Transcription of OSHA’s Form 300A Year 20 Summary of Work-Related …
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OSHA’s Form 300A Year 20 Summary of Work-Related …
Department of LaborOccupational Safety and Health AdministrationOSHA s Form 300A(Rev. 01/2004)Year 20__ __Summary of Work-Related injuries and IllnessesForm approved OMB no. 1218-0176 Total number ofdeaths_____Total number ofcases with daysaway from work_____Number of CasesTotal number of days awayfrom work_____Total number of days of jobtransfer or restriction_____Number of DaysPost this Summary page from February 1 to April 30 of the year following the year covered by the establishments covered by Part 1904 must complete this Summary page, even if no Work-Related injuries or illnesses occurred during the year. Remember to review the Logto verify that the entries are complete and accurate before completing this the Log, count the individual entries you made for each category. Then write the totals below, making sure you ve added the entries from every page of the Log. If youhad no cases, write 0. Employees, former employees, and their representatives have the right to review the OSHA Form 300 in its entirety.
Occupational Safety and Health Administration OSHA’s Form 300A (Rev. 01/2004) Year 20__ __ Summary of Work-Related Injuries and Illnesses Form approved OMB no. 1218-0176 Total number of deaths _____ Total number of cases with days away from work _____ Number of Cases Total number of days away ...
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