table” of the Appropriations
Act Directive should not be inspected under this NEP.
D.Revises the OSHA Information Systems (OIS) coding instructions in Section XII for all
OSHA amputation inspections.
E.Revises the industry targeting methodology in Appendix A – Amputations Targeting
Methodology.
F.Updates Appendix B – Covered NAICS Codes, to reflect the revisions to Appendix A
as well as data from 2019-2023.

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IX. Background.
Operating machinery or equipment can be extremely dangerous when it is not properly
guarded or maintained. Injuries involving machinery or equipment often result in death
or permanent disability. OSHA’s enforcement history shows that employees performing
servicing and maintenance on machinery or equipment are often injured when no
machine guarding is present and/or energy control procedures are not implemented
and followed. OSHA workplace requirements provide measures for the safe operation,
servicing, and/or maintenance of machinery and equipment, including machine
guarding.
OSHA analyzed OSHA Information System (OIS) data involving calendar years 2019-2023
and Bureau of Labor Statistics (BLS) data for calendar years 2019-2022 to identify high -
risk industries for targeting under this NEP. OIS data were limited to federal jurisdiction
only. Appendix A – Amputations Targeting Methodology, provides the criteria used to
select the NAICS codes for this NEP.
NOTE: BLS changed its methodology for publishing
Survey of Occupational Injuries and
Illnesses (SOII) data. Starting with reference period 2021-2022, data are aggregated for
two-year periods (rather than one) for case circumstances and worker demographics for
cases involving days away from work and days of job transfer or restriction.
X. Inspection Scheduling.
A. List and Cycle Generation.
Directorate of Technical Support and Emergency Management, Office of
Statistical Analysis (OSA) will provide each Area Office (AO) with access to
software and a database that includes the establishments with the NAICS codes
covered under this NEP (Appendix B). Only Federal OSHA and State Plans will
have access to this information.
Establishment lists will be generated using the Establishment Targeting List-
Generation System. The list generated will be the master list for this NEP and will
include the covered NAICS codes for the AO’s area of responsibility.
AOs have the discretion to add, based on local evidence, manufacturing
establishments to the master list where amputation injuries or fatalities related
to machinery and equipment have occurred in the five years preceding the
effective date of this Instruction. These establishments must not have received
an amputations NEP Inspection initiated within the previous 24 months, and
they must be on the targeted NAICS list. The local evidence may be based on OIS
incident data, employer-reported amputations, and/or workers’ compensation
data. Once establishments are added, the master list must be re-randomized by
the AO prior to use.
B. Scheduling Inspections.
The AO must schedule inspections using one of the following methods:

4

1. If the AO intends to inspect the entire master list, then the inspections
may be scheduled in any order that uses OSHA resources effectively. If
the AO uses this method, it must account (through inspections and
deletions) for covering the entire list. The AO cannot inspect
establishments off a new list until the entire previous list is completed.
2. The AO may inspect the facilities in the random number order provided.
If the AO uses this method, it does not need to complete the entire list.
The AO may create cycles by choosing a set number of establishments
from the establishment list sorted in random number order.
C. Deletions.
1. The AO shall delete establishments with 10 or fewer employees that have
their primary NAICS code listed on the “Low-Hazard Industry Table” of
the Appropriations Act Directive f rom the master list.
2. Based on local knowledge, AOs may also delete establishments that are
not likely to have machinery and equipment that could cause
amputations, and establishments known to be out of business,
documenting the basis for such determinations.
3. Any establishment that had an inspection that was initiated under this
NEP in the previous 24 months, with no reported amputations within
those 24 months, may be deleted from the programmed inspection list.
D. Voluntary Protection Program (VPP) Sites.
This NEP exempts participating VPP worksites. VPP sites should be removed from
OSHA’s programmed inspection lists of targeted sites, for the duration of their
approved participation in the VPP. Worksites applying for VPP will be removed
from the programmed inspection lists no more than 75 days before the
commencement of their scheduled pre-approved onsite review, as stated in the

Voluntary Protection Programs Policies and Procedures Manual.
XI. Inspection Procedures.
A. Scope.
Inspections initiated under this NEP are programmed, planned, partial safety
inspections that will be conducted in accordance with provisions of the
FOM,
Chapter 3, Inspection Procedures. The scope of all inspections under this
Amputations NEP is all locations and practices at the establishment concerning
operation, servicing, maintenance, control of hazardous energy sources, and/or
machine guarding of all machinery and equipment that can potentially present
amputation hazards to workers. The inspection scope may be expanded where
there is evidence (e.g., injuries or illnesses recorded in both OSHA forms 300 and
301, employee statement, or “plain view” observations) that violative conditions
may be found in other areas of that establishment.

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When possible, inspections conducted under this NEP should be combined with
other programmed and unprogrammed inspections and the inspections
conducted concurrently.
Unprogrammed inspections ( examples: complaints, referrals, and FAT/CAT)
addressing operations that involve potential exposures to amputation hazards
may be expanded per the Area Director’s discretion to an Amputations NEP
inspection if the NAICS code is listed in Appendix B of this NEP and the
establishment is not exempt under the Appropriations Act. Such inspections shall
be handled in accordance with the procedures outlined in the FOM, Chapter 9
.
B. Opening Conference.
The Compliance Safety and Health Officer (CSHO) should verify the site’s NAICS
code and the number of employees at the establishment to ensure the employer
is not exempt under the Appropriations Act
. The CSHO should also verify with
the employer whether any machinery, equipment, and/or work processes that
could result in amputations is present in the workplace. In addition, OSHA 300
logs, 300A summaries, and 301 incident reports for the current and previous
three calendar years should be collected and reviewed during the opening
conference to identify recorded injuries associated with amputation hazards. The
CSHO should request relevant records such as, but not limited to, the energy
control program and procedures, training records, and other documents related
to the scope of the inspection.
The CSHO should not conduct an inspection if:
1. The NAICS code is not listed in Appendix B;
2. The NAICS code is listed in Appendix B , but the CSHO determines there is
no machinery, equipment, or work process that presents amputation
hazards to workers; or
3. The primary NAICS code is listed on the
“Low-Hazard Industry Table” of
the Appropriations Act Directive a nd the company has 10 or fewer
employees.
If the CSHO does not conduct an inspection, the CSHO must document the
reason(s) for not inspecting, exit the establishment, and code in OIS as “No
Inspection.”
C. Walkaround.
While conducting an inspection, the CSHO should exercise professional judgment
in areas where potential amputation hazards are present, paying particular
attention to employee exposure to nip points, pinch points, shear points, cutting
hazards, and other points of operation. The CSHO should consider and evaluate
all employee exposures to amputation hazards during setup, regular operation
of the machine, clearing jams or upset conditions, making adjustments while the
machine is operating, cleaning of the machine, oiling or greasing of the machine
or machine parts, scheduled/unscheduled maintenance and/or servicing, and

6

activities related to the control of hazardous energy. The CSHO should use
employee interviews to identify and evaluate potential amputation hazards. The
CSHO may also need to evaluate exposures during multiple work shifts and
under multiple employers.
D. Training.
CSHOs who conduct inspections under this NEP should have training and/or
knowledge of both general and specific machine guarding concepts and
techniques as well as hazardous energy control (lockout/tagout) requirements,
including The Control of Hazardous Energy – Enforcement Policy and Inspection
Procedures.
XII. Recording in OIS.
A. Programmed Planned Inspections under the Amputations NEP Only.
All inspections opened from the targeting list under this NEP will be coded under
“Initiating Type” as “ Programmed Planned” under the “Inspection Details”
section. The CSHO shall go to the “Emphasis Program” section and select
“AMPUTATE” under the “National Emphasis Program” menu. Then the CSHO
shall select “AMPUTATE” under the “Primary Emphasis Program” menu. An
inspection opened under the targeting list that is coded as “No Inspection” will
also be coded pursuant to this paragraph, and the CSHO must include the reason
for not conducting the inspection (e.g., Employer Exempted by Appropriation
Act, Out of Business).
B. Unprogrammed Inspections Expanded under this Amputations NEP.
All unprogrammed inspections expanded to a full Amputations NEP inspection
will be coded as “AMPUTATE” under the “Emphasis Program” section.
C. Other Emphasis Program Inspections with Amputations NEP Inspections.
Inspections conducted under another NEP, REP, or LEP that are expanded to an
Amputations NEP inspection should be coded as “AMPUTATE” under the
“Emphasis Program” section.
XIII. Outreach.
Each Regional Office (RO) and AO must implement a 90-day outreach program that
supports the purpose of this NEP. O utreach should focus on industries that were not
previously targeted by the 2019 Amputations NEP (these industry NAICS are noted in
Appendix B of this directive). During this period and prior to the commencement of
compliance inspections, compliance assistance outreach will occur for industries that
were not previously targeted by the 2019 Amputations NEP. Letters and news releases
to local and national news organizations and trade magazines can assist with
disseminating information about the prevention of amputation hazards. Outreach
programs with employers, professional associations, and local unions may include
meetings, training, education, speeches, or other activities designed to involve labor
and management in identifying and reducing or eliminating amputation hazards in the
covered manufacturing industries. The Office of Communications will provide support

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to the ROs and AOs, as necessary. ROs and AOs have the discretion to disseminate
outreach materials to stakeholders, which may include employees, employers,
professional associations, and local labor unions.

A

Appendix A

AMPUTATIONS TARGETING METHODOLOGY
Category 1
Selection Process for Industries with High OIS Inspection Numbers:
• OSHA selected five standards (29 CFR § 1910.147, 1910.212, 1910.213, 1910.217, and
1910.219) that are generally recognized as being related to amputation hazards.
• OSHA used OIS data covering calendar years 2019- 2023 and identified NAICS codes
within the two-digit NAICS codes (31-33) covering manufacturing that had 40 or more
federal OSHA inspections with one or more violations of at least one of the standards
identified above.
• The process yielded 66 five-digit NAICS codes.
Category 2
Selection Process for Industries with High BLS Amputation Numbers:
• OSHA used four years of BLS Data (calendar years 2019- 2022) on the number of
amputations.
• OSHA selected NAICS codes within the two-digit NAICS codes (31-33) covering
manufacturing where the BLS data showed 50 or more amputations per year for
calendar years 2019- 2022.
• The process yielded 39 five-digit NAICS codes.
NOTE: BLS changed its methodology for publishing
Survey of Occupational Injuries and Illnesses
(SOII) data. Starting with reference period 2021-2022, data are aggregated for two-year periods
(rather than one) for case circumstances and worker demographics for cases involving days
away from work and days of job transfer or restriction.
Category 3
Selection Process for Industries with High Employer Reported Amputation Numbers (OIS
Employer Reported Severe Injuries):
• OSHA used all employer-reported referrals in OIS with at least one amputation reported
during calendar years 2019 -2023.
• OSHA selected NAICS codes within the two-digit NAICS codes (31-33) covering
manufacturing where these referrals contained 25 or more reported amputations per
year for calendar years 2019- 2023.

B

• Twenty-five was used instead of 50 as the OIS data are federal plan only and therefore
are representative of approximately half the BLS data.
• The process yielded 78 five-digit NAICS codes.
Data Summation
There were 183 NAICS codes identified under categories 1-3, and many of the codes were
identified in more than one category. Removing the duplicates resulted in 67 unique five-digit
manufacturing NAICS codes that were identified under one or more of the three categories.
The processed data was expanded from 67 five-digit NAICS codes to the 178 six-digit NAICS
codes that are within the identified 67 five-digit codes. The six-digit NAICS codes were then
manually cross-referenced with each NAICS code’s four-year average BLS incidence rate as well
as four years (2019-2022) of OIS’s “AMPUTATE” coded data. OSHA then removed 87 six-digit
NAICS that did not appear to present a high risk of amputations based on a review of several
factors, including:
• Each NAICS code’s BLS incidence rates (OSHA generally removed NAICS codes with BLS
incidence rates that were not significantly greater than the average BLS incidence rate
for manufacturing as a whole);
• Each NAICS code’s history of amputation-related injuries or violations (OSHA generally
removed NAICS that did not have any amputation-related injuries or violations in the
OIS data);
• The number of inspections coded “AMPUTATE” in each NAICS code for the period 2019
to 2023;
• The type of work performed in the industry; and
• The likely presence of machinery and equipment that could cause amputations.
Appendix B contains the resulting 91 six-digit NAICS codes that are covered under this
Amputation NEP. The NAICS codes in Appendix B that were not included under the 2019
Amputations NEP are marked with asterisks. There are also some NAICS that were covered
under the 2019 Amputations NEP but are no longer included in Appendix B.

C

Appendix B
COVERED NAICS CODES
NAICS CODES ESTABLISHMENTS
311224* Soybean and other oilseed processing
311313* Beet sugar manufacturing
311314* Cane sugar manufacturing
311412* Frozen specialty food manufacturing
311421* Fruit and vegetable canning
311511 Fluid milk manufacturing
311513 Cheese manufacturing
311514 Dry, condensed, and evaporated dairy product manufacturing
311611 Animal (except poultry) slaughtering
311612 Meat processed from carcasses
311613 Rendering and meat byproduct processing
311615 Poultry processing
311812 Commercial bakeries
311813 Frozen cakes, pies, and other pastries manufacturing
311942* Spice and extract manufacturing
311991 Perishable prepared food manufacturing
311999 All other miscellaneous food manufacturing
312111* Soft drink manufacturing
312112* Bottled water manufacturing
321113 Sawmills
321114 Wood preservation
321211* Hardwood veneer and plywood manufacturing
321212 Softwood veneer and plywood manufacturing
321214 Truss manufacturing
321911 Wood window and door manufacturing
321912 Cut stock, resawing lumber, and planing
321918 Other millwork (including flooring)
321991* Manufactured home (mobile home) manufacturing
321992* Prefabricated wood building manufacturing
321999* All other miscellaneous wood product manufacturing
322211 Corrugated and solid fiber box manufacturing
322212 Folding paperboard box manufacturing
322219 Other paperboard container manufacturing
326121 Unlaminated plastics profile shape manufacturing
326122 Plastics pipe and pipe fitting manufacturing
326191 Plastics plumbing fixture manufacturing
326199 All other plastics product manufacturing
327331 Concrete block and brick manufacturing
327991* Cut stone and stone product manufacturing
331221 Rolled steel shape manufacturing

D

NAICS CODES ESTABLISHMENTS
331314* Secondary smelting and alloying of aluminum
331492*
Secondary smelting, refining, and alloying of nonferrous metal
(except copper and aluminum)
331511* Iron foundries
331512* Steel investment foundries
331513* Steel foundries (except investment)
331523* Nonferrous metal die-casting foundries
331524* Aluminum foundries (except die-casting)
332111 Iron and steel forging
332112 Nonferrous forging
332117 Powder metallurgy part manufacturing
332119 Metal crown, closure, and other metal stamping (except automotive)
332311 Prefabricated metal building and component manufacturing
332312 Fabricated structural metal manufacturing
332313 Plate work manufacturing
332321 Metal window and door manufacturing
332322 Sheet metal work manufacturing
332323 Ornamental and architectural metal work manufacturing
332613* Spring manufacturing
332618* Other fabricated wire product manufacturing
332710 Machine Shops
332721 Precision turned product manufacturing
332722 Bolt, nut, screw, rivet, and washer manufacturing
332812*
Metal coating, engraving (except jewelry and silverware),
and allied services to manufacturers
332813* Electroplating, plating, polishing, anodizing, and coloring
332991 Ball and roller bearing manufacturing
332992 Small arms ammunition manufacturing
332996 Fabricated pipe and pipe fitting manufacturing
332999 All other miscellaneous fabricated metal product manufacturing
333111* Farm machinery and equipment manufacturing
333241 Food product machinery manufacturing
333243 Sawmill, woodworking, and paper machinery manufacturing
333249 Other industrial machinery manufacturing
333414* Heating equipment (except warm air furnaces) manufacturing
333511 Industrial mold manufacturing
333514 Special die and tool, die set, jig, and fixture manufacturing
333515 Cutting tool and machine tool accessory manufacturing
333517 Machine tool manufacturing
335932* Noncurrent-carrying wiring device manufacturing
336111* Automobile manufacturing
336112* Light truck and utility vehicle manufacturing
336211 Motor vehicle body manufacturing
336212 Truck trailer manufacturing

E

NAICS CODES ESTABLISHMENTS
336214 Travel trailer and camper manufacturing
336611* Ship building and repairing
336612* Boat building
337121* Upholstered household furniture manufacturing
337127* Institutional furniture manufacturing
337211 Wood office furniture manufacturing
337212 Custom architectural woodwork and millwork manufacturing
337214 Office furniture (except wood) manufacturing
337215 Showcase, partition, shelving, and locker manufacturing
Note: NAICS with an asterisk (“*”) are targeted industries that were not included in the 2019
Amputations NEP.