DoL OSHA 301 2004-2025 free printable template

OSHA s Form 301 Rev. 04/2004 Injury and Illness Incident Report This Injury and Illness Incident Report is one of the first forms you must fill out when a recordable work-related injury or illness has occurred. Together with the Log of Work-Related Injuries and Illnesses and the accompanying Summary these forms help the employer and OSHA develop a picture of the extent and severity of work-related incidents. Within 7 calendar days after you receive information that a recordable work-related...

How to fill out form 301 pdf

How to fill out DoL OSHA 301

1. Begin by entering the name of the employer at the top of the form.
2. Fill in the address of the employer's business.
3. Include the telephone number of the employer.
4. Enter the name of the injured employee.
5. Fill in the employee's address and phone number.
6. Indicate the employee's job title.
7. Provide the date of the injury or illness.
8. Specify the time of the incident and how it occurred.
9. Describe the injury or illness sustained by the employee.
10. Record any medical treatment the employee received.
11. Include the date of the report filling.
12. Have the appropriate person sign the form.

Who needs DoL OSHA 301?

1. Any employer with employees who have experienced a work-related injury or illness.
2. Companies required to comply with OSHA regulations.
3. Individuals responsible for maintaining workplace safety records.

People Also Ask about osha form 301 pdf fillable

What is an OSHA 200 form?

Log and Summary of Occupational. Injuries and Illnesses. NOTE: This form is required by Public Law 91-596 and must be kept in the establishment for 5 years. Failure to maintain and post can result in the issuance of citations and assessments of penalties.

What is OSHA standard form?

The OSHA Form 300 is a form for employers to record all reportable injuries and illnesses that occur in the workplace, where and when they occur, the nature of the case, the name and job title of the employee injured or made sick, and the number of days away from work or on restricted or light duty, if any.

What are OSHA Forms 300 300A and 301?

The OSHA 300 form is called the Log of Work-Related Injuries and Illnesses, the 300-A is the Summary of Work-Related Injuries and Illnesses, and the OSHA 301 form is called the Injury and Illness Incident Report.

What is the difference between 300 and 300A logs?

OSHA 300 Log is a detailed log of workplaces injuries and illnesses that is used for reference and archive purposes. It needs to be filed ing to OSHA rules. Under no circumstances should the OSHA 300 Log be publicly posted. OSHA Form 300A is a summary of Form 300 with personal information removed.

What is the difference between OSHA 300 and OSHA 300A?

You must use OSHA 300, 300-A, and 301 forms, or equivalent forms, for recordable injuries and illnesses. The OSHA 300 form is called the Log of Work-Related Injuries and Illnesses, the 300-A is the Summary of Work-Related Injuries and Illnesses, and the OSHA 301 form is called the Injury and Illness Incident Report.

What is the difference between OSHA Form 300 and Form 300A?

OSHA 300 Log is a detailed log of workplaces injuries and illnesses that is used for reference and archive purposes. It needs to be filed ing to OSHA rules. Under no circumstances should the OSHA 300 Log be publicly posted. OSHA Form 300A is a summary of Form 300 with personal information removed.

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What is DoL OSHA 301?

DoL OSHA 301 is a form used to report workplace injuries and illnesses according to the Occupational Safety and Health Administration (OSHA) regulations.

Who is required to file DoL OSHA 301?

Employers who are required to maintain records of work-related injuries and illnesses must file DoL OSHA 301 for each recordable incident.

How to fill out DoL OSHA 301?

To fill out DoL OSHA 301, employers must provide detailed information about the injury or illness, including employee details, the nature of the incident, the injury description, and any medical treatment provided.

What is the purpose of DoL OSHA 301?

The purpose of DoL OSHA 301 is to document workplace injuries and illnesses to help employers identify hazards, improve safety practices, and comply with federal regulations.

What information must be reported on DoL OSHA 301?

The information that must be reported on DoL OSHA 301 includes the employee's name, job title, date of the incident, a description of the event, type of injury or illness, and any medical treatment provided.