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MIOSHA Reporting Forms
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ACCIDENT PREVENTION PROGRAM - Company safety programs are available in large, 3-ring binders with your company name inserted where appropriate. This is detailed and specific to the type of work your company performs.

INJURY/ILLNESS REPORTING - Several MITA members have inquired about which injuries and illnesses need to be recorded on their MIOSHA 300 logs. “Recordable injuries and Illnesses” means an injury or illness that meets the general recording criteria and therefore is recordable if it results in any of the following: Death, days away from work, restricted work or transfer to another job, medical treatment beyond first aid or loss of consciousness.

MIOSHA CITATION APPEAL SERVICE - When you receive a MIOSHA citation, either email it to, or fax it to MITA at 517-347-8344 immediately! There are only 15 working days in which to submit an appeal. Our staff will help you through the entire administrative process.

MIOSHA INJURY/ILLNESS REPORTING - MIOSHA requires that every company create an annual summary report (Form 300) of Injury and Illnesses that were recorded during the previous year and post them from February 1 to April 30. MIOSHA also requires employers to fill out an Injury and Illness Incident Report (Form 301) within seven calendar days of receiving information that a recordable injury or illness has occurred. Under the Administrative Rules, each company shall create, certify and post a summary at each establishment in a conspicuous place or places where notices to employees are customarily posted. Be prepared and have this information on hand; MIOSHA safety officers are asking for it. Click here to download the forms to fulfill these requirements. If you have any questions, please contact Matt McClintick at or call the MITA office at 517-347-8336.

SITE REVIEW WITH REGARD TO MIOSHA COMPLIANCE - The MITA Director of Safety & Workforce Development will come to your office or job site to make sure your company is following all MIOSHA safety procedures. There are two levels of safety reviews: Level One is a thorough review of your company’s corporate safety program. Level Two consists of an on-site review of a construction site to determine field implementation of written safety programs and more. A written analysis is provided for both review levels.

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