CA OSH-FD-384 2012-2025 free printable template
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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION www.oshpd.ca.gov/fdd 400 R Street, Suite 200 Sacramento, California 95811 700 N. Alameda Street, Suite 2-500 Los
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How to fill out CA OSH-FD-384
How to fill out CA OSH-FD-384
01
Obtain the CA OSH-FD-384 form from the official California Division of Occupational Safety and Health website or an authorized source.
02
Fill in the employer's name, address, and contact information in the designated sections.
03
Provide the employee's name, job title, and the specific job location where the injury or incident occurred.
04
Describe the nature of the injury or illness, including relevant dates and times.
05
Identify the type of equipment or material involved in the incident, if applicable.
06
Include details about any witnesses present at the time of the incident.
07
Sign and date the form to verify the accuracy of the information provided.
08
Submit the completed form to the appropriate health and safety authority as required.
Who needs CA OSH-FD-384?
01
Employers who need to document workplace injuries or illnesses.
02
Employees who have experienced occupational injuries that require formal reporting.
03
Occupational health and safety professionals who oversee compliance with safety regulations.
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What is CA OSH-FD-384?
CA OSH-FD-384 is a form used in California for reporting occupational safety and health information, specifically regarding work-related injuries and illnesses.
Who is required to file CA OSH-FD-384?
Employers in California with 10 or more employees are required to file the CA OSH-FD-384 form to report workplace injuries and illnesses.
How to fill out CA OSH-FD-384?
To fill out CA OSH-FD-384, employers must provide information such as the employee's name, the description of the injury or illness, the date of the incident, and any medical treatment received.
What is the purpose of CA OSH-FD-384?
The purpose of CA OSH-FD-384 is to help track workplace injuries and illnesses, facilitate safety awareness, and ensure compliance with California occupational safety regulations.
What information must be reported on CA OSH-FD-384?
Information that must be reported includes employee details, description of the incident, location, date of the incident, type of injury or illness, and any medical treatment provided.
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