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Get the free Cal/OSHA Form 300A (Rev. 7/2007) Appendix B

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OSHA\'s Form 300A (Rev. 01/2004)YearSummary of Correlated Injuries and Illnesses. S. Department of Labor2021Occupational Safety and Health Administration Form approved OMB no. 12180176All establishments
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How to fill out calosha form 300a rev

01
Obtain the Cal/OSHA Form 300A Rev. from the official Cal/OSHA website or office.
02
Fill out the company name and address at the top of the form.
03
Record the number of employees and hours worked during the calendar year.
04
Check the appropriate box to indicate if the establishment is a non-exempt or partly exempt employer.
05
Sign and date the form once all information has been accurately filled out.
06
Keep a copy of the completed form for your records.

Who needs calosha form 300a rev?

01
Employers in California who are required to maintain records of work-related injuries and illnesses as mandated by Cal/OSHA regulations.
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Cal/OSHA Form 300A Rev is a summary of work-related injuries and illnesses recorded on Cal/OSHA Form 300 Log of Work-Related Injuries and Illnesses.
Employers in California with more than 10 employees are required to file Cal/OSHA Form 300A Rev.
Cal/OSHA Form 300A Rev should be completed with the total number of cases, days away from work, job transfer or restriction, and the total number of days that employees spent away from their regular duties.
The purpose of Cal/OSHA Form 300A Rev is to provide a summary of work-related injuries and illnesses and to help identify workplace safety trends.
Information reported on Cal/OSHA Form 300A Rev includes the total number of cases, days away from work, and job transfer or restriction.
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