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OSHA s Form 300 (Rev. 01/2004) Log of Work-Related Injuries and Illnesses Attention: This form contains information relating to employee health and must be used in a manner that protects the confidentiality
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How to fill out osha form 300 pdf

How to fill out OSHA Form 300 PDF:
01
Begin by opening the OSHA Form 300 PDF on your computer or device.
02
Fill in the top section of the form, which includes the company name, establishment name, and establishment address.
03
Enter the company's industry code and establishment code in the designated spaces.
04
Next, provide the contact information for the person completing the form, including their name, job title, and phone number.
05
Record the year for which the form is being completed in the provided space.
06
If there have been any changes to the company name, establishment name, or address since the last reporting period, indicate these changes appropriately.
07
Moving on to the actual reporting, start by recording the case number for each work-related injury or illness in the first column of the form.
08
In the second column, note the employee's name or identifier. If the person wishes to remain anonymous, use an identifier that does not reveal their identity.
09
Enter the date of the injury or illness in the third column, ensuring that it is reported accurately.
10
Describe the nature of the injury or illness in the following column. Provide as much detail as possible, such as the body part affected or the type of illness.
11
In the fifth column, indicate where the incident occurred, whether it was in the workplace or during off-site work-related activities.
12
Classify the case according to its general category, such as injury or illness, in the next column.
13
Determine the outcome of the case, whether it resulted in death, days away from work, job transfer or restriction, or other recordable cases, and mark the appropriate box in the corresponding column.
14
If the case resulted in days away from work or job transfer or restriction, indicate the number of days in the next column.
15
Finally, review the completed form for accuracy and completeness before submitting it for recordkeeping.
Who needs OSHA Form 300 PDF?
01
Employers in the United States who are subject to OSHA regulations are required to maintain OSHA Form 300.
02
This includes most private sector employers with 10 or more employees, as well as some employers in low hazard industries with fewer than 10 employees.
03
Federal government agencies and certain state agencies are also mandated to maintain OSHA Form 300.
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What is osha form 300 pdf?
OSHA Form 300 is a log of work-related injuries and illnesses that must be maintained by employers.
Who is required to file osha form 300 pdf?
Employers with more than 10 employees are required to keep and maintain OSHA Form 300.
How to fill out osha form 300 pdf?
Employers must record information about each recordable injury or illness on OSHA Form 300, including a description of the incident and treatment provided.
What is the purpose of osha form 300 pdf?
The purpose of OSHA Form 300 is to track and monitor work-related injuries and illnesses in the workplace.
What information must be reported on osha form 300 pdf?
OSHA Form 300 must include information about the injury or illness, the employee affected, and the treatment provided.
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