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Workers' Compensation and OSHA Forms

OSHA Form 300: Log of Work-Related Injury and Illness

This is the permanent record containing the detials of every work-related illness or injury.

For a copy of the OSHA Form 300, click here:
http://www.osha.gov/recordkeeping/OSHArecordkeepingforms.pdf  The form is available to you in PDF format. PDF format allows you to view your form electronically on most computers. The freely available Adobe Acrobat reader is required to view and print PDF files. 

Also, an excel spreadsheet version is available on-line through OSHA's Web site: http://www.osha.gov/recordkeeping/RKforms.html

OSHA Form 300A: Summary of Work-Related Injuries and Illnesses
This is a prepared annually and posted February through April.

For a copy of the OSHA 300A Form, click here: http://www.osha.gov/recordkeeping/OSHArecordkeepingforms.pdf. The form is available to you in PDF format. PDF format allows you to view your form electronically on most computers. The freely available Adobe Acrobat reader is required to view and print PDF files. 

Also, an excel spreadsheet version is available on-line through OSHA's Web site: http://www.osha.gov/recordkeeping/RKforms.html

OSHA Form 301: Incident Report
This contains supplementary information about an illness or injury appearing in the log.

For a copy of the OSHA 301 Form, click here: http://www.osha.gov/recordkeeping/OSHArecordkeepingforms.pdf. The form is available to you in PDF format. PDF format allows you to view your form electronically on most computers. The freely available Adobe Acrobat reader is required to view and print PDF files. 

Also, an excel spreadsheet version is available on-line through OSHA's Web site: http://www.osha.gov/recordkeeping/RKforms.html

Forms can also be obtained by contacting your local office.
The telephone numbers are:
Hartford area: (860) 240-3152
Bridgeport area: (203) 579-5581.

Forms can also be ordered through OSHA's on-line publication order service at: http://www.osha.gov/OshDoc/Additional.html.

Workers' Comp Forms:

For an index and link to Connecticut Workers' Comp forms - including the new First Report of Injury Form: http://wcc.state.ct.us/index.html

© 2003 Connecticut Business & Industry Association (CBIA). All rights reserved.

The articles, forms and other materials available through this Web site are for informational purposes only. They are not intended as legal advice or as a solution to an individual problem. You are encouraged to consult with appropriate legal counsel prior to relying on the materials in whole or in part.