OSHA 301

You can run this report from the Reports Directory or from the Injuries screen.

PureSafety tab > Reports > OSHA Reports > OSHA 301. The report provides a list of only recordable records when run from this view.
PureSafety tab > IMS > Injuries > OSHA 301 button. The report provides a list of incidents regardless of the OSHA status when run from this view.

For privacy-cases, the system leaves both gender check boxes unchecked when you print the OSHA 301 report.

Report Parameters

Parameter	Default Value	Details
Date Range	Month To Date	Required
Annual Average number of employees	Blank	Enter this figure based on your calculations, often calculated using the optional OSHA 300A worksheet. This field will print in the field of the same name on the Establishment Information section of the report.
Total hours worked by all employees last year	Blank	Enter this figure based on your calculations, often calculated using the optional OSHA 300A worksheet. This field will print in the field of the same name on the Establishment Information section of the report.
Injury Log ID	None selected.	Required. You can select a single Injury Log.

The table below describes the OSHA 301 form fields and the corresponding PureSafety source fields. Go to IMS > Injuries > Create or IMS > Injuries > Edit > Select an injury record to view the source fields. The capitalized words in the PureSafety Source field column represent the tab on the Create Injury screen where the field displays.

Form Field	LSMS Source Field
Completed by	Blank field to be entered at a later point manually.
Title	Blank field to be entered at a later point manually.
Phone	Blank field to be entered at a later point manually.
Date	Blank field to be entered at a later point manually.
Information about the employee
(1) Full Name	EMPLOYEE: First Name, Middle Name, Last Name
(2) Street Address	EMPLOYEE: Address
City	EMPLOYEE: City
State	EMPLOYEE: State
Zip	EMPLOYEE: Zip
(3) Date of birth	EMPLOYEE: Birthday
(4) Date hired	EMPLOYEE: HIRE DATE
(5) Male or Female	EMPLOYEE: Gender
Information about the physician or other health care professional
(6) Name of physician or other health care professional	TREATMENT: Name of Physician
(7) If treatment was given away from the worksite, where was it given?
Facility	TREATMENT: Name of Medical Facility
Street	TREATMENT: Address
City	TREATMENT: City
State	TREATMENT: State
ZIP	TREATMENT: Zip
(8) Was employee treated in an emergency room?	TREATMENT: Emergency Room
(9) Was employee hospitalized overnight as an in-patient?	TREATMENT: Overnight
Information about the case
(10) Case number from the Log	CASE: Case Number
(11) Date of injury or illness	INJURY: Injury Date
(12) Time employee began work	CASE: Time Began Work
(13) Time of event	INJURY: Injury Time
(14) What was the employee doing just before the incident occurred? Describe the activity, as well as the tools, equipment, or material the employee was using. Be specific.	INJURY: What was the employee doing just before the incident occurred?
(15) What happened? Tell us how the injury occurred.	INJURY: What Happened?
(16) What was the injury or illness? Tell us the part of the body that was affected and how it was affected; be more specific than "hurt", "pain", or "sore".	INJURY: Brief Description
(17) What object or substance directly harmed the employee? If this question does not apply to the incident, leave it blank.	INJURY: What object or substance directly harmed the employee?
(18) If the employee died, when did the death occur? Date of Death	INJURY: Date of Death