A printable, fillable 11-page PDF for reporting workplace incidents and near misses, plus 5 single-sheet fillable PDFs, a spreadsheet tracker (.xlsx) and a 2-page READ ME, in one zip. Reusable incident and near-miss report sheets that help you collect the details OSHA Form 301 asks for. Type into the fields on screen or print the sheets and fill them in by pen. Instant download; print as many copies as you need for your own workplace.
About these sheets
Record every incident and near miss the same way: what happened, where and when, who saw it, why it happened and what you are doing about it. The 2-page report covers injuries, illnesses, property damage, spills and near misses, with each Form 301 item labeled on the sheet. A witness statement, a 5-whys root-cause worksheet and a corrective-action tracker take each report through to a fix, and the monthly log keeps a running list of every event.
The 3-page guide explains how to use the sheets, when to call OSHA (a reporting box with the 8-hour and 24-hour reporting rules and the OSHA phone number), and how OSHA records and employee privacy work. Page 5 quotes the regulation excerpts word for word from the eCFR (29 CFR Part 1904 and 1910.178, up to date as of Oct 29, 2026).
Not a replacement for OSHA's 300, 300A and 301 recordkeeping forms. Our report is not an OSHA form or an equivalent form (29 CFR 1904.29(b)(4)). Not legal advice. Your company stays responsible for the recordkeeping and reporting rules that apply to it.
US Letter size (8.5 x 11 in). Black-on-white sheets that print cleanly on an office printer.
What's inside
Page 1: Title page with a contents list and the license line.
Pages 2-4: 3-page guide: how to use, when to call OSHA (reporting box), and OSHA records and privacy.
Page 5: Regulation excerpts, word for word from the eCFR.
Pages 6-7: Incident / near-miss report, 2 pages (fillable).
Page 8: Witness statement (fillable).
Page 9: Root-cause (5-whys) worksheet (fillable).
Page 10: Corrective-action tracker, 15 actions (fillable).
Page 11: Monthly incident & near-miss log, 20 lines (fillable).
Plus 5 single-sheet fillable PDFs of the forms: incident / near-miss report (2 pages), witness statement, root-cause worksheet, corrective-action tracker and monthly log (1 page each).
Plus a spreadsheet tracker (.xlsx) with an action tracker that flags overdue actions and a monthly log with totals.
Plus a 2-page READ ME: what's in the download, how to fill in and print, and the license.
Fill in on screen or print
Type into the fillable fields in any PDF reader or a current browser such as Chrome, Edge or Firefox, then save a copy for each report.
Or print on US Letter (8.5 x 11 in) paper at 100% / actual size and fill them in by pen.
Open the .xlsx tracker in any spreadsheet app.
How it works
1. Check out as usual. Nothing is shipped: this is a digital download.
2. Get your download link right away on the order confirmation page and in your confirmation email.
3. The download link is valid for 30 days. Save the zip file to your computer or shared drive. If your link expires, contact us through the site and we can resend it.
License
Single-business license: the purchasing business may fill in and print unlimited copies for its own internal use at its own workplace(s). Please don't resell, share, redistribute, upload or post the files or the templates, in whole or in part.
FAQ
Are these OSHA forms? No. They are reusable report sheets that help you collect the details OSHA Form 301 asks for. If your business must keep OSHA records, keep using the OSHA 300, 300A and 301 forms.
Can I use it for near misses? Yes. The report has a near-miss option, and near misses go on the same monthly log and corrective-action tracker.
Can I fill it in on a computer? Yes, in any PDF reader or a current browser such as Chrome, Edge or Firefox. Type your entries, then save a copy or print. You can also print the sheets and fill them in by pen.
What if my download link expires? The link stays active for 30 days. After that, contact us through the site with your order number and we can resend it.
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