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. To use this form, you need Microsoft version 6.0 or above. OSHA Form 101 For assistance on downloading a file, click here .
Law requires that it be kept in the establishment for five years.
Failure to maintain can result in the issuance of citations and assessment of penalties. The form can be copied to keep on hand for keeping records as injuries or illnesses occur. For background information as well as information on related topics, see accident reporting . All Rights Reserved.