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  1. www.dir.ca.gov › dosh › DoshRegAppendix C Injury and Illness Incident Report

    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.

  2. www.dir.ca.gov › dosh › DoshRegAppendix C Injury and Illness Incident Report

    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. See CCR Title 8 14300.29(b)(6)-(10)

  3. riskmanagement.lacounty.gov › wp-content › uploadsThis form contains information relating to employee health...

    Cal/OSHA Form 301 Appendix C Injury and Illness Incident Report 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. Together with accompanying Annual Summary, these forms help the employer and Cal/OSHA develop a picture of the

  4. www.dir.ca.gov › t8 › 14300_29California Code of Regulations, Title 8, Section 14300.29. Forms

    The Cal/OSHA Form 300 is called the Log of Work-Related Injuries and Illnesses, the Cal/OSHA Form 300A is called the Summary of Work-Related Injuries and Illnesses, and the Cal/OSHA Form 301 is called the Injury and Illness Incident Report. Appendices A through C give samples of the Cal/OSHA forms.

  5. www.templateroller.com › template › 2260148Cal/OSHA Form 301 Appendix C - TemplateRoller

    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.

  6. www.scribd.com › document › 480687932Injury and Illness Incident Report: Cal/OSHA Form 301 Appendix C...

    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.

  7. www.osha.gov › recordkeeping › formsRecordkeeping Forms - Occupational Safety and Health...

    Equivalent forms used as a substitute for the OSHA Form 300-A Annual Summary must also be certified and posted annually as required under paragraph 1904.32. For more information, see FAQ 29-8 and FAQ 32-4 on OSHA's recordkeeping resources page.

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