Injuries and Illnesses Incident Report - OSHA Form 301

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

Description Work Injury What

This form satisfies the OSHA requirement of developing a picture of the extend of the severity of work-related incidents.
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How to fill out Osha Incident Report?

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Osha Form 301 Pdf Other Form Names

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What Is Osha Form 301 FAQ

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.

You must complete an OSHA 301 Incident Report form, or an equivalent form, for each recordable injury or illness entered on the OSHA 300 Log.Many employers use an insurance form instead of the OSHA 301 Incident Report, or supplement an insurance form by adding any additional information required by OSHA.

If it is a serious injury, illness, dangerous incident or death, you must immediately notify SafeWork on 13 10 50 and call your workers compensation insurer within 48 hours.

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.

Covered establishments are only required to electronically submit information from the OSHA Form 300A (Summary of Work-Related Injuries and Illnesses). The requirement to keep and maintain OSHA Forms 300, 300A, and 301 for five years is not changed by this Final Rule.

Employers are required to complete the OSHA Form 300 log unless they are exempt. Employers will also be required to post an annual summary (Form 300A) in their workplaces from February 1 until April 30 of each year.

To report an emergency, file a complaint with OSHA or ask a safety and health question, call 1-800-321-6742 (OSHA). Part Number Title: Recording and Reporting Occupational Injuries and Illness.

To Make a Report Call the nearest OSHA office. Call the OSHA 24-hour hotline at 1-800-321-6742 (OSHA).

Employers must report work-related fatalities within 8 hours of finding out about it. For any in-patient hospitalization, amputation, or eye loss employers must report the incident within 24 hours of learning about it. Only fatalities occurring within 30 days of the work-related incident must be reported to OSHA.

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Injuries and Illnesses Incident Report - OSHA Form 301