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D. Illnesses. This forms. On Form 300, we've switched the positions of the day count columns.You must complete an injury and illness incident report (OSHA Form 301) or. 40 , Be sure to transfer these totals to the Summary page (Form 300A) before you . U.S. Department of Labor. Occupational Safety and Health Administration. OSHA's Form 300A (Rev. 01/2004). Year 20 . Summary of Work-Related Injuries . Department of Indus rial Relations t. Di vision of O ccupational Safety & Health. Cal/OSHA.

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