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 for occupational safety and health purposes. O retain forms for 5 years after the year the form covers o update cal osha form 300 during retention period if. Take advantage of a digital solution to create, edit and sign documents in pdf or word format online. However, the final rule does not alter an employers duty to maintain osha forms 300 and 301 onsite, and osha will continue to obtain these forms as needed through inspections and enforcement actions. Please note that these forms are not designed for printing on standard 8. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Newly discovered recordable cases arise changes occur in the classifications changes occur in the description or outcome o you do not need to update the cal osha form 300a or cal osha 301 during the retention period. Complete the osha 300a form digitally in pdf and sent it to your employer. The requirement to keep and maintain osha forms 300, 300a, and 301 for five years is.
Immunizations and inoculations that are provided for public health or. Osha s log and the summary of workrelated injuries and illnesses for the next several years. Turn them into templates for multiple use, incorporate fillable fields to gather recipients. Calosha form 300log of workrelated injuries and illnesses. All employers with 10 or more employees, not classified as partially exempt are required by law to. Under the cal osha recordkeeping regulation 29 cfr 1904, covered employers are required to prepare and maintain records of serious occupational injuries and illnesses, using the cal osha 300 log. Osha issues form 300 privacy protection rule ehs today. The cal osha form 300a must be posted from feb 1st apr 30th. The department of labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The summary a separate form cal osha form 300a shows the totals for the year in each category.
Cal osha requires employers to record certain injuries, maintain records, post summaries, and make these records available to cal osha during an inspection. Forms 300, 300a, 301 excel format forms only requires microsoft excel or equivalent. Thank you for visiting our website you are exiting the department of labors web server. You must record information about every work related. This form is confidential and employee privacy must be maintained at all times. The osha form 300a is the second page of the osha form 300. When accessing the pdf file below, right click on the link and save the file directly to.
Annual summary of work related injuries and illnesses. Businesses founded after january 1, 2002, never used the osha 200 log form. Cal osha and electronic filing of the 3 a summary page 4 electronic reporting process now that we have determined whether or not the organization is required to submit the osha 300 a summary form electronically, let us take a look at what the process looks like. Osha 300 log fill online, printable, fillable, blank pdffiller. A hearing on this request for order will be held as follows. Forms 300, 300a, 301 and instructions pdf fillable format. Illnesses general instructions for filling out the forms in this package and.
Brief guide to recordkeeping requirements calosha forms 300, 300a and 301 excel spreadsheet. Companies are still required to electronically submit information from osha form 300a summary of workrelated injuries and illnesses. The division of occupational safety and health dosh, better known as cal osha, protects workers from health and safety hazards on the job in almost every workplace in california through its research and standards, enforcement, and consultation programs. Californias employer records of occupational injury and. This form contains information relating to employee health. Start a free trial now to save yourself time and money. Annual summary of workrelated injuries and illnesses. You must record information about every workrelated. Osha injury and illness recordkeeping and reporting requirements. Calosha division of occupational safety and health. Transfer these totals to the annual summary, cal osha form no. This forms package contains modified forms 300 and 300a which incorporate the additional column m5 hearing loss.
Osha forms for recording workrelated injuries and illnesses are used by employers to record. Turn them into templates for multiple use, include fillable fields to collect recipients. Forms are signed and certified by a company executive. Osha forms for recording workrelated injuries and illnesses. What forms do i need to complete in order to report and investigate an accidentincidentnearmiss event.
Get recordkeeping forms 300, 300a, 301, and additional instructions. All employers with ten or more employees, not classified as partially exempt are required by law to record. Using wound coverings such as bandages, bandaids, gauze pads, etc or using butterfly bandages or steristrips inoculations such as gamma globulin, rabies, etc. Be sure to transfer these totals to the summary page form 300a before you post it. Recording workrelated injuries and illnesses general instructions for filling out the forms in this package and definitions of terms you should use when you classify your cases as. When an incident occurs, use the log to record specific details about what happened and how it happened. Osha published a final rule to amend its recordkeeping regulation to remove the requirement to electronically submit to osha information from the osha form 300 log of workrelated injuries and illnesses and osha form 301 injury and illness incident report for establishments with 250 or more employees that are required to routinely keep injury and illness records.
Brief guide to recordkeeping requirements california department. Using this online solution, the customer spends less than a few minutes on the document completion and saves time for more important business. Forms and instructions for employers records of occupational injury. Brief guide to whats inside recordkeeping requirements.
Cal osha form 300 is used to classify workrelated injuries and illnesses and to note the extent and severity of each case. The form 300a summary of workrelated injuries and illnesses must be posted from feb 1st. Fl 300 request for order modification visitation temporary emergency child custody court order child support spousal support other specify. An osha form 300 is used by the occupational safety and health administration osha. Cal osha form 301 injury and illness incident report attention. If a workrelated illness, injury, or death occurs, information related to it must be recorded in this log. Osha injury and illness recordkeeping and reporting. Dont forget to have the company sign the form before posting. In the meantime, cal osha has promised to commence the regular rulemaking process to adopt. Calosha form 300a california department of industrial relations. California establishments that have not already reported summary data are advised to submit their information by the december 31, 2018 deadline.
Please contact oehs at 2 24199 to request a copy of the osha 300 log for your location. Calosha form 300 california department of industrial relations. Online osha 300a form in pdf printable blank to fill out. Penalties sheet and the penalty remittance form and mail to. Department of labor occupational safety and health administration osha s form 300 rev. Osha forms subset osha s form 300, log of workrelated injuries and. Appendix b year 20 annual summary of workrelated injuries. Make the most of a electronic solution to generate, edit and sign contracts in pdf or word format on the web.
Oshas form 301 fill out, print and download pdf template. Cal osha forms 300, 300a and 301 excel spreadsheet appendix a form 300. The following forms are being made available as fillable pdf forms. Department of industrial relations cal osha penalties p. Employers required to complete the injury and illness forms. They also have limited access to the miosha form 301 or its equivalent. Complete pdf template online click at the start now button and follow such instructions. Caloshas form 300a electronic submission deadline is. Forms related to the recording of workrelated injuries and illnesses. Department of labor, occupational safety and health administration subject. The first page form 300 contains a log for workrelated injuries and illnesses designed by the occupational safety and health administration. Appendix dinstructions to complete cal osha form 300. Appendix dinstructions to complete calosha form 300, pdf. Osha forms for recording workrelated injuries and illnesses author.