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What Is Osha 300a Form: What You Should Know

The log provides a description of the cause and manner of the injury or illness that led to the certification, and can be used to establish the validity of any such certification. Injury report—log and report form for workers injured on the job—includes injury and illness classification, employer classification, and classification information for non-certified workers. The summary form provides summary information from the Form 300. Also, OSHA has two sets of information, which are available for employers and individual workers. This is the case, since the form is required by OSHA, which requires a worker's self-certification to show his or her injury and illness. Log of Work-Related Injuries and Illnesses form — PDF The Injury report form is available for workers who have been certified or certified in accordance with Title 15 of the United States Code (USC) and to the individual employers and businesses. The report must: • State the reason(s) why a certified worker had an injury, such as a fractured shinbone. It should also include a summary of the injury and include any medical treatment prescribed, and any other information the agency determines is necessary. • State in general terms all the activities which may have preceded a certified worker's injury, including the circumstances of the injury, the date, location, cause, and method of the injury, and the worker's participation in such activities. • State to the extent practicable, if the certified worker took any medical treatment, the prescribed medical treatment and the length of treatment. • Describe the nature of all known injuries and illnesses that occurred within a twelve-month period prior to the date of the injury report. • Describe the nature of all known illnesses that occurred within a twelve-month period prior to the date of the injury report. • Describe the severity of the injuries or illnesses. • Describe the duration, extent, and manner of any loss or diminution of earnings, employment, compensation, or other benefit by reason of any injury or illness. • Describe the status and progress of a completed rehabilitation. • Add any additional information for the purposes of documenting the circumstances of a certification. • Include all other information OSHA may determine to be necessary.

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