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Appendix 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.
Together with Log of Work-Related Injuries and Illnesses and the accompanying Annual Summary, these forms help the employer and Cal/OSHA develop a picture of the extent and severity of work-related incidents.
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 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
Cal/OSHA has many educational materials and resources available. Publications can be downloaded from our webpage or they may be picked up at a local Cal/OSHA office if available. Please check with the local Cal/OSHA office first by calling to ensure the publications are available.
Completing this form helps employers and Cal/OSHA understand the types and severity of workplace incidents. This document contains an Injury and Illness Incident Report form used to record work-related injuries in accordance with Cal/OSHA regulations.
OSHA’s 301: Injury and Illness Incident Report — A copy of the 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, visit us online at www.osha.gov or call your local OSHA office. We’ll be happy to help you.
