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MI MIOSHA-300 2013 free printable template

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Feel free to use two lines for a single case if you need to. You must complete an injury and illness incident report MIOSHA Form 301 or equivalent form for each injury or illness recorded on this form. If you re not sure whether a case is recordable call your local MIOSHA office for help. You may be fined for failure to comply. CLASSIFY THE CASE FALSE FALSE All other illnesses K L Poisoning I J FALSE Be sure to transfer these totals to the Su...
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How to fill out miosha 300 log form

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How to Fill Out MIOSHA 300 Log Form:

01
Start by gathering all necessary information for the log form, such as the company name, employer contact information, and the reporting year.
02
Identify any work-related injuries or illnesses that occurred during the reporting year. Make sure to include details like the date of the injury or illness, the employee's name, their job title, and a brief description of the incident.
03
Record the number of days the employee was away from work, restricted from their usual job duties, or transferred to a different job due to the injury or illness.
04
Calculate the total number of cases for each category, which include cases involving days away from work, job transfer or restriction, and other recordable cases.
05
Determine the total number of hours worked by all employees during the reporting year.
06
Calculate the incidence rates, which involve dividing the total number of cases by the total number of hours worked and then multiplying by 200,000.
07
Complete the summary section of the MIOSHA 300 log form, which includes information about the establishment and the total number of cases and incidence rates.
08
Obtain the necessary signatures from the employer or designated representative.
09
Keep a copy of the completed MIOSHA 300 log form on file for a minimum of five years.

Who Needs MIOSHA 300 Log Form:

01
Employers in Michigan who have more than ten employees are required to keep a MIOSHA 300 log if they fall within certain industry classifications, such as manufacturing, construction, healthcare, and more.
02
These employers must use the MIOSHA 300 log form to record work-related injuries and illnesses that result in death, days away from work, restricted work activities, or medical treatment beyond first aid.
03
The MIOSHA 300 log form helps employers and MIOSHA (Michigan Occupational Safety and Health Administration) track and analyze workplace injuries to ensure compliance with safety regulations and improve workplace safety measures.

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The MIOSHA 300 Log form is a form used to record work-related injuries and illnesses at the workplace.
Employers with more than 10 employees in certain industries are required to file the MIOSHA 300 Log form.
The MIOSHA 300 Log form must be filled out by recording all work-related injuries and illnesses, including information such as the date of occurrence, nature of the injury, and any treatment received.
The purpose of the MIOSHA 300 Log form is to track and analyze work-related injuries and illnesses to improve workplace safety and health.
Information such as the date of injury, nature of injury, location where the event occurred, and any days away from work must be reported on the MIOSHA 300 Log form.
The deadline to file the MIOSHA 300 Log form in 2023 is March 2, 2024.
Penalties for late filing of the MIOSHA 300 Log form can vary but may include fines imposed by MIOSHA.
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