OSHA 300 – Log of Work-Related Injuries & Illnesses

This checklist used to report work-related injury and illness information in accordance with OSHA’s Form 300 Log of Work-Related Injuries and Illnesses (Rev 01/2004). This checklist should be used to record every work-related death and every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment beyond first aid. This checklist will allow you to identify and establish any persons involved with the event, and describe and classify the event.


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