Incident Report Form
First report of a jobsite injury. The top half is filled at the scene while people still remember the sequence; the bottom half decides whether you are phoning OSHA in the next eight hours.

First report of a jobsite injury. Fill the top half at the scene and the bottom half within 24 hours \u2014 1904.29(b)(3) gives you seven calendar days to record a case, but memory does not last seven days.
Incident
The clock starts at the scene
Two deadlines run from the incident, not from the paperwork:
| Event | Report to OSHA within | Section |
|---|---|---|
| Fatality | 8 hours | 1904.39(a)(1) |
| In-patient hospitalisation of one or more employees | 24 hours | 1904.39(a)(2) |
| Amputation | 24 hours | 1904.39(a)(2) |
| Loss of an eye | 24 hours | 1904.39(a)(2) |
Read from 29 CFR 1904.39 on 2026-09-04.
There is a qualifier worth knowing: a fatality is reported only if it occurs within 30 days of the work-related incident, and a hospitalisation, amputation or eye loss only if it occurs within 24 hours of the incident. Either way the case still goes on your records.
Danger
Then decide recordability
Separately from reporting, 1904.7(a) decides whether the case goes on the 300 log. The trigger everybody argues about is medical treatment beyond first aid — 1904.7(b)(5)(ii) gives a closed list of what counts as first aid, and anything outside that list is medical treatment.
1904.29(b)(3) gives seven calendar days from learning of the case to record it. Use the time to get the classification right, not to hope it goes away.
The half of the form nobody fills in
The bottom section — root cause and systemic fix — is the only part that changes anything. "Employee was not paying attention" is not a root cause; it is the end of an investigation that stopped one question too early.
Ask what made the unsafe act the easy option: was the guardrail removed for a delivery and never replaced, was the right tool three floors down, was the crew told to beat a pour? Then fix that, and record it here.
Sources, with the date each was read
- 29 CFR 1904.7 — General recording criteria (OSHA)read 2026-09-04
- 29 CFR 1904.39 — Reporting fatalities, hospitalizations and amputations (OSHA)read 2026-09-04
- 29 CFR 1904.32 — Annual summary (OSHA)read 2026-09-04