California Access to Medical and Exposure Records Poster

ACC ESS T O MED ICAL
 
A N D E X PO SU RE R EC ORD S
 	
 
 	
BY  C AL/ OSH A 	RE GULA TI ON	 
-  G ENE RAL I NDUS TRY  S AFET Y ORDER  3204 	
- 	
YO U H AVE  THE  R IG HT  T O  SEE  A ND  	CO PY :	 
 	
 	
•   	You r med ical  r e c o rd s a n d r e c o rd s o f ex posu re  to  to xic 
s ub sta nces  o r h arm fu l p h ys ical  a g en ts . 	
 
•   	R eco rd s o f ex posu re  to  to xic  s ub sta n ce s o r h arm fu l 
p h ys ical  a g en ts  o f o th er e m pl oyees  w ith  w ork  
c ondi tion s sim ila r t o  y ou rs . 	
 
•   	Sa fety  D ata  S heets  (SDS)  or o th er info rma tion t hat 
exi sts  fo r c h em ical s o r s ub sta nces  u sed  i n  t h e 
w ork p lace,  o r w hi ch  emp lo yees  m ay b e e x po sed . 	
 
 
 
THESE	 RECO RDS	 ARE	 AVA IL AB LE	 A T:	      	
(Lo cat ion	) 	
 
 
 
FR OM :	      	
(Perso n Re spon sibl e) 	 
A  C O PY  OF T HE  G ENE RAL I NDUS TRY  S A FET Y ORDER  3204 
IS	 A VA IL A B LE	 FR OM :	      	
 
 
 
 
 
 	
T
he a bov e i n fo rma tio n s atis fie s  t h e r e q uir e m en ts  o f G IS O  320 4 ( g) , w hic h  m ay b e fulfilled  
by  pos tin g  t h is  p laca rd  in  t h e w ork p lace , o r b y a n y s im ila r m eth o d t h e e m plo ye r c h oo ses . 	  
 
 
 
 	
 January  2015   St
ate  o f C alif o rn ia   
D ep artm en t  of  Indu str ia l  R ela ti ons   
Division  of Occupational Safety and Health  
1515 Clay Street, Suite 1901   
Oakland, CA 94612   
Phone: (510) 286- 7000  
Fax: (510) 286- 7037 	
 	www .d ir .c a.gov	 	
www.dir.ca.gov/dosh/dosh1.html