Florida Injuries and Illnesses Incident Report - OSHA Form 301

State:
Multi-State
Control #:
US-428EM
Format:
Word; 
Rich Text
Instant download

Description

This form satisfies the OSHA requirement of developing a picture of the extend of the severity of work-related incidents.
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  • Preview Injuries and Illnesses Incident Report - OSHA Form 301

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FAQ

When Should You Complete OSHA Form 301? You must complete the Injury and Illness Incident Report within seven calendar days after you receive information that a recordable work-related injury or illness has occurred at your work place.

Basic requirement. You must use OSHA 300, 300-A, and 301 forms, or equivalent forms, for recordable injuries and illnesses.

Occupational Safety and Health Administration (OSHA) Form 301, Injury and Illness Incident Report, is used by employers to keep a record of a single injury, illness, or death in a workplace. This form is found within OSHA Form 300, which is used to log and classify all such incidents for a workplace.

Form 301 is called the Injury and Illness Incident Report, which is used to record information on how each injury or illness case occurred.

Establishments with 100 or more employees in the highest-hazard industries to submit Form 300 Log and Form 301 Incident Report information once a year to OSHA. These establishments would continue to be required to electronically submit information from their Form 300A Annual Summary.

Basic requirement. You must use OSHA 300, 300-A, and 301 forms, or equivalent forms, for recordable injuries and illnesses.

OSHA Form 301This is a business location-based log that includes a line item for every workplace incident. OSHA Form 300AThis is an annual summary that combines all the data from the forms above, outlining all incidents at all business locations.

When Should You Complete OSHA Form 301? You must complete the Injury and Illness Incident Report within seven calendar days after you receive information that a recordable work-related injury or illness has occurred at your work place.

The OSHA 300 Log requires employers to check one of 6 boxes to categorize the injury/illness: (1) injury (2) skin disorder (3) respiratory condition (4) poisoning (5) hearing loss (6) all other illnesses. There are spaces to record days of job transfer or work restriction, as well as days away from work.

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Florida Injuries and Illnesses Incident Report - OSHA Form 301