Form 300 - Required log of work-related injuries and illnesses.
Form 300A - Summary of work-related injuries and illnesses.
Form 301 - Required injury and illness incident report.
First Report of Injury - Workers' Comp form. (An Excel version of the forms is also available.)
Complete instructional packet for Forms 300, 300A, 301 and Instructions (PDF) (XLS)
Further information is available on the federal OSHA Web site at www.osha.gov/recordkeeping and in the Recordkeeping 101 and 201 series below.
Note: The OSHA forms are not designed for printing on standard 8.5" x 11" paper and should be printed on legal-size paper if possible.
Abatement Form - Documents the manner in which you have corrected violations (as required) and to request additional time if necessary.
Request for Consultative Services - Enables small employers to request confidential assistance from TOSHA Consulative Services.
Safety & Health Complaint Form - Enables employees to file a complaint and request an on-site inspection of their workplace, if it is believed a hazardous condition exists.
A packet of forms can be mailed to you; contact Tennessee OSHA Compliance at firstname.lastname@example.org or at (615) 741-2793
|A sprain or strain, cut or bruise treated only by first aid, such as icing the joint or
applying a bandage, is not recordable if the injured worker does not lose time
from work or require work restrictions. Keep track of nonrecordable cases on a
|2.|| Each case is recordable in only one case classification, the most serious
outcome for that case. This means that even if a case has only one day away
from work and 60 days of job restriction, the case is checked as a days-awayfrom-
work case. However, both types of day counts would be recorded.
||Each case is recordable only in the year the injury event occurred or the illness
was first detected. Add the count of days in later years to the log for the initial
|4.||Use calendar days, not scheduled work days, when counting days away from
work and days of job restriction or job transfer. You may need to include
weekends, vacations and holidays.
|5.||The OSHA recordkeeping requirements are different from Tennessee’s workers’
compensation laws. Some OSHA log cases may not be covered by workers’
compensation insurance and some workers’ compensation claims may not be
recordable OSHA cases.
|6.||Write legibly. Use all the space you need to accurately describe the injury. Get a
coworker to double-check your coding and addition when calculating annual
totals. Update the information as needed to provide an accurate record of injuries
|7.||Share the log information with your establishment’s safety committee and
management. The log is a tool to help you to monitor and improve workplace
safety. Your log information is useful only if it makes sense to your coworkers.
|8.||Use only the current OSHA log form, which was updated in 2004. It is available
|9.||Make sure the person responsible for your establishment’s OSHA log has
received training or knows where to get their questions answered.
|10.||Ask for assistance. TOSHA has resources available
to help you keep an accurate log; it helps hundreds of employers every year.
E-mail your questions to email@example.com