Sponsored by The Chamber of Greater Springfield

BWC-Division of Safety & Hygiene

Semi-Annual Report

Due by January 15, 2019 for the period of July 1, 2018 to December 31, 2018

Report All Information Below For CURRENT SIX MONTH PERIOD ONLY (corresponds with period identified above)

Items 4, 5 and 6 are based on the Recordkeeping Requirements under the Occupational Safety & Health Act of 1970

(rev. 1/1/02).  The columns listed below correspond to the columns in the OSHA 300 Log.

 (column G in OSHA 300 Log)
(column H in the OSHA 300 Log) If employee did not miss a full day of work, don’t report injury.
(column K 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 (item 4 or 5), the most recent date of death, injury or illness must correspond with item 1.