OSHA Form 301, Injury and illness incident report

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. Here is an OSHA-developed form, OSHA Form 301, which can be used to keep a supplemental record of occupational injuries and illnesses. Used in conjunction with OSHA Forms 300 and 300A, Form 301 can be used to satisfy most of the recordkeeping requirements relating to employee illness and injury. Form 301 was approved by the Bureau of Labor Statistics Supplementary Record of Occupational Injuries and Illnesses. 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.

OSHA Form 301(Adobe PDF)
OSHA-record-keeping-forms.pdf

OSHA Form 301 (Excel Spreadsheet)
osha-301.xls