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USA REC Regulation 190-4 Military Police Incident Reporting Headquarters United States Army Recruiting Command 1307 3rd Avenue Fort Knox, KY 40121-2725 24 April 2009 UNCLASSIFIED *USA REC Regulation

How to fill out regulation 1904 form

How to fill out regulation 1904 form:

1. Gather all relevant information regarding the workplace incident, including the date, time, location, and individuals involved.
2. Provide a detailed description of the incident, including how it occurred and any contributing factors.
3. Identify the injured employees and provide their personal information, such as names, contact details, and job titles.
4. Describe the nature of the injury or illness and specify the body parts affected.
5. Indicate whether the injured employee received medical treatment and provide details, such as the name of the healthcare provider and the type of treatment provided.
6. Record the number of days the injured employee missed work as a result of the incident.
7. Determine the root causes of the incident by conducting a thorough investigation and document any corrective actions taken.
8. Review the completed form for accuracy and ensure that all necessary fields have been filled out properly.

Who needs regulation 1904 form:

1. Employers are required by the Occupational Safety and Health Administration (OSHA) to fill out regulation 1904 forms for all work-related injuries and illnesses that meet specific criteria.
2. This form helps employers track occupational injuries and illnesses in order to identify workplace hazards, prevent future incidents, and ensure compliance with OSHA regulations.
3. Additionally, insurance providers, regulatory agencies, and other stakeholders may request these forms to assess workplace safety, determine liability, or conduct research related to occupational health and safety.

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What is regulation 1904 form?

Regulation 1904 form, also known as the OSHA Form 300, is a document used to record work-related injuries and illnesses. It is part of OSHA's Recordkeeping Rule and helps employers track and analyze workplace incidents.

Who is required to file regulation 1904 form?

All employers covered by OSHA's Recordkeeping Rule must file the regulation 1904 form. This includes most private sector employers with more than 10 employees and certain high-risk industries with 10 or fewer employees.

How to fill out regulation 1904 form?

To fill out the regulation 1904 form, employers need to record details such as the injured/ill worker's information, description of the incident, date of the event, the nature of the injury/illness, and whether the worker received medical treatment or days away from work. It is essential to accurately complete the form for each workplace incident.

What is the purpose of regulation 1904 form?

The purpose of the regulation 1904 form is to facilitate the collection of accurate and complete data on work-related injuries and illnesses. This information helps employers, workers, and OSHA identify trends, assess workplace hazards, and develop effective safety programs to prevent future incidents.

What information must be reported on regulation 1904 form?

The regulation 1904 form requires the reporting of various details, including the injured/ill employee's name, job title, the events leading to the injury/illness, the body part affected, the days away from work or job transfer, and more. It is important to gather and report all relevant information accurately.