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A step-by-step guide to the OSHA Form 300A

h BLR OSHA Form 300A A step-by-step guide Simpity Complance Drive Success By February 1, all employers who are required to keep records of work-related injuries and illnesses must post OSHA Form 300A, the annual summary of work-related injuries and illnesses. This BLR infographic will help you complete the form properly. OSHA's Form 300A Pe ot0o0e u.S. Departent ef Laber Summary of Work-Related Injuries and Illnesses o rae Sunmayageven no wo od d e ereero hog Estakilshmeat infermation en heetigro OsuTom 00 aho heedon he 0fom 0o Tel edrl dm of b Teal mamber of dayn ay wad a i Injury and vess Types Ikug ka WHAT IS IT? TIP The OSHA Form 300A is a summary of all work-related injuries and illnesses in an establishment during a calendar year. An ESTABLISHMENT is a single location where business is conducted or where services or industrial operations are performed. WHO MUST COMPLETE IT? All employers who are not exempt from OSHA's injury and illness recordkeeping requirements must complete Form 300A every year, even if there were no recordable cases. If an employer has more than one establishment, complete and post a separate OSHA Form 300A for each physical location. WHERE DOES THE INFORMATION COME FROM? The information on Form 300A comes from OSHA Form 300, Log of Work- Related Injuries and Illnesses (also known as the OSHA 300 Log). WHAT DO I DO WITH IT? At the beginning of each year, employers must complete Form 30OA for the previous calendar year and post it in a conspicuous place where notices to employees are typically posted from February 1 to April 30. HOW DO I COMPLETE IT? Count the totals for the entire year in each recordable category of your OSHA 300 Log (columns G-M). Record the totals in the "Number of Cases," "Number of Days," and "Injury and IIlness Types" sections 1 of Form 300A. If there are no cases in a column, enter "O" in the corresponding space on Form 300A. Number of Caen ed ler of Tal ub a 0 O DO O OODOO a Tal onber o her ecunda Number of Daya Kd ber of das way lr or estricn Injury and ness Types Tel mler of O O Oa aoO DD O wies O0 0 O Da in Heing k Allher ll s Establishment infermation Fill out the Establishment 2 Information section with the establishment name, address, industry description, and Standard Industrial Classification (SIC) or North American Îndustrial Classification (NAICS) if you know it. 3 Calculate the average number of employees you employed during the year: C. A. В. Total number of employees your establishment paid in all pay periods during the year: Number of pay periods in the year: A divided by B Enter the answer in the "Annual average number of employees" space on Form 300A. Round to next highest whole number. Employment information (If you don't have these figures, see the Worksheet on the lack of dhis page to estimate) Annual average number of employees TIP Total hours worked by all employees last year In steps 3 and 4, make sure to include ALL categories of employees: full-time, part-time, salaried, hourly, temporary, and seasonal. Calculate the total hours worked by 4. all employees during the year. DO NOT indude vacation hours, sick leave, or other paid time off. Enter the answer in the "Total hours worked by all employees last year space on Form 300A. Employment information (If yoa Worksheet on the lkack of dhis page to estimate.) the e figures, Not sure of the number? Annual average number of employees Visit for a formula to help you estimate. Total hours worked by all employees last year Have a company executive" complete the signature section 5 to certify that the summary is correct and complete. Sign here * The company executive must be one of the Knowingly falsifying this document may res a fine. following: I certify that Ihave examined this document that to the best of my knowledge the entries are true, accurate, an mplete -An owner of the company -An officer of the corporation - The highest-ranking company official working at the establishment - The immediate supervisor of the highest-ranking company official working at the establishment Post the completed form in a conspicuous location where notices to employees are typically posted. EMPLOYEE INFO Post from February 1 to April 30. Still have questions? Visit for more information. Follow us con Twitter! @BLR EHS @SafetyDailyAdv Sources: LBLR Disclaimer: The information provided here does not represent legal or any other type of professional advice and should not be used as a substitute for legal advice from a qualified attorney licensed in your state. Simplify Compliance Drive Success Copyright © 2014 BLR®-Business and Legal Resources. All rights reserved.

A step-by-step guide to the OSHA Form 300A

shared by BLR_EHS on Feb 03
This infographic is a step-by-step guide to help HR and safety managers complete the OSHA Form 300A properly.




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