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OSHA\'s Form 300AYear 2022(Rev. 01/2004)Summary of Correlated Injuries and Illnesses. S. Department of Labor Occupational Safety and Health Administration Form approved OMB no. 12180176All establishments
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01
Obtain the OSHA-300A form specific to the Seattle Campus excluding UWMC Montlake for the year 2021.
02
Fill in the establishment name, address, and industry classification at the top of the form.
03
Count the total number of recordable cases, days away from work, and days of job transfer or restriction for the year.
04
Calculate the total hours worked by all employees and choose the appropriate rate for your industry from the table provided.
05
Fill in the total number of deaths, missed workdays, job transfer or restriction cases, and other recordable cases.
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Sign and date the form once all information has been accurately filled out.

Who needs osha-300a-seattle-campus-excluding-uwmc-montlake-20221?

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Employers at the Seattle Campus excluding UWMC Montlake who are required to maintain OSHA injury and illness records for the year 2021.
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OSHA-300A for the Seattle Campus, excluding UW Medical Center Montlake, is an annual summary of workplace injuries and illnesses that occur during the calendar year, required by the Occupational Safety and Health Administration (OSHA).
Employers with 10 or more employees and those that are required to keep OSHA injury and illness records must file the OSHA-300A form.
To fill out the form, employers should enter the total number of recorded injuries and illnesses from the OSHA 300 log, along with employee demographic information, incident descriptions, and other relevant data.
The purpose is to provide a summary of workplace injuries and illnesses to ensure compliance with OSHA regulations, promote workplace safety, and identify areas needing improvement.
The form requires reporting the total number of fatalities, total number of cases with days away from work, total number of cases with job transfer or restriction, total number of other recordable cases, and a breakdown of the number of injuries and illnesses by type.
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