Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)

Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0176 can be found here:

Documents and Forms

Document Name Document Type
Form OSHA 300 Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904) Form
osha300form1-1-04.pdf www.osha.gov/recordkeeping/new-osha300form1-1-04.pdf Instruction
OSHA 300 Log of Work Related Injuries and Illnesses OSHA Form 300 .pdf www.osha.gov/recordkeeping/RKforms.html Form
OSHA Form 301 Injury and Illness Incident Report OSHA Form 301.pdf www.osha.gov/recordkeeping/RKforms.html Form
OSHA 300A Summary of Work-Related Injuries and Ilnesses OSHA Form 300A.pdf www.osha.gov/recordkeeping/RKforms.html Form
OSHA-300A (Spreads Summary of Work-Related Injuries and Illnesses osha300form1-1-04.xls www.osha.gov/recordkeeping/new-osha300form1-1-04.xls Form
Online OSHA Forms OSHA's Online Injury/Illness Data Collectoin rev-OSHAdatacollection-rulemaking-mockup_4-29-16.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)	Agency IC Tracking Number:	1218-0176(2018)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1904

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSHA 300	Log of Work Related Injuries and Illnesses	OSHA Form 300 .pdf	http://www.osha.gov/recordkeeping/RKforms.html	Yes	No	Fillable Printable
Form	OSHA Form 301	Injury and Illness Incident Report	OSHA Form 301.pdf	http://www.osha.gov/recordkeeping/RKforms.html	Yes	No	Fillable Printable
Form	OSHA 300A	Summary of Work-Related Injuries and Ilnesses	OSHA Form 300A.pdf	http://www.osha.gov/recordkeeping/RKforms.html	Yes	No	Fillable Printable
Instruction			osha300form1-1-04.pdf	http://www.osha.gov/recordkeeping/new-osha300form1-1-04.pdf	Yes	No	Printable Only
Form	OSHA-300A (Spreadsheet Version)	Summary of Work-Related Injuries and Illnesses	osha300form1-1-04.xls	http://www.osha.gov/recordkeeping/new-osha300form1-1-04.xls	Yes	No	Fillable Printable
Form and Instruction	Online OSHA Forms 300, 301, 300A	OSHA's Online Injury/Illness Data Collectoin	rev-OSHAdatacollection-rulemaking-mockup_4-29-16.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,364,503	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,192,616	157,849	6,034,767
Annual IC Time Burden (Hours)	2,243,550	-270,908	2,514,458
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.