Forms for Recording
Work-Related Injuries and Illnesses
In this package, you’ll find information that will help you complete
Cal/OSHA's Log and Summary of Work-Related Injuries and Illnesses
for the next several years. On the following pages, you’ll find:
General instructions for filling out the forms in this package
and definitions of terms you should use when you classify
your cases as injuries or illnesses.
— An example to guide you in filling
Several pages of the
(but you may make as many copies of
as you need.) Notice that the
— Removable Annual Summary pages
for easy posting from February 1 through April 30.
Note that you post the Annual Summary only,
— a worksheet for
figuring the average number of employees who worked for
your establishment and the total number of hours worked.
-- Several copies of the Cal/OSHA 301
to provide details about the incident. You
may make as many copies as you need or
use an equivalent form.
Take a few minutes to review this package. If you have any
Log is separate from the Summary.
An Overview: Recording Work-Related Injuries and Illnesses
How to Fill Out the Log
Log of Work-Related Injuries and
Annual Summary of Work-Related Injuries and
Worksheet to Help You Fill Out the Summary
Cal/OSHA’s 301: Injury and Illness Incident
questions, refer to the last page of this overview for internet and
(Cal/OSHA Form 300) is used to classify work-related
injuries and illnesses and to note the extent
and severity of each case. When an incident
occurs, use the
to record specific details
about what happened and how it happened.
The Summary — a separate form (Cal/OSHA 300A)
— shows the totals for the year in each
category. At the end of the year, post the
in a visible location so that your
employees are aware of the injuries and
illnesses occurring in their workplace.
Employers must keep a
establishment or site. If you have more than