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OREGON OCCUPATIONAL SAFETY AND HEALTH DIVISION DEPARTMENT OF CONSUMER AND BUSINESS SERVICES PROGRAM DIRECTIVE: A-284 Issued: December 15, 2011, Revised: September 21, 2015, SUBJECT: Local Emphasis
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How to fill out a-284 - oregon osha

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How to fill out a-284 - oregon osha:

01
Obtain the A-284 form: The A-284 form can be downloaded from the Oregon Occupational Safety and Health Administration (OSHA) website or obtained in person from an OSHA office.
02
Provide your personal information: Fill in your name, address, phone number, and email address in the designated fields on the form. Make sure to provide accurate and up-to-date information.
03
Identify your employer: Indicate the name of your employer and their contact information, including their address and phone number. If you are self-employed, provide your own information.
04
Select the appropriate industry: Tick the box that corresponds to the industry in which your employer operates. This helps OSHA categorize and analyze workplace safety data more effectively.
05
Provide information about your workplace: Detail the location of your workplace, including the address and any specific department or division where you work.
06
Outline the nature of work: Briefly describe the type of work performed in your workplace and the primary activities carried out. This helps OSHA understand the specific hazards associated with your job.
07
Specify the number of employees: Indicate the total number of employees working in your workplace. This includes both full-time and part-time workers.
08
Complete the safety and health program information: Provide details about any safety and health programs implemented by your employer. This may include safety training, hazard communication, injury and illness prevention policies, or any other relevant initiatives.
09
Specify the number of illnesses and injuries: Indicate the number of work-related illnesses and injuries that occurred in your workplace during the reporting period.
10
Sign and date the form: Review the completed A-284 form, ensuring all information is accurate and complete. Sign and date the form to certify its accuracy.

Who needs a-284 - oregon osha?

01
Employers: All employers in the state of Oregon are required to fill out the A-284 form. This includes businesses of all sizes and types, as well as self-employed individuals who have employees.
02
Workers: Although workers do not fill out the A-284 form themselves, they play a crucial role in providing accurate information to their employer regarding workplace safety and health. Their cooperation is necessary for the employer to accurately complete the form.
03
Oregon OSHA: The A-284 form is used by the Oregon OSHA to collect data on workplace safety and health in the state. This information helps OSHA identify trends, assess hazards, and develop strategies to improve occupational safety.
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A-284 is a form issued by Oregon OSHA for reporting workplace injuries and illnesses.
All employers in Oregon are required to file a-284 with Oregon OSHA.
Employers can fill out a-284 online through the Oregon OSHA website or by completing a paper form and mailing it in.
The purpose of a-284 is to track and analyze workplace injuries and illnesses to improve safety and health standards.
Employers must report details about the injury or illness, the affected employee, and the circumstances surrounding the incident.
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