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Form 300A 1/11/2023OSHA\'s Form 300AYear 20(Rev. 01/2004)Summary of Correlated Injuries and Illnesses22U. S. Department of Labor Occupational Safety and Health AdministrationForm approved OMB no.
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How to fill out summary of work-related injuries

01
Gather all relevant information related to the work-related injury, including date, time, location, and details of the incident.
02
Describe the nature of the injury, including any physical symptoms experienced.
03
Include information about any medical treatment received for the injury.
04
Provide details about any time off work or work restrictions resulting from the injury.
05
Be thorough and accurate in documenting all aspects of the work-related injury.

Who needs summary of work-related injuries?

01
Employees who have experienced a work-related injury and need to report it to their employer.
02
Employers who need to keep records of work-related injuries for legal and safety compliance purposes.
03
Medical professionals who may need to provide documentation of work-related injuries for treatment and follow-up care.
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Summary of work-related injuries is a document that provides an overview of the workplace injuries that occurred during a specific time period.
Employers in certain industries are required to file summary of work-related injuries with the Occupational Safety and Health Administration (OSHA).
Employers can fill out the summary of work-related injuries by recording all workplace injuries that occurred during the reporting period and submitting the form to OSHA.
The purpose of summary of work-related injuries is to provide OSHA with data on workplace injuries so that they can identify trends and improve workplace safety.
Information such as the number of workplace injuries, the types of injuries, and the industries in which the injuries occurred must be reported on the summary of work-related injuries.
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