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Get the free OSHA's Form 300A (Rev. 01/2004)

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This form summarizes work-related injuries and illnesses for the year 2010, as required by OSHA for all establishments covered by Part 1904. It includes a section for reporting total cases by type,
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How to fill out oshas form 300a rev

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How to fill out OSHA's Form 300A (Rev. 01/2004)

01
Begin by collecting all relevant data on work-related injuries and illnesses from your records.
02
Enter the company name, address, and the year for which the form is being completed at the top of the form.
03
Fill in the total number of cases that resulted in death, days away from work, or job transfer.
04
Record the total number of other recordable cases, including those that resulted in medical treatment beyond first aid.
05
Calculate the totals for days away from work, days of job transfer, and other recordable cases separately.
06
Complete the section indicating the number of injuries and illnesses by category (e.g., type of injury).
07
Sign and date the form to certify that the information is accurate and complete.
08
Post the completed Form 300A in a visible location for employees to see from February 1 to April 30 each year.

Who needs OSHA's Form 300A (Rev. 01/2004)?

01
Employers with more than 10 employees in certain industries, including those classified under OSHA regulations, must complete and submit Form 300A.
02
Any employer who has experienced work-related injuries and illnesses that need to be reported according to OSHA guidelines.
03
Businesses that are required to maintain OSHA injury and illness records annually need to fill out this form and post it.
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OSHA's Form 300A (Rev. 01/2004) is a summary of work-related injuries and illnesses that occurred in a workplace during the previous calendar year. It provides a snapshot of the overall safety record of an organization.
Employers with 10 or more employees who are not classified as partially exempt industries are required to file OSHA's Form 300A. Certain industries are exempt from this requirement.
To fill out OSHA's Form 300A, employers need to enter the total number of job-related injuries and illnesses, the total number of hours worked by all employees, and other information including the employer's name, establishment, and address, along with the certification by a company executive.
The purpose of OSHA's Form 300A is to inform employees and the public about workplace injuries and illnesses, promote transparency regarding work safety, and help employers assess their health and safety programs.
OSHA's Form 300A requires employers to report the total number of recorded injuries and illnesses, the total number of hours worked by all employees, and a summary of job-related fatalities, injuries, and illnesses categorized by types.
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