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Form 300A 1/30/2023OSHA\'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 form 300a - 1302023

01

Start by entering the name of the company at the top of the form.

02

Fill in the establishment name and address in the designated fields.

03

Provide the industry description and the number of employees at the establishment.

04

Record the total number of days in the reporting year that the establishment operated.

05

Indicate the number of days the establishment had no injuries or illnesses recorded.

06

Fill in the total number of deaths, days away from work cases, job transfer or restriction cases, and other recordable cases.

07

Sign and date the form before submitting it to the appropriate regulatory agency.

Who needs form 300a - 1302023?

01

Employers in industries covered by the Occupational Safety and Health Administration (OSHA) regulations are required to fill out form 300a - 1302023. This includes most private sector employers and some public sector employers.

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What is form 300a - 130?

Form 300a - 130 is a report used by employers to document workplace injuries and illnesses as part of compliance with federal or state reporting requirements.

Who is required to file form 300a - 130?

Employers with ten or more employees, unless they qualify for a specific exemption, are required to file Form 300a - 130.

How to fill out form 300a - 130?

To fill out Form 300a - 130, employers must provide details about workplace incidents, including the number of injuries, types of incidents, and any other necessary information as specified in the form's instructions.

What is the purpose of form 300a - 130?

The purpose of Form 300a - 130 is to ensure employers maintain a record of workplace injuries and illnesses, facilitate tracking for safety improvements, and provide valuable data for regulatory compliance.

What information must be reported on form 300a - 130?

Employers must report the total number of cases, the number of days away from work, job transfer or restriction cases, and any fatalities on Form 300a - 130.

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