Get the free OSHAs Form 300A Rev 012004 2007 Summary of Work

OSHA's Form 300A (Rev. 01/2004) Year U.S. Department of Labor Summary of Correlated Injuries and Illnesses All establishments covered by Part 1904 must complete this summary page, even if no work

How to fill out oshas form 300a rev

How to fill out OSHA's Form 300A Rev?

1. Gather the necessary information: Before starting to fill out OSHA's Form 300A Rev, you need to gather all the relevant information. This includes recording all work-related injuries and illnesses that occurred during the reporting year, as well as the total number of hours worked by all employees.
2. Identify the reporting year: The top of the Form 300A Rev requires you to indicate the reporting year for which you are completing the form. Make sure to select the correct year to avoid any discrepancies.
3. Provide establishment information: Fill out the sections that require you to provide information about your establishment. This includes details such as the establishment name, address, industry classification, and number of employees.
4. Record the summary of injuries and illnesses: In the main section of the form, there is a summary table where you need to record the total number of work-related injuries and illnesses. This includes both cases with days away from work and cases with job restriction or transfer.
5. Calculate the incidence rates: The next section of the form requires you to calculate the incidence rates for your establishment. This involves dividing the total number of cases by the number of hours worked and multiplying it by 200,000.
6. Have it certified: Once you have completed all the necessary fields, the form needs to be certified by a company executive or the business owner. They need to sign and date the form to validate its accuracy.

Who needs OSHA's Form 300A Rev?

1. Employers with more than ten employees: OSHA's Form 300A Rev is required to be filled out by employers who have more than ten employees. This includes full-time, part-time, temporary, and seasonal workers.
2. Employers in certain industries: Some specific industries are required to maintain and submit OSHA's Form 300A Rev even if they have fewer than ten employees. This includes industries such as manufacturing, construction, healthcare, and transportation.
3. Employers subject to OSHA regulations: Any employer who is subject to the recordkeeping requirements of OSHA is required to complete and submit Form 300A Rev. This helps OSHA monitor workplace safety, identify trends, and ensure compliance with safety regulations.

It is important for employers to be aware of their obligations regarding OSHA's Form 300A Rev to maintain a safe and compliant work environment. By accurately filling out the form and submitting it on time, employers can contribute to the improvement of workplace safety and reduce the risk of work-related injuries and illnesses.

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