Cal/OSHA Form 301 – Injury and Illness Incident Report Template

CAL/OSHA FORM 301 INCIDENT REPORT TEMPLATE FAQ

What is Cal/OSHA Form 301 – Injury and Illness Incident Report?

Cal/OSHA Form 301 (or an equivalent incident report) is used by California employers to document detailed information about each work-related injury or illness that must be recorded on the Cal/OSHA Form 300 log. It typically includes who was injured, what they were doing, how the event happened, what body parts were affected, and what treatment was provided.

Who should complete a Cal/OSHA 301-style incident report?

A Cal/OSHA 301-style report is usually completed by a supervisor, safety manager, HR representative, or other designated person with input from the injured employee and any witnesses. The goal is to create a factual, timely record of each recordable work-related injury or illness for that establishment.

What information should be included in a Cal/OSHA Form 301 incident report?

A practical Cal/OSHA Form 301 incident report includes: employee identity and job title, hire date, incident date and time, location, description of the work activity at the time, how the injury or illness occurred, body part(s) affected, type of injury or illness, medical treatment received, work restrictions or days away, and whether PPE or safety controls were involved.

How does Cal/OSHA Form 301 relate to Cal/OSHA Forms 300 and 300A?

Cal/OSHA Form 300 is the log listing all recordable cases for the year, and Cal/OSHA Form 300A is the annual summary of those cases. Cal/OSHA Form 301 (or an equivalent incident report like this template) provides the detailed background for each individual case that appears on the log and supports accurate entries on the log and summary.

Is this Cal/OSHA Form 301 template legal advice?

No. This Cal/OSHA Form 301 – Injury and Illness Incident Report Template is a general drafting aid and does not provide legal, regulatory, or safety advice. Recordkeeping and reporting requirements can change, and California has specific rules for serious injuries, illnesses, and fatalities. For compliance questions, consult current Cal/OSHA guidance or a qualified safety/HR professional or attorney.

How can AI Lawyer help with Cal/OSHA incident reports?

AI Lawyer can help you organize your incident details into a clear, consistent Cal/OSHA-style incident report using this template. You still provide accurate facts, decide whether a case is recordable, and review the final document. Any AI-generated content is for document organization only and is not legal or safety advice.