ADM-1006 Injury and Illness Recordkeeping

ADM-1006 Injury and Illness Recordkeeping

Rev. 0 Effective Date:

TABLE OF CONTENTS

PURPOSE 2

SCOPE 2

KEY RESPONSIBILITIES 2

Safety Manager 2

Supervisors 2

Employees 2

PROCEDURE 2

OSHA RECORDKEEPING FORMS 4

1.  PURPOSE

The purpose of this program is to define the requirements for recording job related injuries and illnesses for Your Company Name.

2.  SCOPE

This policy shall cover all Your Company Name operations within the United States. Specific guidelines are available at the following website link:

http://www.osha.gov/recordkeeping/index.html.

3.  KEY RESPONSIBILITIES

3.1  Safety Manager

3.1.1  Shall ensure all job related injuries and illnesses are recorded properly in accordance with OSHA requirements.

3.1.2  Shall ensure all required postings are conducted in accordance with recordkeeping guidelines.

3.1.3  Shall maintain all required records.

3.1.4  Shall determine the proper classification of job related injuries or illnesses based on OSHA recordkeeping guidelines.

3.2  Supervisors

3.2.1  Shall ensure that all job related injuries and illnesses are reported promptly to the Your Company Name Safety Manager.

3.3  Employees

3.3.1  Shall promptly report any actual or suspected job related injury or illness.

4.  PROCEDURE

4.1  If Your Company Name is required to keep records of fatalities, injuries, and illnesses, it must record each fatality, injury, and illness that:

4.1.1  Is work related.

4.1.2  Is a new case.

4.1.3  Meets one or more of the general recording criteria.

4.2  Your Company Name must enter each recordable injury or illness on an OSHA 300 Log and 301 Incident Report or other equivalent form, within seven (7) calendar days of receiving information that a recordable injury or illness has occurred.

4.3  A Your Company Name executive must certify that he or she has examined the OSHA 300 Log and that he or she reasonably believes, based on his or her knowledge of the process by which the information was recorded, that the annual summary is correct and complete.

4.4  Your Company Name must post a copy of the annual summary in each establishment in a conspicuous place or places where notices to employees are customarily posted. Your Company Name must ensure that the posted annual summary is not altered, defaced or covered by other material.

4.5  The Annual Summary must be posted no later than February 1st of the following year covered by the records and the posting kept in place until April 30th.

4.6  Your Company Name must save the OSHA 300 Log, the privacy case list (if one exists), the annual summary and the OSHA 301 Incident Report forms for five (5) years following the end of the calendar year that these records cover.

4.7  See the next page for the current OSHA recordkeeping forms as of this date.

5.  OSHA RECORDKEEPING FORMS

Printed copies are not controlled – Printed July 17, 2012 Page 2 of 4