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Form 300A 1/9/2023OSHA\'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. 12180176
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How to fill out osha form 300a
How to fill out osha form 300a
01
Gather the necessary information such as the company name, establishment name, address, industry classification, average number of employees, and the annual peak employment.
02
Review the OSHA Form 300 to ensure accurate recording of workplace injuries and illnesses.
03
Fill out the summary section of the OSHA Form 300A, including the total number of cases, days away from work, job transfer or restriction cases, and the total number of days that employees spent away from work.
04
Enter the company executive's name, title, date signed, and establishment information at the bottom of the form.
05
Post the completed OSHA Form 300A in a visible location for all employees to see.
Who needs osha form 300a?
01
Employers in certain industries with more than 10 employees are required to fill out OSHA Form 300A.
02
This includes manufacturers, hospitals, nursing homes, construction companies, and other workplaces covered by OSHA regulations.
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