Norma Oshas 18:000

OSHA

Forms for Recording

What’s Inside…
In this package, you’ll find everything you need to complete OSHA’s Log and the Summary of Work-Related Injuries and Illnesses for the next several years. On the following pages, you’ll find: t An Overview: Recording Work-Related Injuries and Illnesses — General instructions for filling out the forms in this package and definitions of terms youshould use when you classify your cases as injuries or illnesses. t How to Fill Out the Log — An example to guide you in filling out the Log properly. t Log of Work-Related Injuries and Illnesses — Several pages of the Log (but you may make as many copies of the Log as you need.) Notice that the Log is separate from the Summary. t Summary of Work-Related Injuries and Illnesses — Removable Summary pagesfor easy posting at the end of the year. Note that you post the Summary only, not the Log. t Worksheet to Help You Fill Out the Summary — A worksheet for figuring the average number of employees who worked for your establishment and the total number of hours worked. t OSHA’s 301: Injury and Illness Incident Report — A copy of the OSHA 301 to provide details about the incident. You may make asmany copies as you need or use an equivalent form. Take a few minutes to review this package. If you have any questions, visit us online at www.osha. gov or call your local OSHA office. We’ll be happy to help you.

Work-Related Injuries and Illnesses
Dear Employer:
This booklet includes the forms needed for maintaining occupational injury and illness records for 2004. These new forms have changedin several important ways from the 2003 recordkeeping forms. In the December 17, 2002 Federal Register (67 FR 77165-77170), OSHA announced its decision to add an occupational hearing loss column to OSHA’s Form 300, Log of Work-Related Injuries and Illnesses. This forms package contains modified Forms 300 and 300A which incorporate the additional column M(5) Hearing Loss. Employers required tocomplete the injury and illness forms must begin to use these forms on January 1, 2004. In response to public suggestions, OSHA also has made several changes to the forms package to make the recordkeeping materials clearer and easier to use: • On Form 300, we’ve switched the positions of the day count columns. The days “away from work” column now comes before the days “on job transfer orrestriction.” • We’ve clarified the formulas for calculating incidence rates. • We’ve added new recording criteria for occupational hearing loss to the “Overview” section. • On Form 300, we’ve made the column heading “Classify the Case” more prominent to make it clear that employers should mark only one selection among the four columns offered. The Occupational Safety and Health Administration shares with youthe goal of preventing injuries and illnesses in our nation’s workplaces. Accurate injury and illness records will help us achieve that goal. Occupational Safety and Health Administration U.S. Department of Labor

Occupational Safety and Health Administration

U.S. Department of Labor

An Overview: Recording Work-Related Injuries and Illnesses
The Occupational Safety and Health (OSH) Act of1970 requires certain employers to prepare and maintain records of work-related injuries and illnesses. Use these definitions when you classify cases on the Log. OSHA’s recordkeeping regulation (see 29 CFR Part 1904) provides more information about the definitions below.

What do you need to do?
1. Within 7 calendar days after you

receive information about a case, decide if the case isrecordable under the OSHA recordkeeping requirements.
2. Determine whether the incident is a

Occupational Safety and Health Administration

U.S. Department of Labor

The Log of Work-Related Injuries and Illnesses (Form 300) is used to classify work-related injuries and illnesses and to note the extent and severity of each case. When an incident occurs, use the Log to record specific...