California OSHA (Cal/OSHA) Forms

Access commonly used California OSHA (Cal/OSHA) forms required for workplace safety, medical evaluations, recordkeeping, and compliance with California safety orders.

These forms support employers, safety managers, and compliance professionals operating under Cal/OSHA regulations. Links open official documents in a new window.

Chapter 3.2 – Subchapter 2

• §340.4 Appendix A – Certification Letter (Non-Mandatory)
• §340.4 Appendix B – Sample Abatement Plan or Progress Report (Non-Mandatory)

Subchapter 7 – General Industry Safety Orders (Group 13)

• §5157 Appendix D-1 – Confined Space Entry Permit
• §5157 Appendix D-2 – Entry Permit
• §5190 Appendix B-I – Respiratory Questionnaire
• §5190 Appendix B-II – Respiratory Questionnaire (Non-Textile Workers)
• §5190 Appendix B-III – Abbreviated Respiratory Questionnaire
• §5207 Appendix D – Occupational Health History Interview (Cadmium)

Subchapter 7 – General Industry Safety Orders (Group 16)

• §5157 Appendix D-1 – Confined Space Entry Permit
• §5157 Appendix D-2 – Entry Permit
• §5190 Appendix B-I – Respiratory Questionnaire
• §5190 Appendix B-II – Respiratory Questionnaire
• §5190 Appendix B-III – Abbreviated Respiratory Questionnaire
• §5207 Appendix D – Occupational Health History Interview
• §5217 Appendix D – Nonmandatory Medical Disease Questionnaire
• §5144 Appendix C – OSHA Respirator Medical Evaluation Questionnaire (Mandatory)
• §5202 Appendix B
• §5207 Appendix A – Biological Monitoring & Medical Examination Results
• §5208 Appendix D – Medical Questionnaires (Mandatory), Part 1
• §5208 Appendix D – Medical Questionnaires (Mandatory), Part 2
• §5197 Appendix B-1 – Flavor Worker Initial Questionnaire
• §5197 Appendix B-2 – Flavor Worker Follow-Up Questionnaire

Department of Industrial Relations – Chapter 7

• Form 5020
• Form 5021
• Cal/OSHA 300 Log
• Form 301 – Injury and Illness Incident Report
• Form 300A – Optional Worksheet
• Form 5021 (Rev. 5)
• Form 300A – Annual Summary of Work-Related Injuries and Illnesses

Addendum

• Operating Rules for Industrial Trucks
• Safety and Health Protection on the Job
• Sharps Injury Log

Construction Safety Orders – Subchapter 4 (Article 4)

• §1529 Appendix D – Medical Questionnaires (Mandatory), Part 1
• §1529 Appendix D – Medical Questionnaires (Mandatory), Part 2
• §1532.3 – Written Medical Report for Employee
• §1532.3 – Written Medical Report for Employer
• §1532.3 – Authorization for Crystalline Silica Opinion to Employer

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