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OSHA\'s Form 300A(Rev. 01/2004)Year2019U. S. Department of Labor
Occupational Safety and Health Administration
Form approved OMB no. 12180176All establishments covered by Part 1904 must complete this
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How to fill out osha 300a form

How to fill out osha 300a form
01
To fill out the OSHA 300A form, follow these steps:
02
Download the OSHA 300A form from the official OSHA website.
03
Begin by filling out the establishment name and address at the top of the form.
04
Enter the total number of employees in the establishment and choose the appropriate employment status box.
05
Record the calendar year for which you are reporting and indicate the reporting status by checking the appropriate box.
06
Calculate the total number of cases for each category listed on the form (i.e., total number of deaths, cases with days away from work, etc.).
07
Calculate the total number of days away, job transfer, or restriction for each category.
08
Sign and date the bottom of the form.
09
Post the completed form in a visible location where employees can easily view it.
10
Make sure to keep a copy of the completed form on file for a minimum of five years.
Who needs osha 300a form?
01
Employers who are required to keep OSHA injury and illness records need the OSHA 300A form.
02
This form is specifically needed by employers who have more than 10 employees and fall under industries designated by OSHA as high-risk, such as construction, manufacturing, and healthcare.
03
Employers who are not in designated high-risk industries but have more than 20 employees also need to keep records and fill out the OSHA 300A form.
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What is OSHA 300A form?
The OSHA 300A form is an annual summary of work-related injuries and illnesses that employers are required to complete to report the number of such incidents that occurred in the previous calendar year.
Who is required to file OSHA 300A form?
Employers with more than 10 employees and those who are not exempt by size or industry are required to file the OSHA 300A form.
How to fill out OSHA 300A form?
To fill out the OSHA 300A form, employers need to summarize the data recorded in their OSHA 300 log for the year, including the total number of cases, injuries, and illnesses, along with employee data such as hours worked.
What is the purpose of OSHA 300A form?
The purpose of the OSHA 300A form is to provide a clear summary of workplace injuries and illnesses to help improve safety and health practices in the workplace.
What information must be reported on OSHA 300A form?
The OSHA 300A form requires reporting of the total number of work-related injuries and illnesses, the number of days away from work, job transfer, or restrictions, along with the number of fatalities.
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