Checklists & Forms

Checklists

Forms

Recordkeeping Requirements

Recording of work-related fatalities, injuries, and illnesses does not mean that the employer or employee was at fault, that a Cal/OSHA rule was violated, or that the employee is eligible for workers’ compensation or other benefits.

The forms contain information relating to employee health and must be used in a manner that protects the confidentiality of the employee to the best extent possible, while the information is being used for occupational safety and health programs.

CalOSHA Form 300 - Log

Cal/OSHA Form 300A - Annual Summary

Cal/OSHA Form 301 - Incident report Form