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Work-Related Injuries and Illnesses Log - Form 300

Government

You must record information about every work-related death and about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, medical treatment beyond first aid, that are diagnosed by a physician or licensed health care professional, or meet any criteria listed in CCR Title 8 sec. 14300.8 through 14300.12. You must complete an Injury and Illness Incident Report (Cal/OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local Cal/OSHA office for help.

Work-Related Injuries and Illnesses Summary- Form 300A

Government

All establishments covered by 8 CCR sec. 14300 must complete this Summary page, even if no work-related injuries or illnesses occurred during the year. Remember to review the log to verify that the entries are complete and accurate before completing this summary. Post this Summary page from February 1 to April 30 of the year following the year covered by the form.

Workers' Compensation Benefits for Victims of Workplace Violence

Personalize

Use this sample notice when an employee is a victim of a crime at your workplace. You must give the employee written notification of his or her eligibility for workers' compensation benefits for resulting injuries, including psychiatric injuries.

Workers' Compensation Claim Form - DWC 1

Government

If an employee suffers a work-related injury or illness, he or she may be entitled to workers' compensation benefits. Give this form to the employee and have them complete the "Employee" section and then return the form to you. Give the employee the copy marked "Employee's Temporary Receipt," providing the employee with a dated copy when you have completed the form. All employees should also have received a pamphlet describing workers' compensation benefits and procedures to obtain them.

Workers' Compensation Claim Form - DWC 1 - Spanish

Government

If an employee suffers a work-related injury or illness, he or she may be entitled to workers' compensation benefits. Give this form to the employee and have them complete the "Employee" section and then return the form to you. Give the employee the copy marked "Employee's Temporary Receipt," providing the employee with a dated copy when you have completed the form. All employees should also have received a pamphlet describing workers' compensation benefits and procedures to obtain them. This form has been made available by the Department of Industrial Relations for use with non-English speaking employees.

Workers' Compensation Information and Assistance Offices

Government

Contact addresses and phone numbers for local DWC Information and Assistance Units. The Information and Assistance Unit provides information and assistance to employees, employers, insurance carriers and other interested parties concerning rights, benefits and obligations under California's workers' compensation laws.

Workplace Harassment Guide for California Employers

​This Department of Fair Employment and Housing publication provides recommended employer practices for preventing and addressing all forms of workplace harassment, including harassment based on sex.

Workplace Know Your Rights Act Acknowledgment — Spanish

Utilize this form for recordkeeping pursuant to the California Workplace Know Your Rights Act (Labor Code sections 1550-1559). You provide the Workplace Know Your Rights Notice and then provide this form for employees to fill out, acknowledging that they received the Workplace Know Your Rights Notice and had the opportunity to designate and/or update an emergency contact that the company will notify if arrested or detained while working.

Workplace Know Your Rights Act Notice

Employers must provide written notice to their employees by February 1, 2026, and annually thereafter. They must also give the notice to new hires on or after February 1, 2026.

Workplace Know Your Rights Act Notice Record and Acknowledgment

Utilize this form for recordkeeping pursuant to the California Workplace Know Your Rights Act (Labor Code sections 1550-1559). You provide the Workplace Know Your Rights Notice and then provide this form for employees to fill out, acknowledging that they received the Workplace Know Your Rights Notice and had the opportunity to designate and/or update an emergency contact that the company will notify if arrested or detained while working.

Workplace Know Your Rights Act Notice — Spanish

Employers must provide written notice to their employees by February 1, 2026, and annually thereafter. They must also give the notice to new hires on or after February 1, 2026.

Workplace Safety Recordkeeping Requirements - CalOSHA

Use this form to help you identify the records you must make and keep under various Cal/OSHA standards.

Workplace Security Profile

Fill out this Cal/OSHA form in order to assess the risk of violence in a particular workplace.

Workplace Violence Incident Log

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Effective July 1, 2024, employers are required by law to maintain violent incident logs for every workplace violence incident. Use this form to record all information related to workplace violence incidents. For more information on the workplace violence prevention plan law, see California Workplace Violence Prevention Standards.

Workplace Violence Prevention Plan Key Definitions

Contains key definitions for terms required in your workplace violence prevention plan.

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