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. <br /> OSHA's Form 300A (Rm..olr2dg4) Mtn You d° ' oto Mk dam i4 ma Year 2017 <br /> Beam packagaue'VinSblenelhWe <br /> PORsdominants.nput angipe�obedtatuRend and OA 4pmlmaddLffiar <br /> Summary of Work-Related Injuries and Illnesses thataaHsyarin�tgngsgtlielMAdobePOFReader. er�arbletsir <br /> „w,Ae�,,,,,, <br /> ResivrawedOMB.11114r16 <br /> AN otabishoonto coveted by Pon 1904mustcomphbddsdummmypage,ownIfnoxmg4olotodir{junsaet Illoosnos <br /> ertonreiawtheLogtovmt Bratgaaneonoeoomph*andaa a before completing hismmnwy <br /> U*gthaLoa mrmtthe Individualaoih ry.uSoumadeforest*cof9QoDonwrllethetotalsbWow,mann'noeyouW30 a ddd *Wlsegom r t erdIrdbnaelkn <br /> oawypago oleo Log."you hMno moo,talcs W.' w+rewww... Elk River Municipal UUANee <br /> Employaesfivmarefp(oyeeRane Sag os theshawthedghtIo»viewIheOSHAFae$00InHoen**They&nohayS10)44aeoess <br /> • do0I OSHA Fono 801 or AsoquivolontSoo29CFRPert1904.9d,In03NA'snoonikoep%ngnth,for&MotdotalsontM*moosOnmenionsfor Saxes 13089 Orono Pkwy <br /> roue kiwis. <br /> Elk RiverCity &age MNp .85330 <br /> Washy• daw+iPdo (e.g,atemfzetrre qf atom buck troika) <br /> Total mmbcrof Toed nwoberof Total comber Mosses Total amber of Eledrid&Water Mlles <br /> debris oases widtdays with jobmaster or o meordabh >Naaaea ia►pss+iBadsa(ffiC)ff}mown tag-sylf) <br /> away font work restriction ass <br /> 0 0 0 4 9924 <br /> OR <br /> 0 00 W (4 , <br /> Notett Amaiem btdmtrial C W dBadms(NAILS),If lmowe(e.g.,336212) <br /> 922100 <br /> Total=mbarofdays Total number of dais of job Women(kdomisew(Omdont lunwhasqlssuus,see de <br /> away from work trwferorrestriction Worisheetaadcamap:etaeudmeta) <br /> o 0 Annul mange eamobaofamployen 44 <br /> 00 0.) - Total haws wcdwdby all employees last year 942.-9Z <br /> SO hare <br /> Total timber of... 3fnowlagy falsilog ads decemeat may rankle afne. <br /> I aa6(}rrim I bmew document <br /> a3ined�{s doment and that to the best of <br /> (t)lhpm{as 8 (a)Poisoaiags 0 knowledge • are acdurata,end complete. <br /> (2)Sldodisorders 0 (6)Honing lost 1 �'KC ����J�� �:Aet ut t OWL:c.Pts <br /> 00 Respimtoryconditians 0 (e)All other i illnesses 0 axeeudvo TMe <br /> P6wel3,- 6.35-1325 Date $L/08/ZOIS <br /> Post wte Osmaa,par►ks Molly l aApa 30 deg ywldimmy Ow orewusdbyMkwt v'4,3i.�wit -".M <br /> Tat nrwasisemaraisa ierkeerekemeia�selweedaasgemdsmsPemrwa a aeamkweebmwdew.sameh.de 'A.,hnesdd.md 7�.b",:;R. •*�k° nttth2-;:': <br /> awokei.d nMesaueoam**etYta.ailm Perms are weewq dwawaas9eaa torte.aneMaederamMeh6ylgs moody addOMt gaud enkat.Via Imo s7 <br /> comma aeulthesmaimaes grow eke water abiataeolkaba.wow n5n@.bwtdtabs,OSHA OakeoraeabkelAraysb ReactwdM4,700CeatAdtt Arma.MV. <br /> Wahleggou,DCIOVD.Dosom eameaospaW thus a dd.a lio. <br /> 68 . . :t.:r�4. <br />