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Click ‘Get Form’ to open the OSHA Form 200 in our editor.
Begin by entering your company name and establishment details at the top of the form. This information is crucial for identifying your workplace.
In the 'Extent of and Outcome of INJURY' section, accurately check the boxes corresponding to any fatalities or nonfatal injuries. Be sure to enter the date of death if applicable.
For each injury, indicate whether it involved lost workdays by checking the appropriate boxes and entering the number of days away from work or restricted activity.
Complete the 'Illnesses' section similarly, ensuring you check only one column for each illness and provide necessary details about lost workdays.
Finally, certify your annual summary totals at the bottom of the form, including your title and date before saving or printing.
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This is an OSHA ARCHIVE document, and may no longer
Nov 29, 2011 This instruction provides guidance to Occupational Safety and Health Administration (OSHA) national, regional, and area offices for implementingRead more
OSHA has completely revised all forms used to report occupational injuries and illnesses. The OSHA 200 - Log and Summary and the OSHA 101 - Supplemental RecordRead more
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