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If you are subject to OSHA, you are required to keep records of employee illness and injury. In addition to summary information that recaps all of your business's experience, you must also complete a supplemental record covering the details of each individual occurrence.
The attached file contains an OSHA-developed form, OSHA Form 301: Supplemental Illness and Injury Log, which can be used to keep a supplemental record of occupational injuries and illnesses. Used in conjunction with OSHA Forms 300 and 300A, Form 301 can be used to satisfy most of the recordkeeping requirements relating to employee illness and injury.
The file is in Adobe Portable Document Format (.pdf), and you will need the free Acrobat Reader to view and print the files.