LogmendITA template checked 2026-11-10

Logmend / Reference

Form 300 log to ITA CSV, column by column

A Form 300 log holds about half of what the ITA case file needs. The rest comes from each case's Form 301.

Have the log open? Drop it in and get both ITA files with the errors repaired.

Open the converter

Form 300 columns

Form 300What it holdsITA CSV columnHow it is written
(A)Case no.case_number (C)As is. Must be unique in the establishment.
(B)Employee's nameNoneNot submitted.
(C)Job titlejob_title (D)Letters and numbers only.
(D)Date of injury or onset of illnessdate_of_incident (E)mm/dd/yyyy. The paper form shows "2/10", so the year has to be added.
(E)Where the event occurredincident_location (F)Letters and numbers only.
(F)Describe injury or illnessincident_description (G)Up to 255 characters, no special characters, no personal information.
(G)Deathincident_outcome (H) = 1One code for the most serious outcome.
(H)Days away from workincident_outcome (H) = 2
(I)Job transfer or restrictionincident_outcome (H) = 3
(J)Other recordable casesincident_outcome (H) = 4
(K)Days away from work, countdafw_num_away (I)Whole number, 0 if none.
(L)Days on job transfer or restriction, countdjtr_num_tr (J)Whole number, 0 if none.
(M)(1) to (6)Injury, skin disorder, respiratory condition, poisoning, hearing loss, all other illnessestype_of_incident (K) = 1 to 6One code.

Form 301 items

Form 301What it holdsITA CSV column
1Full nameNot submitted
2Street, city, state, ZIPNot submitted
3Date of birthdate_of_birth (L)
4Date hireddate_of_hire (M)
5Male / Femalesex (N), optional
6Name of physician or other health care professionalNot submitted
7Facility name and address, if treated away from the worksiteNot submitted
8Treated in an emergency room?treatment_facility_type (O)
9Hospitalized overnight as an in-patient?treatment_in_patient (P)
10Case number from the Logcase_number (C)
11Date of injury or illnessdate_of_incident (E)
12Time employee began worktime_started_work (Q), optional
13Time of eventtime_of_incident (R), or time_unknown (S) = 1
14What was the employee doing just before the incident occurred?nar_before_incident (T)
15What happened?nar_what_happened (U)
16What was the injury or illness?nar_injury_illness (V)
17What object or substance directly harmed the employee?nar_object_substance (W)
18If the employee died, when did death occur?date_of_death (X)

If your sheet has only the Form 300 columns, the converter fills what it can and marks the Form 301 cells for you to type in. It does not make them up.

Short answers

Can a Form 300 log alone produce the ITA 300/301 CSV?

No. The case file also needs Form 301 details for each case: date of birth, date hired, emergency room and hospital answers, and four short text answers about the incident.

Is the employee name submitted to the ITA?

No. OSHA says column B of the Form 300 log and items 1, 2, 6 and 7 of Form 301 are not submitted.

Sources

Read on 2026-11-10. OSHA can change these documents; the link is the authority. Logmend is an independent information tool. It is not affiliated with or endorsed by OSHA or the U.S. Department of Labor, and it is not tax, legal or professional advice.