Use to Comply with OSHA Recordkeeping Requirements
Benefits: If you are subject to OSHA, you are required to keep records of employee illness and injury. In addition to summary information that recaps all of your business's experience, you must also complete a supplemental record covering the details of each individual occurrence. The attached file contains an OSHA-developed form, OSHA Form 101, which can be used to keep a supplemental record of occupational injuries and illnesses. Used in conjunction with OSHA Form 200, Form 101 can be used to satisfy most of the recordkeeping requirements relating to employee illness and injury.
File Description: The file contains a one-page form formatted as a table in Microsoft Word 6.0. To use this form, you need Microsoft version 6.0 or above.
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OSHA Form 101
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