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Cal/OSHA Form 300A Annual Summary of Correlated Injuries and IllnessesBidders shall provide the most current, completed Cal/OSHA Form 300A with their bid (blank form attached) Failure to submit this
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How to fill out calosha form 300a

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How to fill out calosha form 300a

01
Begin by downloading the Cal/OSHA Form 300A from the official Cal/OSHA website.
02
Open the downloaded form using a PDF reader or editor.
03
Fill in the basic information such as company name, address, and establishment name.
04
Provide the calendar year for which the form is being filled out.
05
Enter the total number of employees employed during the year.
06
Specify the number of days the establishment was in operation during the year.
07
Identify the specific NAICS code for the establishment.
08
Fill in the seven-digit identification number assigned to the establishment by Cal/OSHA.
09
Record the total number of cases for each category (i.e., number of deaths, number of days away from work, number of job transfers, and number of job restrictions).
10
Calculate the total number of cases and the total number of days away or restricted.
11
Sign and date the completed Form 300A.
12
Keep a copy of the filled-out form for your records and submit a copy to the appropriate Cal/OSHA district office.

Who needs calosha form 300a?

01
Cal/OSHA Form 300A is required for all employers who have establishments covered by the Cal/OSHA record-keeping requirements.
02
This includes most private sector employers in California, unless specifically exempted.
03
Additionally, employers with 10 or more employees are generally required to keep records of serious occupational injuries and illnesses using Cal/OSHA Form 300A.
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Cal/OSHA Form 300A is an annual summary of work-related injuries and illnesses that occurred in the previous year.
All employers in California who are required to maintain the Cal/OSHA Form 300 log of work-related injuries and illnesses are also required to file Form 300A.
Cal/OSHA Form 300A must be completed with a summary of the total number of work-related injuries and illnesses that occurred during the previous calendar year.
The purpose of Cal/OSHA Form 300A is to provide a summary of work-related injuries and illnesses to help employers and employees identify workplace safety hazards and trends.
Cal/OSHA Form 300A requires information such as the total number of cases, days away from work, and job transfer or restriction cases for the year.
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