Get the free OSHA Injury and Illness Incident Record - oshainfo gatech

This document is used to record employee injuries and illnesses as required by OSHA regulations. It includes fields for employee information, details of the incident, health care provider information,

How to fill out osha injury and illness

How to fill out OSHA Injury and Illness Incident Record

1. Begin with the basic information: Enter the name of your establishment, address, and the date of the incident.
2. Identify and fill in the details of the employee affected: Name, job title, and employee number.
3. Record the date and time of the injury or illness.
4. Provide a description of the incident: Explain what happened and how the injury or illness occurred.
5. Indicate the nature of the injury or illness: Specify what body part was affected and the type of injury (e.g., cut, fracture, etc.).
6. Fill in the location of the incident within the workplace.
7. Record the equipment or substances involved in the incident, if applicable.
8. Document any medical treatment provided, including first aid and whether the employee was hospitalized.
9. Specify if the employee lost consciousness or was unable to perform their job after the incident.
10. Review the completed record for accuracy and ensure it is signed by the appropriate personnel.

Who needs OSHA Injury and Illness Incident Record?

1. Employers with employees who are injured or become ill due to work-related incidents must complete an OSHA Injury and Illness Incident Record.
2. Safety managers and human resources personnel are responsible for maintaining these records to ensure compliance with OSHA regulations.
3. The records may be required during safety audits, investigations, and can be useful for identifying workplace hazards.

People Also Ask about

What is a LTI in OSHA?

Lost Time Injury rate refers to incidents that result in a disability or an employee missing work due to an injury. Learn more about how to calculate Lost Time Injury and the importance of measuring this metric. Catherine Tims. Jan 12, 2023. Workplace Health and Safety Incident Management Safety Management Safety

What are the 4 categories of recordable injury or illness in the workplace?

You must consider an injury or illness to meet the general recording criteria, and therefore to be recordable, if it results in any of the following: death, days away from work, restricted work or transfer to another job, medical treatment beyond first aid, or loss of consciousness.

What injuries are considered OSHA recordable?

Recordable work-related injuries and illnesses are those that result in one or more of the following: medical treatment beyond first aid, one or more days away from work, restricted work or transfer to another job, diagnosis of a significant injury or illness, loss of consciousness, or death.

What does LTI mean in safety?

An LTI (Lost Time Injury) is an injury sustained by an employee that leads to loss of productive work in the form of absenteeism or delays. A workplace injury is only considered an LTI if the worker is unable to perform their regular duties, takes time off to recover or is assigned to modified tasks while they heal.

How is LTI calculated?

LTIR Formula Calculating LTIR is straightforward. Take the number of lost time injuries, divide by total hours worked, and multiply by 200,000. This final figure shows how many incidents per 100 employees led to lost work time, highlighting trends that might be impacting productivity on-site.

What is the OSHA log of injuries and illnesses?

The Log of Work-Related Injuries and Illnesses (Form 300) is used to classify work-related injuries and illnesses and to note the extent and severity of each case. When an incident occurs, use the Log to record specific details about what happened and how it happened.

What does LTI mean?

A lost time injury (LTI) is an injury sustained on the job that results in the loss of productive work time. An occupational injury is considered an LTI only when the injured worker: Is unable to perform their regular job duties. Requires time off to recover. Is assigned modified work duties while recovering.

What is the difference between LTI and LTA?

Lost Time Injury (LTI) and Lost Time Accident (LTA) are often used interchangeably, but they typically refer to the same thing in a workplace safety context. Both terms, generally indicate an injury or accident severe enough to cause an employee to miss work beyond the day of the injury.

For pdfFiller’s FAQs

What is OSHA Injury and Illness Incident Record?

The OSHA Injury and Illness Incident Record is a form required by the Occupational Safety and Health Administration (OSHA) that documents work-related injuries and illnesses in a workplace.

Who is required to file OSHA Injury and Illness Incident Record?

Employers with more than 10 employees and those in certain high-risk industries are required to file the OSHA Injury and Illness Incident Record.

How to fill out OSHA Injury and Illness Incident Record?

To fill out the OSHA Injury and Illness Incident Record, employers must provide information about the incident, including the date, time, name of the employee, description of the injury or illness, and any medical treatment provided.

What is the purpose of OSHA Injury and Illness Incident Record?

The purpose of the OSHA Injury and Illness Incident Record is to help monitor and improve workplace safety by tracking incidents and promoting better health and safety practices.

What information must be reported on OSHA Injury and Illness Incident Record?

Information that must be reported includes the employee's name, job title, date and time of the incident, a description of the injury or illness, and any medical treatment received.