Osha Forms For Recording Work Related Injuries And Illnesses-PDF Free Download

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OSHAForms for RecordingWhat’s Inside.Work-Related Injuries and IllnessesIn this package, you’ll find everything you need to completeOSHA’s Log and the Summary of Work-Related Injuries and Illnessesfor the next several years. On the following pages, you’ll find:W An Overview: Recording Work-Related Injuries and Illnesses —U.S. Department of LaborOccupational Safety and Health AdministrationDear Employer:This booklet includes the forms needed for maintaining occupational injury andillness records. Many but not all employers must complete the OSHA injury and illnessrecordkeeping forms on an ongoing basis. Employers in State Plan States should checkwith their State Plan to see if the exemptions below apply.Employers with 10 or fewer employees throughout the previous calendar year donot need to complete these forms. In addition to the small employer exemption, there isan exemption for establishments classified in certain industries. A complete list ofexempt industries can be found on the OSHA web page at www.osha.gov.Establishments normally exempt from keeping the OSHA forms must complete theforms if they are informed in writing to do so by the Bureau of Labor Statistics orOSHA.ALSO: OSHA updated its recordkeeping rule to expand the list of severe injuriesthat employers must report directly to OSHA, regardless of the above exemptions.As of January 1, 2015, all employers must report:1. All work-related fatalities within 8 hours.2. All work-related in-patient hospitalizations, all amputations and alllosses of an eye within 24 hours.You can report to OSHA by:1. Calling OSHA's free and confidential number at 1-800-321-OSHA (6742).2. Calling your closest Area Office during normal business hours.3. Using the new online form that will soon be available.Only fatalities occurring within 30 days of the work-related incident must bereported to OSHA. Further, for an in-patient hospitalization, amputation or loss of aneye, these incidents must be reported to OSHA only if they occur within 24 hours ofthe work-related incident.The Occupational Safety and Health Administration shares with you the goal ofpreventing injuries and illnesses in our nation's workplaces. Accurate injury and illnessrecords will help us achieve that goal.General instructions for filling out the forms in this package anddefinitions of terms you should use when you classify your cases asinjuries or illnesses. W How to Fill Out the Log — An example to guide you in filling outthe Log properly. W Log of Work-Related Injuries andSeveral pages of the Log(but you may make as many copies ofthe Log as you need.) Notice that theLog is separate from the Summary. Illnesses —W Summary of Work-Related Injuriesand Illnesses — Removable Summarypages for easy posting at the end of theyear. Note that you post the Summaryonly, not the Log. W Worksheet to Help You Fill Out the Summary — A worksheet forfiguring the average number of employees who worked for yourestablishment and the total number of hours worked. W OSHA’s 301: Injury and IllnessIncident Report — A copy of the OSHA301 to provide details about the incident.You may make as many copies as youneed 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.Occupational Safety and Health AdministrationU.S. Department of LaborWe’ll be happy to help you.

An Overview:Recording Work-Related Injuries and IllnessesU.S. Department of LaborOccupational Safety and Health AdministrationThe Occupational Safety and Health (OSH) Act of 1970 requires certain employers to prepare and maintain records of work-related injuries and illnesses. Use thesedefinitions when you classify cases on the Log. OSHA’s recordkeeping regulation (see 29 CFR Part 1904) provides more information about the definitions below.The Log of Work-Related Injuries and Illnesses(Form 300) is used to classify work-relatedinjuries and illnesses and to note the extent andseverity of each case. When an incident occurs,use the Log to record specific details about whathappened and how it happened. The Summary —a separate form (Form 300A) — shows the totalsfor the year in each category. At the end of theyear, post the Summary in a visible location sothat your employees are aware of the injuries andillnesses occurring in their workplace.Employers must keep a Log for eachestablishment or site. If you have more than oneestablishment, you must keep a separate Log andSummary for each physical location that isexpected to be in operation for one year orlonger.Note that your employees have the right toreview your injury and illness records. For moreinformation, see 29 Code of Federal RegulationsPart 1904.35, Employee Involvement.Cases listed on the Log of Work-RelatedInjuries and Illnesses are not necessarily eligiblefor workers’ compensation or other insurancebenefits. Listing a case on the Log does not meanthat the employer or worker was at fault or thatan OSHA standard was violated.When is an injury or illness consideredwork-related?An injury or illness is considered workrelated if an event or exposure in the workenvironment caused or contributed to thecondition or significantly aggravated apreexisting condition. Work-relatedness ispresumed for injuries and illnesses resultingfrom events or exposures occurring in theworkplace, unless an exception specificallyapplies. See 29 CFR Part 1904.5(b)(2) for theexceptions. The work environment includes theestablishment and other locations where one ormore employees are working or are present as acondition of their employment. See 29 CFR Part1904.5(b)(1).Which work-related injuries andillnesses should you record?Record those work-related injuries and illnessesthat result in:W death, W loss of consciousness, W days away from work, W restricted work activity or job transfer, or W medical treatment beyond first aid. You must also record work-related injuriesand illnesses that are significant (as definedbelow) or meet any of the additional criterialisted below.You must record any significant workrelated injury or illness that is diagnosed by aphysician or other licensed health careprofessional. You must record any work-relatedcase involving cancer, chronic irreversibledisease, a fractured or cracked bone, or apunctured eardrum. See 29 CFR 1904.7.What are the additional criteria?You must record the following conditions whenthey are work-related:W any needlestick injury or cut from a sharpobject that is contaminated with anotherperson’s blood or other potentiallyinfectious material; W any case requiring an employee to bemedically removed under the requirementsof an OSHA health standard; W tuberculosis infection as evidenced by apositive skin test or diagnosis by a physicianor other licensed health care professionalafter exposure to a known case of activetuberculosis; W an employee's hearing test (audiogram)reveals 1) that the employee has experienceda Standard Threshold Shift (STS) in hearingin one or both ears (averaged at 2000, 3000,and 4000 Hz) and 2) the employee's totalhearing level is 25 decibels (dB) or moreabove audiometric zero ( also averaged at2000, 3000, and 4000 Hz) in the same ear(s)as the STS. What is medical treatment?Medical treatment includes managing andcaring for a patient for the purpose ofcombating disease or disorder. The followingare not considered medical treatments and areNOT recordable:W visits to a doctor or health care professionalsolely for observation or counseling;What do you need to do?1. Within 7 calendar days after youreceive information about a case,decide if the case is recordable underthe OSHA recordkeepingrequirements.2. Determine whether the incident is anew case or a recurrence of anexisting one.3. Establish whether the case was workrelated.4. If the case is recordable, decide whichform you will fill out as the injury andillness incident report.You may use OSHA’s 301: Injuryand Illness Incident Report or anequivalent form. Some state workerscompensation, insurance, or otherreports may be acceptable substitutes,as long as they provide the sameinformation as the OSHA 301.How to work with the Log1. Identify the employee involved unless itis a privacy concern case as describedbelow.2. Identify when and where the caseoccurred.3. Describe the case, as specifically as youcan.4. Classify the seriousness of the case byrecording the most serious outcomeassociated with the case, with column G(Death) being the most serious andcolumn J (Other recordable cases)being the least serious.5. Identify whether the case is an injury orillness. If the case is an injury, checkthe injury category. If the case is anillness, check the appropriate illnesscategory.

W diagnostic procedures, including administeringprescription medications that are used solely fordiagnostic purposes; and W any procedure that can be labeled first aid. (Seebelow for more information about first aid.) U.S. Department of LaborOccupational Safety and Health AdministrationWhat is first aid? If the incident required only the following types oftreatment, consider it first aid. Do NOT record thecase if it involves only:W using non-prescription medications at non- prescription strength; W administering tetanus immunizations; W cleaning, flushing, or soaking wounds on the skin surface; W using wound coverings, such as bandages, BandAids , gauze pads, etc., or using SteriStrips or butterfly bandages; W using hot or cold therapy; W using any totally non-rigid means of support, such as elastic bandages, wraps, non-rigid backbelts, etc.; W using temporary immobilization devices whiletransporting an accident victim (splints, slings,neck collars, or back boards); W drilling a fingernail or toenail to relieve pressure, or draining fluids from blisters; W using eye patches; W using simple irrigation or a cotton swab to remove foreign bodies not embedded in or adhered to the eye; W using irrigation, tweezers, cotton swab or othersimple means to remove splinters or foreignmaterial from areas other than the eye;W using finger guards; W using massages; W drinking fluids to relieve heat stress. How do you decide if the caseinvolved restricted work?Restricted work activity occurs when, as the resultof a work-related injury or illness, an employer orhealth care professional keeps, or recommendskeeping, an employee from doing the routinefunctions of his or her job or from working thefull workday that the employee would have beenscheduled to work before the injury or illnessoccurred.How do you count the number ofdays of restricted work activity orthe number of days away from work?Count the number of calendar days the employeewas on restricted work activity or was away fromwork as a result of the recordable injury or illness.Do not count the day on which the injury orillness occurred in this number. Begin countingdays from the day after the incident occurs. If asingle injury or illness involved both days awayfrom work and days of restricted work activity,enter the total number of days for each. You maystop counting days of restricted work activity ordays away from work once the total of either orthe combination of both reaches 180 days.Under what circumstances shouldyou NOT enter the employee’s nameon the OSHA Form 300?You must consider the following types of injuriesor illnesses to be privacy concern cases:W an injury or illness to an intimate body part orto the reproductive system, W an injury or illness resulting from a sexualassault, W a mental illness, W a case of HIV infection, hepatitis, ortuberculosis, W a needlestick injury or cut from a sharp objectthat is contaminated with blood or otherpotentially infectious material (see 29 CFR Part1904.8 for definition), and W other illnesses, if the employee independentlyand voluntarily requests that his or her namenot be entered on the log. You must not enter the employee’s name on theOSHA 300 Log for these cases. Instead, enter“privacy case” in the space normally used for theemployee’s name. You must keep a separate,confidential list of the case numbers and employeenames for the establishment’s privacy concerncases so that you can update the cases and provideinformation to the government if asked to do so.If you have a reasonable basis to believe thatinformation describing the privacy concern casemay be personally identifiable even though theemployee’s name has been omitted, you may usediscretion in describing the injury or illness onboth the OSHA 300 and 301 forms. You mustenter enough information to identify the cause ofthe incident and the general severity of theinjury or illness, but you do not need to includedetails of an intimate or private nature.What if the outcome changes afteryou record the case?If the outcome or extent of an injury or illnesschanges after you have recorded the case,simply draw a line through the original entry or,if you wish, delete or white-out the originalentry. Then write the new entry where itbelongs. Remember, you need to record themost serious outcome for each case.Classifying injuriesAn injury is any wound or damage to the bodyresulting from an event in the workenvironment.Examples: Cut, puncture, laceration,abrasion, fracture, bruise, contusion, chippedtooth, amputation, insect bite, electrocution, ora thermal, chemical, electrical, or radiationburn. Sprain and strain injuries to muscles,joints, and connective tissues are classified asinjuries when they result from a slip, trip, fall orother similar accidents.

Classifying illnessesU.S. Department of LaborOccupational Safety and Health AdministrationSkin diseases or disordersSkin diseases or disorders are illnesses involvingthe worker’s skin that are caused by workexposure to chemicals, plants, or othersubstances.Examples: Contact dermatitis, eczema, orrash caused by primary irritants and sensitizersor poisonous plants; oil acne; friction blisters,chrome ulcers; inflammation of the skin.Respiratory conditionsRespiratory conditions are ill

OSHA Forms for Recording Work-Related Injuries and Illnesses What’s Inside... In this package, you’ll find everything you need to complete ... on the OSHA Form 300? You must consider the following types of injuries or illnesses to be privacy concern cases: W an injury or illness to an intimate body part or to the reproductive system, W an injury or illness resulting from a sexual assault ...