OSHA 301: Injury and Illness Incident Report A form with which work-related injuries and illnesses are recorded in accordance with U.S. law (
Occupational Safety and Health Act
).
The report relates to a
person affected. It is generated in the
report information system
for the application object INCAFFPERS. The report template is supplied as a sample. It corresponds to the form prescribed by the OSHA authorities.
For the SAP system to be able to fill out all fields in the report template, you must have filled out the corresponding fields in the
incident/accident log
. The following table describes where you enter the data and what you have to remember:
Field in OSHA 301 |
Is Filled From |
|
|---|---|---|
Completed by |
User profile of the SAP user who generated the report
You can find your user profile by choosing
from the
End of the note. |
|
Title |
||
Phone |
||
1) |
Full name |
Personal data for the person affectedin the incident/accident log entry |
2) |
Street City State ZIP |
|
3) |
Date of birth |
|
4) |
Date hired |
|
5) |
Male/female |
|
6) |
Name of physician or other health care professional |
Details on person affected:
|
7) |
If treatment was given away from the worksite, where was it given? |
Details on person affected:
|
Facility Street City, State, ZIP |
||
8) |
Was employee treated in an emergency room? (Yes/No) |
Details on person affected:
|
9) |
Was employee hospitalized overnight as an inpatient? |
Details on person affected:
|
10) |
Case number from the Log (see OSHA 300) |
Incident/accident log entry header data:
|
11) |
Date of injury or illness |
Incident/accident log entry header data:
|
12) |
Time employee began work |
Details on person affected:
|
13) |
Time of event |
Incident/accident log entry header data:
|
14) |
What was the employee doingjust before the incident occurred? |
Details on person affected:
|
15) |
What happened? |
Incident/accident log entry header data screen:
|
16) |
What was the injury or illness? |
Details on
|
17) |
What object or substance directly harmed the employee? |
Details on person affected:
|
18) |
If the employee died, when did death occur? |
Details on person affected:
|
For information on generating and shipping the report, see: