Forms for Recording
Work-Related Injuries and Illnesses
This booklet includes the forms needed for maintaining
occupational injury and illness records for 2004. These new forms have
changed in several important ways from the 2003 recordkeeping forms.
In the ,
OSHA announced its decision to add an occupational hearing loss
column to OSHA’s Form 300, Log of Work-Related Injuries and
Illnesses. This forms package contains modified Forms 300 and
300A which incorporate the additional column M(5) Hearing Loss.
Employers required to complete the injury and illness forms must begin
to use these forms on January 1, 2004.
In response to public suggestions, OSHA also has made several
changes to the forms package to make the recordkeeping materials
clearer and easier to use:
• On Form 300, we’ve switched the positions of the day count
columns. The days “away from work” column now comes before
the days “on job transfer or restriction.”
• We’ve clarified the formulas for calculating incidence rates.
• We’ve added new recording criteria for occupational hearing loss
to the “Overview” section.
• On Form 300, we’ve made the column heading “Classify the
Case” more prominent to make it clear that employers should
mark only one selection among the four columns offered.
The Occupational Safety and Health Administration shares with you
the goal of preventing injuries and illnesses in our nation’s workplaces.
Accurate injury and illness records will help us achieve that goal.
December 17, 2002 Federal Register (67 FR 77165-77170)
Occupational Safety and Health Administration
U.S. Department of Labor