Report all information below for CURRENT SIX-MONTH PERIOD ONLY (corresponds with period identified above)
The following items are based on the Recordkeeping Requirements under the Occupational Safety & Health Act of 1970 (rev. 1/2/02). The columns listed below correspond to the columns in the OSHA 300 Log.
Note: if you report a death, injury or illness resulting in days away from work in the current six month period, the most recent date of death, injury, or illness must correspond with the date provided above.