OSHA Form 300A · calculation & eligibility record · draft
Your OSHA 300A Calculation Record
Riverside Fabrication (sample)
INCOMPLETE - NOT VALID
Sample establishment: replace the sample name and figures before relying on this record.
Annual average number of employees
120
Total hours worked by all employees
225,512
Form 300A electronic submission
Required
No conflicts between the payroll rows and the eligibility inputs.
Eligibility checks
Form 300A summary —
Form 300 and 301 case detail —
Audit details
- Peak employment used
- —
- Peak entered
- —
- Highest payroll count
- —
- Industry listing
- —
- Recordkeeping
- —
- NAICS code
- —
Payroll schedule
0 payroll periods counted
| # | Period end | Employees | Hours | Status |
|---|