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Cal osha 301a Form: What You Should Know

A. Incident Title and Description When an incident or safety hazard occurs, the first thing you need to do is complete an Incident Title and Description as shown in Figure 1. Figure 1 After entering all the information about the incident, you'll need to write a description that is reasonably detailed, and include information on how it happened, who was involved, what steps were taken to address the problem. The report will be better described if it is written by someone who is familiar with the workplace. For this reason, we strongly recommend that you take the time to write down the steps yourself (or have one person complete it for you) when possible.  Example: “An employee reported the loss of her glasses, and it was determined that they were lost while the employee was working at the facility. A few weeks later, the employee noticed that her glasses were missing and went to the facility management and complained that she felt unsafe. There were no witnesses, and it is believed the glasses were taken off the employee by someone else and dropped. Employee received pay for the lost glasses for a period of one week.” The Incident title and description should be checked off in the following order: 1. Date of Incident. 2. Location. 3. Type of Incident. 4. Type of Person Involved in Incident. 5. Name and address of Incident. 1. B. Incident Description The incident description is part of the Cal/OSHA Form 301. It is important that this portion be detailed, as details are important in determining an appropriate action to be taken regarding an incident. The description should indicate  what the employer can and cannot do about the incident What happened and the nature of the employee's contact (i.e., hand-held, hand-held tools, or equipment; work with the person; contact with clothing, hair, etc.; proximity to others; hand-held to hand-held contact [see table in “Handheld Contacts, Handling Tips” section]). Briefing Materials—A Briefing Guide for Forming a Safety and Health Hazard Report You should review this page regularly for the latest information and information regarding safety and health hazards and workplace hazards.  It provides suggestions and guidelines for completing the form as well as links to frequently asked questions (FAQs) regarding specific hazards and incidents.

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