Utah Injury and Illness Incident Record (OSHA 301)

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US-AHI-273
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Description

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

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FAQ

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.

You must record any significant work- related injury or illness that is diagnosed by a physician or other licensed health care professional. You must record any work-related case involving cancer, chronic irreversible disease, a fractured or cracked bone, or a punctured eardrum. See 29 CFR 1904.7.

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 an injury or illness involves one or more days away from work, you must record the injury or illness on the OSHA 300 Log with a check mark in the space for cases involving days away and an entry of the number of calendar days away from work in the number of days column.

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.

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.

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

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

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.

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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Utah Injury and Illness Incident Record (OSHA 301)