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OSHA 300 Log Form Template

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OSHA 300 Log Form Template

Audit

Log of Work-Related Injuries and Illnesses

Job title

Date of injury or onset of illness

Where the event occurred

Type of incident

Describe injury or illness, parts of body affected, and object/substance that directly injured or made person ill.

Upload photos of incident

Classify the case. Check only one box for each case based on the most serious outcome for that case:

Please specify

No. of days the injured or ill worker was away from work

No. of days the injured or ill worker was on a job transfer or restriction

Completion

Observations and comments

Full Name and Signature of Record Keeper

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