California Hazard and Incident Report Form

State:
Multi-State
Control #:
US-435EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used to report all work-related hazards and incidents.

How to fill out Hazard And Incident Report Form?

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FAQ

Every employer in California is required to establish, implement, and maintain an effective Injury and Illness Prevention Program (IIPP), per Title 8 of the California Code of Regulations (T8CCR), section 3203 from Cal/OSHA. The IIPP was the most frequently cited Cal/OSHA regulation violation in 2019 (source).

Cal/OSHA requires every California employer to establish, implement and maintain a written Injury and Illness Prevention Program, and to maintain a copy at each workplace.

When Should You Complete OSHA Form 301? You must complete the Injury and Illness Incident Report within seven calendar days after you receive information that a recordable work-related injury or illness has occurred at your work place.

Title 8 of the California Code of Regulations (T8CCR) section 3203, requires every employer to develop and implement an effective IIPP. An effective IIPP improves the safety and health in your workplace and reduces costs by good management and employee involvement.

See California Rule Gives Employees Access to Injury and Illness Prevention Plan. There is a common misconception that safety committees are required under the IIPP regulation; however, Cal/OSHA does not require safety committees.

OSHA Form 301 is used by employers to create a detailed record of workplace injuries and illnesses. Employers must save the annual summary of all reports filed. Employers must also save the OSHA 301 Incident Report forms for 5 years after the end of the calendar year that the records cover.

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.

Every employer in California is required to establish, implement, and maintain an effective Injury and Illness Prevention Program (IIPP), per Title 8 of the California Code of Regulations (T8CCR), section 3203 from Cal/OSHA. The IIPP was the most frequently cited Cal/OSHA regulation violation in 2019 (source).

In California every employer has a legal obligation to provide and maintain a safe and healthful workplace for employees, according to the California Occupational Safety and Health Act of 1973. As of 1991, a written, effective Injury and Illness Prevention (IIP) Program is required for every California employer.

Form 301 is called the Injury and Illness Incident Report, which is used to record information on how each injury or illness case occurred.

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California Hazard and Incident Report Form