Skip to main content

DoL OSHA Forms for Recording Work-Related Injuries and Illnesses 2004 free printable template

pdfFiller is not affiliated with any government organization

Last updated May 12, 2026 · Reviewed by pdfFiller editorial team

Key takeaways

Fill, sign, and submit DoL OSHA Forms for Recording Work-Related Injuries and Illnesses from any browser — or have AI generate a custom version in seconds. No installs, no printing, no back-and-forth.

  • OSHA Form 300 (Log of Work-Related Injuries and Illnesses) is a detailed log used by employers to record workplace safety incidents.
  • Employers with more than ten employees must typically use this log to track work-related injuries and illnesses throughout the year.
  • The form requires specific details including employee names, job titles, incident dates, locations, and descriptions of the injury or illness.
  • Each recordable incident must be entered into the log within seven calendar days of the employer receiving information about the event.
  • Completed logs must be maintained for five years following the end of the calendar year to which the records pertain.
  • While Form 300 does not require a signature, it serves as the basis for the certified annual summary, Form 300A.
  • You can efficiently fill, edit, and share the OSHA Form 300 online using pdfFiller’s secure document management tools.

What is DoL OSHA Forms for Recording Work-Related Injuries and Illnesses?

OSHA Form 300 Log of Work-Related Injuries and Illnesses is a detailed record used by employers to document and classify incidents that occur in the workplace. It serves as a central log to note the extent and severity of each case for mandatory recordkeeping purposes. By maintaining this document, organizations can track workplace safety trends and identify potential hazards effectively. The information recorded helps determine whether an incident resulted in death, days away from work, job transfers, or other specific recordable outcomes.

The document captures specific details including the employee's name, job title, and the exact date the injury occurred or the illness began. It requires a brief description of the event, including the affected body parts and any objects or substances involved. Additionally, employers must log the total number of days an individual spent away from work or on restricted duty. This comprehensive data collection ensures that work related injuries are documented consistently across various industries and jurisdictions.

Occupational Safety and Health Administration (OSHA), U.S. Department of Labor

Who needs the DoL OSHA Forms for Recording Work-Related Injuries and Illnesses — and who doesn't

Not everyone files DoL OSHA Forms for Recording Work-Related Injuries and Illnesses. The checklist below tells you whether it applies to your situation — and points you to the right alternative if it doesn't.

You need this DoL OSHA Forms for Recording Work-Related Injuries and Illnesses if…

  • you are an employer covered by OSHA recordkeeping regulations.
  • your business employed more than 10 employees at any time during the previous calendar year.
  • you are not specifically exempt by industry and must maintain a detailed log of workplace safety incidents.
  • you need to classify and track the severity of work-related injuries and illnesses for your establishment.

You do not need this DoL OSHA Forms for Recording Work-Related Injuries and Illnesses if…

  • your company employed 10 or fewer employees at all times during the previous calendar year.
  • your business is classified as a low-hazard industry as listed in Appendix A to Subpart B of 29 CFR Part 1904.
  • you have not been specifically required by the Bureau of Labor Statistics or OSHA to maintain these records.

Why you need the DoL OSHA Forms for Recording Work-Related Injuries and Illnesses

Why people fill out DoL OSHA Forms for Recording Work-Related Injuries and Illnesses, and what tends to go wrong when they don't.

  • Track Workplace Safety Use the log to classify work-related injuries and illnesses, helping your organization identify trends and improve safety protocols by monitoring the severity and frequency of incidents occurring at your facility.
  • Detailed Incident Documentation Record specific data including the date, location, and nature of the injury or illness. These fields provide a clear history of how and where workplace events occurred for internal review.
  • Regulatory Recordkeeping Compliance Employers must maintain this log for five years to comply with Occupational Safety and Health Administration regulations. Keeping accurate records helps avoid potential citations and monetary penalties during official inspections.
  • Simplified Digital Management You can use pdfFiller to fill, edit, and save your log directly in your browser. The platform allows you to share the finished PDF by link or email for easy reporting.

DoL OSHA Forms for Recording Work-Related Injuries and Illnesses vs. similar documents

DoL OSHA Forms for Recording Work-Related Injuries and Illnesses gets mixed up with similar documents more than most. Here's how to tell them apart, and what filing the wrong one actually costs.

Comparison criteria OSHA Form 300 Log of Work-Related Injuries and Illnesses OSHA Form 301, Injury and Illness Incident Report OSHA Form 300A, Summary of Work-Related Injuries and Illnesses
Purpose Classify work related injuries and illnesses. Detailed workplace incident report for each case. Annual summary derived from Form 300 totals.
When to use Within seven days of a recordable incident. For each recordable case entered on Log. Posted annually from February 1 to April 30.
Filing Maintained for five years after calendar year. Maintained for five years after calendar year. Maintained for five years after calendar year.
Governing reference 29 CFR Part 1904 osha recordkeeping. 29 CFR Part 1904. 29 CFR Part 1904.

What each section of DoL OSHA Forms for Recording Work-Related Injuries and Illnesses means

Every section explained — what it's asking, the records you'll need on hand, and the mistakes that most often cause a rejection or follow-up request.

Case File Number An employer-assigned identification number used for internal tracking of a specific workplace injury or illness incident within the company's records.
Employee Full Name The full name of the worker who experienced the work-related injury or illness, ensuring the record is correctly associated with the specific individual.
Employee Job Title The official job title or role held by the employee at the time the specific injury occurred or the illness began.
Incident Occurrence Date The specific calendar date identifying when the work-related injury occurred or when the initial symptoms of the illness were first observed.
Specific Event Location The exact location or area within the workplace, such as the loading dock or assembly line, where the incident took place.
Detailed Injury Description A summary of the injury or illness, identifying the body parts affected and the specific object or substance that caused the harm.
Incident Severity Classification A categorization of the case based on its severity, such as death, days away from work, job transfer, or other recordable incidents.
Total Days Away The total count of calendar days the employee was absent from work as a direct result of the recorded injury or illness.
Transfer Restriction Days The total number of calendar days the employee was assigned to a different job or worked under restricted conditions due to the incident.
Injury Illness Category The specific classification of the incident, such as a physical injury, skin disorder, respiratory condition, poisoning, hearing loss, or other illnesses.

How to fill out DoL OSHA Forms for Recording Work-Related Injuries and Illnesses using pdfFiller

A walkthrough from the first field to the signature line. With your records in front of you, most people finish in under ten minutes.

  1. Open the Document Click Get Form to open OSHA Form 300 Log of Work-Related Injuries and Illnesses in the pdfFiller editor to begin documenting recordable incidents for your workplace safety form.
  2. Identify the Employee Click the Case or File Number field for internal tracking, then type the employee's full name and job title into the corresponding rows within the digital employer injury log.
  3. Log Incident Specifics Use the date picker to select when the injury or illness began and type the exact location, such as an assembly line or office, where the event occurred.
  4. Describe the Condition Select the description field to provide details on the injury or illness, specifying the affected body parts and any objects or substances that directly caused the medical condition.
  5. Classify the Case Click the appropriate checkbox to classify the incident as a death, days away from work, job transfer or restriction, or another recordable case based on the incident's severity.
  6. Record Time Lost Type the total number of calendar days the employee was away from work or on job transfer or restriction into the numeric fields provided for accurate recordkeeping totals.
  7. Select Injury Type Check the box corresponding to the specific injury or illness type, choosing from categories like skin disorders, respiratory conditions, poisoning, hearing loss, or general physical injuries.
  8. Save and Export Review your entries for accuracy, then save the finished PDF to your secure account, download it to your device, or share it via a link or email.

Required disclosures & attachments

The fields DoL OSHA Forms for Recording Work-Related Injuries and Illnesses won't be accepted without — and the disclosures filers most often miss.

  • OSHA Form 301, Injury and Illness Incident Report This form or an equivalent document must be completed for every recordable case entered on the Log of Work-Related Injuries and Illnesses to provide detailed information about the specific incident.

Deadlines, key dates & penalties for DoL OSHA Forms for Recording Work-Related Injuries and Illnesses

When DoL OSHA Forms for Recording Work-Related Injuries and Illnesses is due, what late filing actually costs, and how to request more time if you need it.

Entry Deadline Employers must enter each recordable injury or illness into the Log of Work-Related Injuries and Illnesses within seven calendar days of receiving information that the incident occurred.
Record Retention Employers are required to maintain the Log of Work-Related Injuries and Illnesses (OSHA Form 300) for five years after the end of the calendar year to which the records pertain.
Penalties for Non-compliance Failure to comply with OSHA recordkeeping regulations can result in official citations and monetary penalties under the Occupational Safety and Health Act.

State variations of DoL OSHA Forms for Recording Work-Related Injuries and Illnesses

While the Log of Work-Related Injuries and Illnesses is a standard federal recordkeeping tool, specific requirements and the implementation of safety regulations can vary from state to state.

Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Recent changes to DoL OSHA Forms for Recording Work-Related Injuries and Illnesses

The Log of Work-Related Injuries and Illnesses (OSHA Form 300) currently in use is the version revised in 2004. This version remains the standard document for employers to maintain manual records of workplace safety incidents. While this physical form is still used for ongoing recordkeeping, the Occupational Safety and Health Administration has introduced additional electronic reporting requirements for certain employers since this revision was published.

Pointer: Verify that your document is the 2004 revision to ensure it contains all the necessary fields for manual compliance.

Related content

The forms, guides, and worksheets most filers reach for alongside DoL OSHA Forms for Recording Work-Related Injuries and Illnesses.

Key terms used in DoL OSHA Forms for Recording Work-Related Injuries and Illnesses

A one-sentence glossary of the DoL OSHA Forms for Recording Work-Related Injuries and Illnesses terms and concepts you'll see throughout this guide.

Recordable case
A work-related injury or illness that must be entered on the log based on specific OSHA recordkeeping criteria.
Job transfer or restriction
When an injury or illness prevents an employee from performing routine job functions or results in a different job assignment.
Days away from work
The total count of calendar days an employee was unable to work due to a workplace injury or illness.
OSHA Form 301
A supplemental incident report providing detailed information for every recordable injury or illness entered on the Form 300 log.
OSHA Form 300A
The annual summary document that totals all recordable incidents and must be certified by an executive and posted in workplaces.

Frequently asked questions about DoL OSHA Forms for Recording Work-Related Injuries and Illnesses

Quick answers to the questions we hear most often about completing the DoL OSHA Forms for Recording Work-Related Injuries and Illnesses.

OSHA Form 300 is a log used by employers to record and classify work-related injuries and illnesses, including the severity of each case. This document helps companies track workplace safety by detailing specific incidents, such as the date and location of the event. You can easily fill, edit, and manage this form in your browser using pdfFiller to ensure all required fields are accurately completed.

Employers covered by OSHA recordkeeping regulations, generally those with more than 10 employees, are required to maintain an OSHA Form 300 log. Certain low-hazard industries and businesses with 10 or fewer employees throughout the previous calendar year are usually exempt. If your business is required to comply, pdfFiller provides a secure platform to manage these records and ensure they are stored in a secure environment.

You must enter each recordable injury or illness on the OSHA Form 300 within seven calendar days of receiving information that the incident occurred. Timely reporting is essential for maintaining accurate workplace safety records and complying with federal regulations. Using pdfFiller, you can quickly update your digital log from any device to meet this strict seven-day requirement and share the finished PDF via email.

Employers must maintain the OSHA Form 300, along with the related 301 and 300A forms, for five years following the end of the calendar year they cover. Keeping these records ensures your business remains compliant with OSHA inspection requirements and historical safety tracking. pdfFiller offers secure, encrypted storage to help you organize and preserve these documents for the entire five-year retention period as required by law.

OSHA Form 300 is an ongoing log of specific work-related incidents, while OSHA Form 300A is an annual summary of those totals that must be certified and posted. Form 300A is required to be displayed in the workplace from February 1 to April 30 each year. You can use pdfFiller to extract data from your Form 300 to help complete the summary and then download the finished documents.

No, OSHA Form 300 itself does not require a signature, although the related annual summary, Form 300A, must be certified by a company executive. While the log is an internal recordkeeping tool, it must be kept accurate and up to date for potential inspections. pdfFiller allows you to share these completed logs via a secure link or fax if requested by authorized labor officials.

Fill out DoL OSHA Forms for Recording Work-Related Injuries and Illnesses on pdfFiller in 4 simple steps

Open, fill, sign, and share DoL OSHA Forms for Recording Work-Related Injuries and Illnesses from any browser — or generate a custom version with AI in seconds. No installs, no printing, no back-and-forth.

The pdfFiller editor open in a web browser with DoL OSHA Forms for Recording Work-Related Injuries and Illnesses loaded and ready to fill out

Your DoL OSHA Forms for Recording Work-Related Injuries and Illnesses is safe with pdfFiller

Every document you fill and sign is protected with 256-bit encryption — both in transit and at rest — and stored on AWS cloud infrastructure. pdfFiller is independently certified and compliant with major security and privacy standards.

  • SOC 2 Type II certified — audited annually
  • HIPAA, GDPR, CCPA, and PCI DSS compliant
  • ESIGN Act compliant — legally binding eSignatures
  • Two-factor signer authentication
  • Detailed audit trail for every document action
Security and compliance certifications protecting documents stored on pdfFiller cloud
  • G2 — Users Most Likely To Recommend
  • G2 — Grid Leader in Small-Business
  • G2 — High Performer
  • G2 — Regional Leader
  • G2 — Easiest To Do Business With
  • G2 — Best Meets Requirements
  • G2 — Best Support

What people say about pdfFiller

Verified reviews from pdfFiller customers who use it to fill, sign, and manage their documents online.

I was glad to be able to copy and paste all the fields and save all pages at the same time.
Kathleen M. W
I'VE BEEN USING IF FOR A FEW DAYS FOR REAL ESTATE CONTRACTS AND LOVE IT. VERY STRAIGHTFORWARD AND USER-FRIENDLY.
Anonymous Customer

Fill, sign and send your DoL OSHA Forms for Recording Work-Related Injuries and Illnesses — all in one place

Start with DoL OSHA Forms for Recording Work-Related Injuries and Illnesses and keep going. pdfFiller gives you 2M+ ready-made templates, built-in eSignatures, and secure storage — everything you need to handle any document, without setup or extra tools.

2M+ templates · Zero setup · 24/7 human support

pdfFiller workspace showing a form being filled, signed and sent in one place

One tool. Every document task.

One workflow shouldn’t take five tools

Start free trial