FORMS and INSTRUCTIONS

FOR EMPLOYERS RECORDS OF OCCUPATIONAL INJURY AND ILLNESS

The following links will provide the user with direct access to the California Standard, broken down by section, and the required occupational injury and illness forms and instructions. To access this information, simply click on the Index of California Standard Section 14300 or Appendix related to the form or instructions desired. 

• Index of California Standard Section 14300

Forms    
                         (Requires Adobe Acrobat Reader 4.0 which is a free download)
 

Appendix A Form 300 (pdf, 413KB)              -   Log of work-Related Injuries and Illness

Appendix B Form 300A (pdf, 154KB)            -   Summary of Work-Related Injuries and Illnesses

Appendix C Form 301 (pdf, 135KB)              -   Injury and Illness Incident Report

Appendix D                                                                   -   Instructions to Complete Cal/OSHA Form 300

Appendix E                                                                   -   Instructions to Complete Cal/OSHA Form 300 A

Appendix F                                                                   -   Instructions to complete Cal/OSHA Form 301

Appendix G (Optional Form)  (pdf, 152KB)    -   Worksheet to Help You Fill Out  the Annual Summary