Hawaii 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.

Hawaii Injuries and Illnesses Incident Report — OSHA Form 301 is a comprehensive document used by businesses and organizations in the state of Hawaii to report workplace injuries and illnesses to the Occupational Safety and Health Administration (OSHA). This report serves as a record of any incidents that occur on the job and helps OSHA track and analyze workplace hazards to ensure the safety and well-being of employees. The Hawaii Injuries and Illnesses Incident Report — OSHA Form 301 contains various sections and fields designed to gather specific information about each incident. This includes details about the employee affected, the nature of the injury or illness, the circumstances that led to the incident, and any medical treatment provided. Key elements in the form include: 1. Employee Information: This section collects the personal details of the injured or ill employee, such as their name, job title, department, and contact information. 2. Incident Details: Here, employers must describe the specific incident, including the date, time, and location. They should provide a detailed narrative of what happened and any contributing factors or equipment involved. 3. Injury/Illness Description: This section prompts the employer to record the specific injuries or illnesses suffered by the employee. Details like body parts affected, symptoms experienced, and severity of the condition should be included. 4. Medical Treatment: Employers must document the actions taken to provide medical attention to the employee, including initial treatment at the workplace, referral to healthcare facilities, and any subsequent follow-up care. 5. Days Away/Restricted/Transfer (DART): This field captures the number of days the employee remained away from work, had restricted work activities, or had to be transferred to another job due to the incident. 6. Supervisor's Review: The form may have a section for the immediate supervisor or manager to review and sign, acknowledging the accuracy of the reported incident. It is important to note that Hawaii Injuries and Illnesses Incident Report — OSHA Form 301 may have specific variations or additional fields based on specific industries or organizations. For example, the form may be customized for construction sites, healthcare facilities, or manufacturing plants to capture industry-specific hazards and incident details. Completing the Hawaii Injuries and Illnesses Incident Report — OSHA Form 301 accurately and promptly is crucial for employers to comply with OSHA regulations, identify potential safety concerns, implement preventive measures, and protect the health and well-being of their workforce.

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FAQ

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.

OSHA Form 301 is used by employers to create a detailed record of workplace injuries and illnesses. Employers must save the annual summary of all reports filed. Employers must also save the OSHA 301 Incident Report forms for 5 years after the end of the calendar year that the records cover.

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

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.

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.

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.

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.

More info

You must complete the Injury and Illness Incident Report within seven calendar days after you receive information that a recordable work-related injury or ... Form 301 - Required injury and illness incident report. First Report of Injury - Workers' Comp form. (An Excel version of the form is also available.).General instructions for filling out the forms in this package and definitionsOSHA's 301: Injury and Illness Incident Report. A copy of the OSHA 301 to ... OSHA injury and illness records unless the government asks you to keeprequired on the OSHA 301 Incident Report form, for each recordable injury or ... Employers must complete OSHA Form 301 (Injury and Illness Incident Report) for each work-related injury or illness, and must also log ... Employers must also prepare a supplementary OSHA Form 301 ?Injury and Illness Incident Report? or equivalent that provides additional ... 300A Summary of Work-Related Injuries and Illnesses. 301 Injury and Illness Incident Report. These forms were updated in January 2004. An employer is also required to fill out an OSHA Form 301 (Injury and Illness Incident Report) for each recordable work-related injury or ... The OSHA 300 log must be maintained and certified annually with the OSHA 301 Incident Report form, or the company's injury report form, if applicable. The OSHA ...

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Hawaii Injuries and Illnesses Incident Report - OSHA Form 301