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Get the free CalOSHA Form 300A Rev 72007 Summary of Work-Related

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Cal/OSHA Form 300A (Rev. 7/2007) Summary of Correlated Injuries and Illnesses All establishments covered by CCR Title 8 Section 14300 must complete this Annual Summary, even if no work related injuries
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How to fill out calosha form 300a rev

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How to fill out Cal/OSHA Form 300A Rev:

01
Download the Cal/OSHA Form 300A Rev from the official Cal/OSHA website.
02
Fill out the top portion of the form, including your company's name, address, and establishment information.
03
Enter the industry code and the corresponding North American Industry Classification System (NAICS) code.
04
Provide the total number of average employees and the total hours worked by all employees during the calendar year.
05
Identify the company's average number of employees and the total hours worked by temporary, leased, or contractor employees.
06
Calculate the average number of employees who are exposed to any recordable injury or illness during the calendar year.
07
Enter the total number of recordable injuries and illnesses for the year in the appropriate boxes.
08
Complete the Summary of Work-related Injuries and Illnesses section, including the number of total cases, days away from work, and job transfer or restriction cases.
09
Sign and date the form as the employer or authorized representative.
10
Retain a copy of the completed Cal/OSHA Form 300A Rev for your records.

Who needs Cal/OSHA Form 300A Rev?

01
Employers in the state of California are required to fill out Cal/OSHA Form 300A Rev.
02
This form is applicable to employers who have more than 10 employees at any time during the calendar year.
03
The form must be filled out by employers in all industries, including construction, manufacturing, healthcare, and service sectors.
04
Even if there were no recordable injuries or illnesses, employers are still required to fill out the form with zeros.
05
The form helps employers track and identify workplace hazards, as well as promote a safe and healthy work environment.
06
Cal/OSHA Form 300A Rev provides valuable information to employees, unions, and government agencies to enhance workplace safety and health.
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Cal/OSHA Form 300A is an annual summary of work-related injuries and illnesses, which employers in California are required to complete and post at their workplace.
All employers in California who are subject to Cal/OSHA recordkeeping requirements are required to file Form 300A.
Employers should enter the total number of cases, days away from work, job transfer or restriction, and the total number of days the injured or ill employees spent away from work into the form.
The purpose of Cal/OSHA Form 300A is to provide a summary of workplace injuries and illnesses to inform employees and promote workplace safety.
Employers must report the total number of work-related injuries and illnesses that occurred in the previous year, as well as the number of days away from work or on restricted duty.
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