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Cal/OSHA Form 301. Appendix C. Injury and Illness Incident Report. Attention:This. form contains information relating to employee health and must be used in a manner that protects the confidentiality of employees to the extent possible while the information is being used for occupational safety and health purposes.
Cal/OSHA Form 301. Appendix C. Attention: This form contains information relating to employee health and must be used in a manner that protects the confidentiality of employees to the extent possible while the information is being used.
Injury & Illness Recordkeeping Forms - 300, 300A, 301. To use the PDF Fillable Format package below, select the link and save the file directly to your computer and then edit and add data, as appropriate.
Division of Occupational Safety & Health. This Injury and Illness Incident Report is one of the first forms you must fill out when a recordable work-related injury or illness has occurred.
Easily create and download a free, fillable Cal/OSHA Form 301 Appendix C Injury and Illness Incident Report for California. Edit, sign, and save this document online or download it in PDF format.
Cal/OSHA Form 301: Injury and Illness Incident Report — Several copies of the Cal/OSHA 301 to provide details about the incident. You may make as many copies as you need or use an equivalent form. Take a few minutes to review this package. If you have any questions, refer to page 7 of this guide for internet addresses and telephone
This document contains an Injury and Illness Incident Report form used to record work-related injuries in accordance with Cal/OSHA regulations. The form collects information about the employee, such as name, contact details, and date of injury.
