Cal Osha Form 300a Fillable
The deadline for submission each year is March 2nd and employers covered by the electronic submission requirements must submit their Form 300A data for the previous calendar year 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 Cal/OSHA Form 300A (Rev. 7/2007) Appendix B. Year 20 __ Annual Summary of Work-Related Injuries and Illnesses. Total number of deaths _____ otal number of cases with days away from work. Number of Cases. Total number of days away from work _____ Total number of days of job transfer or restriction _____ Number of Days
Oakland Cal OSHA is reminding California employers to post their 2021 annual summary of work related injuries and illnesses including those related to COVID 19 in a visible and easily accessible area at every worksite The Form 300A summary must be posted each year from February 1 through April 30 Instructions and form templates are You must use Cal/OSHA 300, 300A, and 301 forms, or equivalent forms, for recordable injuries and illnesses. The Cal/OSHA Form 300 is called the Log of Work-Related Injuries and Illnesses, the Cal/OSHA Form 300A is called the Summary of Work-Related Injuries and Illnesses, and the Cal/OSHA Form 301 is called the Injury and Illness Incident Report.
Cal Osha Form 300a Fillable
Form for recording specific details about work related injuries and illnesses You may make as many copies of the Log as you need Notice that the Log is separate from the Summary Cal OSHA Form 300A Related Injuries and Illnesses Removable Annual Summary page for easy posting from February 1 through April 30 Osha s form 300a fillable printable forms free online. Osha form 300a pdf fill online printable fillable blank pdffiller2004 form osha 300fill online printable fillable blank pdffiller.
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2007 2023 Form OSHA 300 Fill Online Printable Fillable Blank PdfFiller
Cal OSHA Form 300 Rev 7 2007 Appendix A Log of Work Related Injuries and Illnesses 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 for occupational safety and health purposes Recordkeeping Injury Tracking Application (ITA) Injury Tracking Application (ITA) New injury and illness information submission requirements for some establishments will begin January 1, 2024. Learn more OSHA provides a secure website that offers three options for injury and illness data submissions.
1 Cal OSHA Log Form 300 Appendix D Instructions to Complete Cal OSHA Form 300 2 Cal OSHA Form 300A Appendix E Instructions to Complete Cal OSHA Form 300A 3 Cal OSHA Form 301 Appendix F Instructions to Complete Cal OSHA Form 301 Appendix G Worksheet to Help You Fill Out the Annual Summary Optional Form Get recordkeeping forms 300, 300A, 301, and additional instructions Read the full OSHA Recordkeeping regulation (29 CFR 1904) Severe Injury Reporting Employers must report any worker fatality within 8 hours and any amputation, loss of an eye, or hospitalization of a worker within 24 hours. Learn details and how to report online or by phone