PRPS Cal OSHA Form
Paso Robles Public School District
- Cal OSHA Form
TO: SIPE Board Members and District Safety Coordinators
FR: Joe Gurican
Manager, Occupational Safety and Health
RE: Reporting of Serious Illness, Injury or Death of an Employee
There have been a number of member districts that have had employees injured seriously enough to require hospitalization. The question arises whether or not to call Cal/OSHA Division of Occupational Safety and Health (DOSH). The following information is provided to assist member districts in this decision-making process:
Report immediately by telephone or fax to the nearest Cal/OSHA DOSH Enforcement Unit any serious illness, injury or death of an employee occurring at any member district work site or in connection with their employment.
Immediately means as soon as practically possible, but not longer than eight (8) hours after the member district knows or with diligent inquiry would have known of the death or serious injury or illness. If the member district can demonstrate that exigent circumstances exist, the time frame for the report may be made no longer than 24 hours after the incident.
Serious illness or injury is defined in section 330(h), Title 8, California Administrative Code. The definition states:
"Serious injury or illness" means any injury or illness occurring in a place of employment or in connection with any employment which requires inpatient hospitalization for a period in excess of 24 hours for other than medical observation or in which an employee suffers a loss of any member of the body or suffers any serious degree of permanent disfigurement, but does not include any injury or illness or death caused by the commission of a Penal Code violation, except the violation of Section 385 of the Penal Code, or an accident on a public street or highway.
Whenever a state, county, local fire or police agency is called to an accident involving an employee covered by this part in which a serious illness, injury or death occurs, the nearest office of the Division of Occupational Safety and Health shall also be notified immediately by the responding fire or police agency.
The report requirement does not cover injury or illness or death because of penal code violation, or vehicle accidents on highway, except the violation of Section 385 which deals with the operation of vehicle/equipment near overhead high voltage lines. For example: An employee working near and coming in contact with power lines.
SIPE recommends that if the member district is in doubt, they should call Cal/OSHA DOSH Enforcement Unit at (805) 654-4581 for clarification.
If a serious illness, injury or death of an employee happens at your district, immediately contact by phone or fax the Cal/OSHA DOSH Enforcement Unit and utilize the attached School District Cal/OSHA Reporting of a Serious Illness, Injury or Death of an Employee form to ensure that all pertinent information is communicated.
1128-1 JOE
Download the Required Form by clicking here (10MB)
