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OSHA's Form 300A (Rev. 0112004) Year Summary of Work-Related Injuries and Illnesses 2010 U.S. Department of Labor Occupational Safety and Health Administration Form approved OMS no. 1218')176 All
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How to fill out 300a summary form

How to fill out 300a summary form:
01
Gather all necessary information and records related to occupational injuries and illnesses that occurred in the workplace during the year.
02
Review the records and identify all reportable incidents, including any work-related fatalities, cases with days away from work, job transfers or restrictions, and cases involving medical treatment beyond first aid.
03
Calculate the total number of reportable incidents and record this number on the 300a summary form.
04
Check the corresponding boxes on the form to indicate the types of incidents reported, such as fatalities, cases with days away from work, etc.
05
Include the company's name, address, and employer identification number on the form.
06
Sign and date the form to certify its accuracy and completeness.
Who needs 300a summary form:
01
Employers in certain industries are required by the Occupational Safety and Health Administration (OSHA) to keep records of work-related injuries and illnesses, and therefore, need to fill out the 300a summary form.
02
Examples of industries that fall under OSHA recordkeeping requirements include manufacturing, construction, healthcare, and transportation, among others.
03
It is important for employers to understand their obligation to maintain accurate records and timely submit the 300a summary form as failure to do so can result in penalties and citations from OSHA.
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What is 300a summary form?
The 300a summary form is a document used to summarize work-related injuries and illnesses recorded on the OSHA Form 300 log.
Who is required to file 300a summary form?
Employers with more than 10 employees are required to file the 300a summary form.
How to fill out 300a summary form?
To fill out the 300a summary form, the employer must transfer the information from the OSHA Form 300 log onto the summary form. The employer must then certify the accuracy of the summary form and post it in a visible location for employees.
What is the purpose of 300a summary form?
The purpose of the 300a summary form is to provide a snapshot of the work-related injuries and illnesses that occurred in the workplace during a specific time period.
What information must be reported on 300a summary form?
The 300a summary form must include the total number of recorded cases of work-related injuries and illnesses, as well as the number of resulting days away from work, job transfers or restrictions.
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