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OSHA's Form 300A (Rev. 01/2004)Year 20 17 Summary of Correlated Injuries and Illnesses. S. Department of LaborOccupational Safety and Health AdministrationForm approved OMB no. 12180176All establishments
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How to fill out osha 300a form

01
To fill out OSHA 300A form, follow these steps:
02
Start by gathering all the necessary information, including the company name, establishment name, and establishment location.
03
Review the list of recorded injuries and illnesses that occurred during the specified calendar year.
04
Count the number of cases in each category (such as injuries, illnesses, or fatalities).
05
Calculate the total number of hours worked during the year by all employees.
06
Determine the company's average number of employees during the year.
07
Use the provided formulas to calculate the incidence rates for each category.
08
Fill in the appropriate sections of the OSHA 300A form with the calculated values.
09
Date and certify the form by signing and designating the responsible company official.
10
Post the completed OSHA 300A form in a prominent and accessible area at the workplace for all employees to see.
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Keep a copy of the form on file for a minimum of five years.

Who needs osha 300a form?

01
OSHA 300A form is required for certain employers in the United States. It must be filled out by businesses with 10 or more employees and establishments in specific industries, including manufacturing, construction, healthcare, and transportation.
02
Additionally, businesses with fewer than 10 employees or establishments in low-risk industries may also need to fill out the OSHA 300A form if specifically requested by OSHA or the state regulatory agency.
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OSHA Form 300A is a summary of work-related injuries and illnesses that occurred in the workplace during the previous calendar year.
Employers with more than 10 employees must file OSHA Form 300A.
To fill out OSHA Form 300A, employers must summarize the number of recordable injuries and illnesses that occurred during the previous calendar year.
The purpose of OSHA Form 300A is to provide a summary of work-related injuries and illnesses to help employers and employees identify potential areas for improvement in workplace safety.
Information reported on OSHA Form 300A includes the total number of cases, days away from work, and job transfer or restriction cases, as well as the types of injuries or illnesses that occurred.
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