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OSHA's Form 300A(Rev. 01/2004)Summary of Correlated Injuries and IllnessesNote: You can type input into this form and save it. Because the forms in this record keeping package are “fillable/writable
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How to fill out s form 300a summary

01
To fill out a Form 300A summary, follow these steps:
02
Start by collecting the necessary information, including the number of recordable cases, the total number of hours worked by all employees covered by the form, and any additional information required by your local regulations.
03
Enter the company name, establishment name, and establishment address at the top of the form.
04
Enter the reporting year for the data being summarized.
05
Calculate the totals for each column on the form, including the number of cases and total hours worked.
06
Fill in any other required information, such as the average number of employees and the company's North American Industry Classification System (NAICS) code.
07
Review the form for accuracy and completeness.
08
Sign and date the form to certify its accuracy.
09
Keep a copy of the completed form for your records and submit it to the appropriate regulatory agency, as required.
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Please note that this is a general guide, and you should consult the specific instructions provided with the Form 300A for detailed guidance.

Who needs s form 300a summary?

01
Any employer who is required to maintain OSHA injury and illness records must fill out an S Form 300A Summary. This includes most employers with more than 10 employees in industries such as manufacturing, construction, and healthcare. The Form 300A Summary is used to summarize the workplace injury and illness data recorded on the Form 300 Log of Work-Related Injuries and Illnesses. It provides a snapshot of the employer's recordable cases for a specific reporting year and must be posted in a visible location for employees to review.
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The Form 300A summary is a summary of work-related injuries and illnesses recorded on the Form 300 log.
Employers with more than 10 employees in certain industries are required to file the Form 300A summary.
The Form 300A summary can be filled out by entering the total number of cases and days away from work, job transfer, or restriction cases.
The Form 300A summary is used to provide a snapshot of the workplace injury and illness status for a specific year.
The Form 300A summary must include the total number of cases, days away from work, job transfer, or restriction cases, and the total number of days spent on job transfer or restriction.
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