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An employer is not required to keep written health records for:

  1. 10 employees or less

  2. 20 employees or less

  3. 30 employees or less

  4. When the business is family operated

The correct answer is: 10 employees or less

In the context of workplace regulations, particularly concerning health record-keeping, there are specific thresholds that determine when an employer must maintain written health records. For employers with ten employees or fewer, the obligation to keep written health records is often exempted due to the smaller scale of operations which may present a lower risk of health-related incidents. This reduction in administrative burden allows small businesses to focus more on operational aspects rather than extensive compliance paperwork. While larger businesses (11 employees and above) typically must adhere to strict health record-keeping guidelines to ensure employee safety and monitor health-related concerns effectively, smaller businesses benefit from this exemption. Consequently, the focus shifts from an extensive responsibility for documentation to a more manageable approach that considers the scale of the operation. The other options do not reflect the standard exemptions, as they set thresholds that exceed the recognized limit for such exemptions, leading to a required maintenance of health records in those cases.