OSHA’s Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and Illnesses
Year 2017
All establishments covered by Part 1904 must complete this Summary page, even if no work-related injuries or illnesses occurred during the year. Remember to review the Log to verify that the entries are complete and accurate before completing this summary.
Using the Log, count the individual entries you made for each category. Then write the totals below, making sure you’ve added the entries from every page of the Log. If you had no cases, write “0.”
Post this Summary page from February 1 to April 30 of the year following the year covered by the form.
Summary of Work-Related Injuries and Illnesses
Year 2017
All establishments covered by Part 1904 must complete this Summary page, even if no work-related injuries or illnesses occurred during the year. Remember to review the Log to verify that the entries are complete and accurate before completing this summary.
Using the Log, count the individual entries you made for each category. Then write the totals below, making sure you’ve added the entries from every page of the Log. If you had no cases, write “0.”
Post this Summary page from February 1 to April 30 of the year following the year covered by the form.
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