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All establishments covered by CCRTitle 8 Section 14300 must complete this Annual Summary, even if no work-related injuries or illnesses occurred during the year. Remember to review the Log to verify that the entries are complete and accurate before completing this summary.
You must record information about every work-related death and about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment beyond first aid.
Cal/OSHA Form 300A (Rev. 7/2007) -Related Injuries and Illnesses All establishments covered by CCR Title 8 Section 14300 must complete this Annual Summary, even if no work- related injuries or illnesses occurred during the year. Remember to review the Log to verify that the entries are complete and accurate before completing this summary.
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.
Download Fillable Cal/osha Form 300 Appendix A In Pdf - The Latest Version Applicable For 2024. Fill Out The Log Of Work-related Injuries And Illnesses - California Online And Print It Out For Free.
CAL OSHA 300A Form - Fill & Save PDF - Summary of Work Related Injury and Illnesses. CAL OSHA 301 Form - Fill & Save PDF - Injury and Illness Incident Report. How to use your Fill & Save PDF. Access your Fill & Save PDF moments after checkout via your Order Confirmation email. Complete the form from any computer and save for future use*.
You must complete an Injury and Illness Incident Report (Cal/ OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you’re not sure whether a case is recordable, call your local Cal/ OSHA office for help.