Michigan Nursing Home Administrator (NHA) Practice Exam

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What are the three required MIOSHA forms for recording injuries?

  1. Forms 100, 200, and 300

  2. Forms 300, 301, and 300A

  3. Forms 400, 401, and 402

  4. Forms 250, 251, and 252

The correct answer is: Forms 300, 301, and 300A

The three required MIOSHA forms for recording injuries are Forms 300, 301, and 300A. These forms are integral for maintaining compliance with workplace safety regulations because they are designed to document and summarize workplace injuries and illnesses effectively. Form 300 is the Log of Work-Related Injuries and Illnesses, which is used to record each individual case of work-related injuries or illnesses. This form provides detailed information, including the nature of the injury, the area of the body affected, and the number of days away from work or on restricted duty. Form 301 is the Incident Report form, which includes a more comprehensive account of a workplace incident. This form helps provide a deeper analysis of the circumstances around the injury, including a narrative description of what happened and any contributing factors. Form 300A is the Summary of Work-Related Injuries and Illnesses, which presents an annual overview of the data collected from Forms 300 and 301. This form must be posted in a visible location in the workplace and is an essential tool for informing employees about health and safety issues. As these three forms are specifically aligned with MIOSHA's requirements for tracking workplace injuries, they play a crucial role in ensuring that employers adequately report and