Occupational Safety and Health Appeals Board

State of California

Official Website: https://www.dir.ca.gov/OSHAB/oshab.html

The mission of the Appeals Board is to efficiently resolve appeals in a fair and timely manner and provide guidance to the public for promoting workplace safety and health. The three-member, quasi-judicial body appointed by the Governor and confirmed by the Senate handles employer appeals about health and safety citations issued by the Division of Occupational Safety and Health.

Forms & Documents

Browse all Occupational Safety and Health Appeals Board government forms

1 - 20 of 31 forms

Form Title Topics
2010-2011 Assessment Methodology
2011-2012 Methodology
2012-2013 Assessment Methodology
2015-2016 Assessment Methodology
2016-2017 Assessment Methodology
2017-2018 Assessment Methodology
2018 - 2019 assessment notices
ACTIVE PRIVATE SELF INSURED ROSTER
APPLICATION FOR CERTIFICATE OF CONSENT TO SELF-INSURE AS A PRIVATE EMPLOYER SELF-INSURER All questions must be answered. If not applicable, enter “N/A”.
DIR Data Element Report
Excess Credit Calculation Form
Fiscal Year 2020-2021 Assessments
Form AR-2 Public Annual Report FY 19.20
F Y 2019/2020 User Funding Assessment Letters and Methodology
Informational Bulletin: Actuarial Data Analysis - 2013
Informational Bulletin: Cash in Trust
Informational Bulletin: Letter of Credit
Informational Bulletin: Surety Bond
Labor Code 4800 and 4850 Reporting Requirements
New Public Entity Reporting Guidelines and FAQs 2020

Contact Information & Office Locations

All 2 contact points

Headquarters

Address:
2520 Venture Oaks Way
Suite 300
Sacramento, CA 95833

Phone numbers:
  • (877) 252-1987 (Toll-free)
  • (916) 274-5751
Fax numbers:
  • (916) 274-5785
Emails:
  • oshappeals@dir.ca.gov

Southern California Office

Address:
100 N. Barranca St.
Suite 410
West Covina, CA 91791

Phone numbers:
  • (626) 332-1145
Fax numbers:
  • (626) 966-4490

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