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OSHA Form 300 – Log of Work-Related Injuries and Illnesses Template
Maintain a clear, year-by-year OSHA work-related injury and illness log for compliance, insurance, and internal safety tracking.
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OSHA Form 300 – Log of Work-Related Injuries and Illnesses Template
[Company / Establishment Name]
[Street Address]
[City, State, ZIP Code]
[Industry Description or NAICS Code]
Year Covered by This Log: [Calendar Year]
1. Establishment Information
Establishment Name: [Name of Establishment / Site]
Address of Establishment: [Street, City, State, ZIP]
City: [City]
State: [State]
ZIP: [ZIP Code]
Industry / Business Description: [Short description, e.g., “warehouse and distribution,” “office – professional services,” “manufacturing,” etc.]
NAICS Code (if known): [NAICS Code]
Average Number of Employees During the Year: [Number]
Total Hours Worked by All Employees This Year: [Total Hours]
2. Instructions for Using This Log
Use this log to record each OSHA-recordable work-related injury or illness that occurs during the calendar year indicated above.
Use one “Log Entry” block (Section 3) for each case. Assign case numbers in order (e.g., 1, 2, 3…).
Do not record first-aid-only cases that are not OSHA-recordable.
Update days away from work and restricted/transfer days if they change after the initial entry, up to OSHA’s maximum count rules.
Use separate incident reports (e.g., OSHA 301 or equivalent) to document detailed circumstances for each case.
3. OSHA 300 Log Entry Template (Repeat for Each Case)
Log Entry – Case [Case Number]
Basic Case Information
Case Number: [Sequential Number for the Year]
Employee Name: [First, Middle, Last]
Employee Job Title: [Job Title at Time of Incident]
Date of Injury or Onset of Illness: [MM/DD/YYYY]
Where the Event Occurred (work area or location):
[Example: “Warehouse – Loading Dock B,” “Office – Room 210,” “Construction site – south scaffold,” “Parking lot,” etc.]
Describe Injury or Illness, Parts of Body Affected, and Object/Substance That Directly Injured or Made Person Ill:
[Short narrative, examples: “Strain – lower back while lifting box,” “Laceration – left hand from box cutter,” “Slip and fall on wet floor – bruised right hip and elbow,” “Inhalation of chemical fumes – respiratory symptoms.”]
Case Classification (Check One)
This case involved:
Death
Days away from work
Job transfer or restriction
Other recordable case (no days away or restrictions, but OSHA-recordable)
Days Away from Work and Job Transfer/Restriction
Number of Days Away from Work: [Number of calendar days]
Number of Days of Job Transfer or Restricted Work: [Number of calendar days]
Type of Case – Injury or Illness Category (Check One)
Check the category that best describes the case:
Injury
Skin disorder
Respiratory condition
Poisoning
Hearing loss
Other illness
Privacy Case (If Applicable)
Certain sensitive cases may be treated as “privacy cases” under OSHA recordkeeping rules (for example, some injuries to intimate body parts, mental illnesses, or other sensitive conditions).
Is this a privacy case as defined by OSHA?
No
Yes – record “Privacy Case” instead of employee’s name on the log and keep a separate confidential list linking the case number to the employee’s identity.
Additional Notes (Optional)
[Use this space for brief internal notes such as “updated days away on 06/01,” “case converted from restricted work to days away,” or references to associated incident report numbers.]
4. Supplemental Privacy Case List (Optional Internal Use)
If you designate any cases as privacy cases, maintain this list separately and securely.
Privacy Case List Year: [Calendar Year]
For each privacy case, record:
Case Number: [From the OSHA 300 log]
Employee Identifier: [Full name or internal ID – kept confidential]
Notes (optional, e.g., “Case relates to Section 1904 privacy criteria”).
5. Annual Review and OSHA Form 300A Preparation
At the end of the calendar year:
Review each log entry for accuracy (case classification, days away, days restricted/transfer, and type of case).
Summarize totals for:
Number of deaths
Number of cases with days away from work
Number of cases with job transfer or restriction
Number of other recordable cases
Total days away from work
Total days of job transfer or restriction
Number of cases in each injury/illness category (injury, skin disorder, etc.)
Use these totals to complete the OSHA Form 300A – Summary of Work-Related Injuries and Illnesses.
Have a company executive certify the accuracy of the log and summary, as OSHA requires.
6. Certification of the Log (Internal Use)
I certify that I have examined this OSHA-style log of work-related injuries and illnesses and that, to the best of my knowledge, it is a true and complete record of OSHA-recordable incidents for the year indicated.
Name of Certifying Official: [Full Name]
Title: [Title – e.g., Company Executive, Owner, Officer, Highest Ranking Official at This Establishment]
Signature: _______________________________
Date: [MM/DD/YYYY]
7. Attachments and Supporting Documents Checklist
For each log entry, you may keep related documents with your OSHA recordkeeping file (paper or electronic). Check any that apply:
OSHA Form 301 or equivalent incident report for each case
Internal incident or accident investigation reports
Medical reports or work-status notes related to the case
Employee statements and witness statements
Photos or sketches of the incident scene (if kept)
Correspondence with workers’ compensation carrier or insurer
Any corrective action or safety review documentation
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OSHA Form 300 – Log of Work-Related Injuries and Illnesses Template
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For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
OSHA FORM 300 – LOG OF WORK-RELATED INJURIES AND ILLNESSES TEMPLATE FAQ
What is OSHA Form 300 – Log of Work-Related Injuries and Illnesses?
OSHA Form 300 is the official log U.S. employers use to record certain work-related injuries and illnesses for each calendar year. Each line on the log represents one recordable case and includes information such as the employee’s name, job title, date of injury or illness, where the event occurred, a brief description, how serious it was (death, days away, restricted work, other recordable), and how many days were affected.
Who is required to keep an OSHA Form 300 log?
Under OSHA rules, most employers with 10 or more employees in non-exempt industries must keep injury and illness records, including an OSHA 300 log, OSHA 300A summary, and OSHA 301 (or equivalent) incident report. Some low-risk industries are partially exempt, and very small employers may also be exempt. Because coverage and exemptions depend on your NAICS code and size, it’s important to check current OSHA guidance or consult a safety professional.
What injuries and illnesses must be recorded on the OSHA 300 log?
Generally, you must record work-related cases that result in: death; days away from work; restricted work or job transfer; loss of consciousness; or certain significant diagnoses such as fractures, punctured eardrums, and some chronic conditions. You also record specific types of cases like work-related needlesticks, certain hearing loss cases, and some medical-treatment-beyond-first-aid injuries. The exact criteria are defined in OSHA’s recordkeeping standard, which you should follow when deciding whether a case is “OSHA-recordable.”
How do I fill out an OSHA 300 log correctly?
For each recordable case, you assign a case number and record: the employee’s name and job title, date of injury or onset, where the event occurred, and a short description of what happened and which part of the body was affected. You then check the appropriate classification (death, days away, restricted work/transfer, or other recordable), enter the number of days away from work and days of job transfer/restriction, and mark the type of case (injury, skin disorder, respiratory condition, poisoning, hearing loss, or other illness). At year-end, you review the entries, prepare the 300A summary, and have a company executive certify the records.
What is the difference between OSHA Forms 300, 300A, and 301?
OSHA Form 300 is the running log of recordable injuries and illnesses for the year. OSHA Form 300A is the yearly summary that shows total numbers of cases, days, and injury/illness types for posting. OSHA Form 301 (or an equivalent incident form) contains more detailed information about each individual case. This template is modeled on the OSHA Form 300 log and is not a substitute for the 300A or 301 forms.
How long must OSHA 300 logs be kept?
OSHA recordkeeping rules generally require employers to save OSHA injury and illness records — including the 300 log, 300A summary, and 301 incident reports — for at least five years following the end of the calendar year that the records cover. During that period, you may also need to update the 300 log if the status or outcome of a case changes (for example, additional days away from work).
How can AI Lawyer help with OSHA Form 300 recordkeeping?
AI Lawyer can help you turn your incident notes and internal reporting forms into a consistent OSHA-style log using this template, making it easier to organize basic information for each recordable case. This template and any AI-generated content are for document organization only and are not legal or safety advice. For questions about OSHA coverage, what counts as a “recordable” case, or how to comply with current regulations, you should consult official OSHA resources or a qualified safety/HR professional.
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