Missouri Injury and Illness Incident Record (OSHA 301)

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Multi-State
Control #:
US-AHI-273
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Word; 
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Description

This AHI form is used to document and record injury and illness incidents that are work-related.

How to fill out Injury And Illness Incident Record (OSHA 301)?

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FAQ

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.

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.

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.

How does OSHA define a recordable injury or illness? Any work-related fatality. Any work-related injury or illness that results in loss of consciousness, days away from work, restricted work, or transfer to another job. Any work-related injury or illness requiring medical treatment beyond first aid.

All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. A fatality must be reported within 8 hours. An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.

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

Under OSHA's recordkeeping regulation, certain covered employers are required to prepare and maintain records of serious occupational injuries and illnesses using the OSHA 300 Log.

First, the employer must maintain a summary form (OSHA Form 200, commonly referred to as the "OSHA Log," or an equivalent form) that lists each injury and illness that occurred in each establishment during the year.

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.

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

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Missouri Injury and Illness Incident Record (OSHA 301)