DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
POLICY AND PROCEDURES MANUAL
NOTICE OF NO ACCIDENT-RELATED VIOLATION
Issue Date: 5/15/94
AUTHORITY: California Labor Code §6318(a).
POLICY: It is the policy of the Division of Occupational Safety and Health to prepare a Notice, following each investigation of an industrial accident or occupational illness, for the employer to post in the workplace for three working days if no violations are found during the investigation which relate to the accident or illness.
A. FIELD PROCEDURES
After a thorough investigation of each industrial accident or occupational illness, compliance personnel shall determine whether any violation noted during the course of the investigation is related to any fatal or serious injury, illness or exposure.
Compliance personnel shall prepare a Notice of No Accident-Related Violation After Investigation for issuance from the District Office when no violations are noted during the investigation of an industrial accident or occupational illness which are related to the accident or illness.
When a Cal/OSHA Form 170B is issued to an employer, compliance personnel shall inform the employer during the Closing Conference that the employer is required to post the Cal/OSHA Form 170B in a prominent location for three working days.
B. OFFICE PROCEDURES
C. FORM COMPLETION
Enter the name, address and telephone number of the issuing District Office.
Enter name and mailing address of the employer.
Enter page number in the first space provided and in the next space provided, enter total number of pages.
Enter the location of the inspection site, the name of the inspecting compliance personnel and the date of the inspection.
NOTE: If the inspection required more than one day, indicate the inclusive dates.
For each injury or illness, enter in easily understand able language a description of the circumstances or condition which caused the industrial accident or occu pational illness. Note the exact location of the accident, referencing the site, building, and/or plant.
Compliance personnel shall sign his or her name legibly.
District Manager shall sign his or her name legibly.
Enter the date that the Notice (Cal/OSHA Form 170B) was mailed or delivered to the employer.
Enter the date that the inspection was completed.
Enter the Region, District, SE/IH ID Number, Optional Report Number and the Cal/OSHA Form 1 preprinted Nine- digit Report No. in the spaces provided.
Attachment: Cal/OSHA 170B