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300a

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Appendix A Log of Work-Related Injuries and Illnesses

www.dir.ca.gov

Be sure to transfer these totals to the Summary page (Form 300A) before you post it. (1) Inju r y (2) Skin disorder (3) Respiratory condition (4) P oisoning (5) Hearing loss (6) All other Illnesses ...

  300a

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