Georgia Injuries and Illnesses Incident Report - OSHA Form 301

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Multi-State
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US-428EM
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Description

This form satisfies the OSHA requirement of developing a picture of the extend of the severity of work-related incidents.

The Georgia Injuries and Illnesses Incident Report, also known as OSHA Form 301, is a crucial document used by employers to record and report work-related injuries and illnesses to the Occupational Safety and Health Administration (OSHA). OSHA Form 301 is a standardized reporting tool designed to gather detailed information about incidents in order to prevent future occurrences and ensure the safety and well-being of employees. This form is typically completed by employers within eight hours of learning about the injury or illness, and it is an essential part of complying with OSHA's record keeping requirements. The Georgia Injuries and Illnesses Incident Report — OSHA Form 301 serves as a comprehensive record that includes crucial details about the incident, allowing both employers and OSHA to analyze the causes, assess the severity, and implement necessary preventive measures. Some key information included in the Georgia Injuries and Illnesses Incident Report — OSHA Form 301 are: 1. Employee Information: This section consists of the injured employee's name, job title, department, and other relevant personal details. 2. Description of Incident: Here, employers provide a detailed account of what happened, including the date, time, location, and a narrative describing the circumstances of the injury or illness. 3. Injury/Illness Details: This section requires specific information related to the nature of the injury or illness. It includes details about the body part(s) affected, the immediate cause, and the object or substance involved. 4. Treatment Information: Employers should provide information about the initial medical treatment received by the employee, including whether first-aid was administered or if the individual sought medical attention outside the workplace. 5. Job Transfer or Days Away from Work: This section captures whether the employee had to be transferred to another job or if they missed work due to the injury or illness. The number of days away from work is recorded to assess the severity and impact on the employee. 6. Root Causes and Preventive Measures: Employers are required to investigate and identify the root causes of the incident. This section of the form allows them to outline any corrective actions taken to prevent future occurrences. It is vital to note that the Georgia Injuries and Illnesses Incident Report — OSHA Form 301 may vary slightly from the national standard version based on state-specific requirements. It is important for employers in Georgia to use the appropriate version of the form to ensure compliance with state regulations. By accurately completing the Georgia Injuries and Illnesses Incident Report — OSHA Form 301, employers contribute to maintaining a safe and healthy work environment. This form acts as a significant tool for employers, OSHA, and other stakeholders to identify potential hazards, establish preventative measures, and minimize work-related injuries and illnesses.

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FAQ

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.

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.

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.

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.

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.

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.

More info

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Georgia Injuries and Illnesses Incident Report - OSHA Form 301