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  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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

  6. 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. 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. Army

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