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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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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.