Templates
OSHA 300 form

OSHA 300 form

Discover how our OSHA 300 form template helps you accurately document workplace injuries and illnesses, ensuring compliance with OSHA regulations and enhancing workplace safety. Learn about the key elements and benefits of using this essential tool for your safety management processes.

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The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
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or Download template as PDF
OSHA 300 form

Discover how our OSHA 300 form template helps you accurately document workplace injuries and illnesses, ensuring compliance with OSHA regulations and enhancing workplace safety. Learn about the key elements and benefits of using this essential tool for your safety management processes.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

The OSHA 300 form template helps you accurately track and document workplace injuries and illnesses as required by federal regulations. This Log of Work-Related Injuries and Illnesses classifies incidents and notes their severity, providing a comprehensive record that’s essential for OSHA compliance.

You need this template when an employee experiences a recordable work-related injury or illness that involves loss of consciousness, restricted work, job transfer, days away from work, or medical treatment beyond first aid. We created this template to simplify your record keeping process while ensuring you meet all legal requirements, helping you avoid potential penalties while maintaining a safer workplace.

Related categories

Preview of the template
Page 1
OSHA 300 Log
Establishment name
Street
City
State
Zip
Industry description (e.g., Manufacture of motor truck trailers)
Standard Industrial Classification (SIC), if known (e.g., 3715)
Employment information
Log of Work-Related Injuries and Illnesses
Case No.
Employee's Name
Job Title (e.g., Welder)
Date of Injury or Onset of Illness (mm/dd)
Where the event occurred (e.g., Loading dock north end)
Describe injury or illness, parts of body affected, and object/substance that directly injured or made person ill (e.g., Second degree burns on right forearm from acetylene torch)
Death
Days away from work
Days of restricted work activity or job transfer
Other recordable cases
Away From Work Cases
Case No.
Employee's Name
Job Title
Date of Injury or Onset of Illness
Date returned to work (mm/dd/yyyy)
Number of calendar days away from work
Injury and Illness Types
Injury
Skin Disorder
Respiratory Condition
Poisoning
Hearing Loss
All Other Illnesses

Frequently asked questions

What are the benefits of using a digital OSHA 300 form template?

A digital OSHA 300 form template eliminates paper clutter, reduces calculation errors, and allows for easier updates when case details change. You can quickly generate the required 300A summary at year-end, analyze injury patterns with built-in data visualization, and ensure consistent documentation across multiple workplace locations while maintaining secure, backed-up records.

How do I calculate the injury and illness incidence rates using data from the OSHA 300 form?

To calculate incidence rates, divide the total number of recordable cases from your OSHA 300 form by the total hours worked by all employees during the year, then multiply by 200,000 (representing 100 full-time workers). For example, 10 recordable cases among 50 employees who worked 100,000 hours total would give an incidence rate of 20.0 injuries per 100 full-time workers.

What’s the best way to organize multiple OSHA 300 logs for different company locations?

Create separate OSHA 300 logs for each physical location, but use consistent formatting and documentation practices across all sites. Assign a responsible person at each location for maintaining their specific log, while implementing a centralized review process to ensure company-wide compliance. Consider using digital templates with consolidated reporting features to analyze trends across all locations.

How do I handle remote work injuries when completing the OSHA 300 form?

Remote work injuries are recordable if they’re work-related, occur during work hours, and meet standard recordability criteria. When documenting these incidents, list the employee’s home address or remote location as the “where the event occurred” field. Investigate thoroughly to establish work-relatedness, as this can be more challenging with remote workers.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.