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.
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.
Form Details:
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.