Michigan Nursing Home Administrator (NHA) Practice Exam

What type of information is provided in MIOSHA Form 301?

1. Summary total of injury categories

2. Supplemental information regarding injuries or illnesses

3. Annual financial report for employee injuries

4. Company executive's certification of safety procedures

The correct answer is: Supplemental information regarding injuries or illnesses

MIOSHA Form 301 is specifically designed to document supplemental information regarding individual work-related injuries or illnesses that occur within an organization. This form captures detailed data that includes information about the nature of the injury, the involved employee, and circumstances surrounding the incident. It plays a crucial role in injury tracking and reporting, helping organizations to comply with occupational safety and health regulations. The essence of the form is to provide a more in-depth understanding of specific incidents rather than simply summarizing total injury statistics or evaluating financial impacts. This detail is vital for identifying patterns, evaluating workplace safety practices, and making informed decisions to improve conditions. Consequently, this form serves a different purpose compared to options related to injury categorizations, financial reports, or executive certifications, which are not the primary focus of Form 301.