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  1. 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. Do not attempt to view, edit, add data, or print the PDF file through your browser with a plug-in viewer, it can result in technical difficulties.

  2. 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. California workplace postings are available and can be downloaded at www.dir.ca.gov/wp.asp.

  3. With forms for recording work-related injuries and illnesses your cases as injuries or illnesses. www.dir.ca.gov/dosh/etools/recordkeeping/index.html. What’s Inside… In this package, you’ll find information that will help you complete Cal/OSHA's Log and Summary of Work-Related Injuries and Illnesses for the next several years.

  4. Employers in California are required to establish, implement, and maintain written programs, depending on the hazards their employees are exposed to at work. To assist employers, Cal/OSHA has created many model programs and sample plans, which are templates that employers may download and customize to create their own written programs.

  5. On the following pages, you’ll find: General instructions for filling out the forms in this package and definitions of terms you should use when you classify your cases as injuries or illnesses. An example to guide you in filling out the Log properly.

  6. This is a fillable template that the employer must complete. Instructions in red font enclosed in brackets indicate where you must enter your worksite-specific information. Every California employer must establish, implement and maintain a written Injury and Illness Prevention

  7. Please download and customize the model program appropriate for your industry. Cal/OSHA has also produced a helpful guide on how to create your Injury and Illness Prevention Program, available at the bottom of this page.

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