OSHA Forms for Recording Work-Related Injuries and …

1 osha . What's Forms for Recording In this package, you'll find everything you need to complete Work-Related Injuries and Illnesses osha 's Log and the Summary of Work-Related Injuries and Illnesses for the next several years. On the following pages, you'll find: W An Overview: Recording Work-Related Injuries and Illnesses . General instructions for filling out the Forms in this package and Dear Employer: definitions of terms you should use when you classify your cases as This booklet includes the Forms needed for maintaining occupational injury and Injuries or illnesses.. illness records. Many but not all employers must complete the osha injury and illness recordkeeping Forms on an ongoing basis. Employers in State Plan States should check W How to Fill Out the Log An example to guide you in filling out with their State Plan to see if the exemptions below apply. the Log properly.. Employers with 10 or fewer employees throughout the previous calendar year do not need to complete these Forms .

2 In addition to the small employer exemption, there is W Log of Work-Related Injuries and an exemption for establishments classified in certain industries. A complete list of Illnesses Several pages of the Log exempt industries can be found on the osha web page at (but you may make as many copies of Establishments normally exempt from keeping the osha Forms must complete the the Log as you need.) Notice that the Forms if they are informed in writing to do so by the Bureau of Labor Statistics or Log is separate from the Summary.. osha . W Summary of Work-Related Injuries ALSO: osha updated its recordkeeping rule to expand the list of severe Injuries and Illnesses Removable Summary that employers must report directly to osha , regardless of the above exemptions. Occupational Safety and Health Administration pages for easy posting at the end of the As of January 1, 2015, all employers must report: 1. All Work-Related fatalities within 8 hours.

3 Year. Note that you post the Summary Department of Labor 2. All Work-Related in-patient hospitalizations, all amputations and all only, not the Log.. losses of an eye within 24 hours. W Worksheet to Help You Fill Out the Summary A worksheet for You can report to osha by: 1. Calling osha 's free and confidential number at 1-800-321- osha (6742). figuring the average number of employees who worked for your 2. Calling your closest Area Office during normal business hours. establishment and the total number of hours worked.. 3. Using the new online form that will soon be available. W osha 's 301: Injury and Illness Only fatalities occurring within 30 days of the Work-Related incident must be reported to osha . Further, for an in-patient hospitalization, amputation or loss of an Incident Report A copy of the osha . eye, these incidents must be reported to osha only if they occur within 24 hours of 301 to provide details about the incident.

4 The Work-Related incident. You may make as many copies as you The Occupational Safety and Health Administration shares with you the goal of need or use an equivalent form .. preventing Injuries and illnesses in our nation's workplaces. Accurate injury and illness records will help us achieve that goal. Take a few minutes to review this package. If you have any questions, visit us online at or call your local osha office. Occupational Safety and Health Administration We'll be happy to help you. Department of Labor An Overview: What do you need to do? Recording Work-Related Injuries and Illnesses 1. Within 7 calendar days after you receive information about a case, decide if the case is recordable under The Occupational Safety and Health (OSH) Act of 1970 requires certain employers to prepare and maintain records of Work-Related Injuries and illnesses. Use these the osha recordkeeping definitions when you classify cases on the Log.

5 osha 's recordkeeping regulation (see 29 CFR Part 1904) provides more information about the definitions below. requirements. The Log of Work-Related Injuries and Illnesses presumed for Injuries and illnesses resulting What are the additional criteria? 2. Determine whether the incident is a ( form 300) is used to classify Work-Related from events or exposures occurring in the new case or a recurrence of an You must record the following conditions when Injuries and illnesses and to note the extent and workplace, unless an exception specifically existing one. they are Work-Related : severity of each case. When an incident occurs, applies. See 29 CFR Part (b)(2) for the 3. Establish whether the case was work - W any needlestick injury or cut from a sharp use the Log to record specific details about what exceptions. The work environment includes the related . object that is contaminated with another happened and how it happened. The Summary establishment and other locations where one or 4.

6 If the case is recordable, decide which person's blood or other potentially a separate form ( form 300A) shows the totals more employees are working or are present as a form you will fill out as the injury and condition of their employment. See 29 CFR Part infectious material; . for the year in each category. At the end of the illness incident report. year, post the Summary in a visible location so (b)(1). W any case requiring an employee to be You may use osha 's 301: Injury that your employees are aware of the Injuries and medically removed under the requirements and Illness Incident Report or an illnesses occurring in their workplace. Which Work-Related Injuries and of an osha health standard; . equivalent form . Some state workers Employers must keep a Log for each illnesses should you record? W tuberculosis infection as evidenced by a compensation, insurance, or other establishment or site. If you have more than one Record those Work-Related Injuries and illnesses positive skin test or diagnosis by a physician reports may be acceptable substitutes, establishment, you must keep a separate Log and that result in: or other licensed health care professional as long as they provide the same Summary for each physical location that is W death, after exposure to a known case of active information as the osha 301.

7 Expected to be in operation for one year or tuberculosis; . Occupational Safety and Health Administration W loss of consciousness, How to work with the Log longer. W an employee's hearing test (audiogram). Note that your employees have the right to W days away from work , . reveals 1) that the employee has experienced 1. Identify the employee involved unless it Department of Labor review your injury and illness records. For more W restricted work activity or job transfer, or is a privacy concern case as described a Standard Threshold Shift (STS) in hearing information, see 29 Code of Federal Regulations W medical treatment beyond first aid. in one or both ears (averaged at 2000, 3000, below. Part , Employee Involvement. You must also record Work-Related Injuries and 4000 Hz) and 2) the employee's total Cases listed on the Log of Work-Related 2. Identify when and where the case and illnesses that are significant (as defined hearing level is 25 decibels (dB) or more occurred.

8 Injuries and Illnesses are not necessarily eligible below) or meet any of the additional criteria above audiometric zero ( also averaged at for workers' compensation or other insurance listed below. 3. Describe the case, as specifically as you 2000, 3000, and 4000 Hz) in the same ear(s). benefits. Listing a case on the Log does not mean can. You must record any significant work - as the STS.. that the employer or worker was at fault or that related injury or illness that is diagnosed by a 4. Classify the seriousness of the case by an osha standard was violated. physician or other licensed health care Recording the most serious outcome What is medical treatment? professional. You must record any Work-Related associated with the case, with column G. When is an injury or illness considered case involving cancer, chronic irreversible Medical treatment includes managing and (Death) being the most serious and Work-Related ? caring for a patient for the purpose of disease, a fractured or cracked bone, or a column J (Other recordable cases).

9 An injury or illness is considered work - punctured eardrum. See 29 CFR combating disease or disorder. The following being the least serious. related if an event or exposure in the work are not considered medical treatments and are NOT recordable: 5. Identify whether the case is an injury or environment caused or contributed to the illness. If the case is an injury, check condition or significantly aggravated a W visits to a doctor or health care professional the injury category. If the case is an preexisting condition. work -relatedness is solely for observation or counseling; illness, check the appropriate illness category. W diagnostic procedures, including administering W using finger guards; Under what circumstances should injury or illness, but you do not need to include prescription medications that are used solely for W using massages; you NOT enter the employee's name details of an intimate or private nature. diagnostic purposes; and on the osha form 300?

10 W drinking fluids to relieve heat stress.. W any procedure that can be labeled first aid. (See You must consider the following types of Injuries What if the outcome changes after below for more information about first aid.) How do you decide if the case or illnesses to be privacy concern cases: you record the case? involved restricted work ? W an injury or illness to an intimate body part or If the outcome or extent of an injury or illness What is first aid? Restricted work activity occurs when, as the result to the reproductive system, changes after you have recorded the case, If the incident required only the following types of of a Work-Related injury or illness, an employer or simply draw a line through the original entry or, W an injury or illness resulting from a sexual treatment, consider it first aid. Do NOT record the health care professional keeps, or recommends if you wish, delete or white-out the original assault.