Form MIOSHA-301 Injury and Illness Incident Report - Michigan

Form MIOSHA-301 Injury and Illness Incident Report - Michigan

What Is Form MIOSHA-301?

This is a legal form that was released by the Michigan Department of Labor and Economic Opportunity - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is MIOSHA-301 Injury and Illness Incident Report?A: MIOSHA-301 Injury and Illness Incident Report is a form used in Michigan to report workplace injuries and illnesses.

Q: Who needs to complete the MIOSHA-301 form?A: The MIOSHA-301 form needs to be completed by employers for any work-related injury or illness that meets certain criteria, as specified by MIOSHA.

Q: What information is required on the MIOSHA-301 form?A: The MIOSHA-301 form requires information such as the date and time of the incident, a description of the injury or illness, and the employee's name and contact information.

Q: When should the MIOSHA-301 form be submitted?A: The MIOSHA-301 form should be submitted within 7 calendar days from the date of the injury or illness, or within 24 hours if the injury or illness results in hospitalization or death.

Q: Are there any additional reporting requirements apart from the MIOSHA-301 form?A: Yes, apart from the MIOSHA-301 form, employers may be required to report certain serious injuries, illnesses, or fatalities directly to MIOSHA within 8 hours.

Q: What are the consequences of not filing a MIOSHA-301 form?A: Failure to file a MIOSHA-301 form or providing false information can result in penalties and legal consequences for the employer.

Q: What does MIOSHA stand for?A: MIOSHA stands for the Michigan Occupational Safety and Health Administration, which is responsible for enforcing workplace safety and health regulations in Michigan.

Q: Can I use the MIOSHA-301 form for incidents that occurred outside of Michigan?A: The MIOSHA-301 form is specific to Michigan and should only be used for incidents that occurred within the state. Other states may have their own incident reporting forms.

Q: Are employees required to fill out the MIOSHA-301 form?A: No, employees do not fill out the MIOSHA-301 form. It is the responsibility of the employer to complete the form based on the information provided by the employee.

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Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the Michigan Department of Labor and Economic Opportunity;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MIOSHA-301 by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.

Download Form MIOSHA-301 Injury and Illness Incident Report - Michigan

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  • Form MIOSHA-301 Injury and Illness Incident Report - Michigan, Page 1
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