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Run: OSHA 300 Log Entry

OSHA 300 Log Entry template for recording a work-related injury or illness case, including case details, affected person info, treatment, and recordkeeping c...

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Case Identification

Date of injury or illness (required)

Use the date the incident or onset of illness occurred, or the date it was first reported if the exact date is unknown.

Case type (required)

Select whether this recordable case is an injury or an illness.

Was the case work-related? (required)

OSHA recordkeeping applies to work-related cases.

Brief case summary (required)

Provide a concise factual summary of what happened. Do not include unnecessary PII.

Employee / Affected Person

Employee name (required)

Required for internal recordkeeping. Avoid entering sensitive personal details beyond what is necessary.

Job title (required)

Department

Employment status

Injury / Illness Details

Body part affected (required)

Select all that apply.

Nature of injury or illness (required)

Incident location

Enter the worksite area where the incident occurred.

What happened? (required)

Describe the sequence of events factually and briefly.

Outcome and Treatment

Medical treatment received (required)

OSHA recordability generally depends on treatment beyond first aid and other criteria.

Days away from work

Enter the total number of calendar days away from work, if applicable.

Days of job transfer or restricted duty

Enter the total number of days on restricted duty or job transfer, if applicable.

Did hospitalization occur?

Recordkeeping Classification

Is this a recordable case? (required)

Use this field to support compliance review and audit trail documentation.

Classification notes

Add brief notes explaining the recordkeeping decision. Avoid unnecessary PII.

Reported by (required)

Report date (required)

Date the entry was completed for the audit trail.

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Email (required)

Your name (optional)

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