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  1. 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.

  2. 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.

  3. If the case is an illness, check the appropriate illness category. The Log of Work-Related Injuries and Illnesses (Cal/OSHA Form 300) is used to classify work- related injuries and illnesses and to note the extent and severity of each case.

  4. For example, employers must submit their Form 300A data for the 2019 calendar year by March 2, 2020. See federal OSHA's Injury Tracking Application website for information and instructions on electronic submission.

  5. OSHA’s recordkeeping regulation (see 29 CFR Part 1904) provides more information about the definitions below. The Log of Work-Related Injuries and Illnesses (Form 300) is used to classify work-related injuries and illnesses and to note the extent and severity of each case.

  6. Work-Related Injuries and Illnesses Log - Form 300. 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, medical treatment beyond first aid, that are diagnosed by a physician or licensed health ...

  7. 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.

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