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Maybe they should?

Already most companies do the absolute least OSHA lets them get away with (and often not even that...)

What do you expect them to do, especially considering legal and healthcare/PHI constraints?

SpaceX is not a covered entity under HIPAA, they are under no PHI constraints that healthcare providers are under.

Over the decade I worked in retail and warehouses prior to becoming an accountant, I never once saw an OSHA inspector.

My impression is that OSHA tends to be reactive.

Unless there was an incident or a report of unsafe activity you aren't going to see OSHA.