Form OCC-5 Employee Exposure Follow-Up Record - New Jersey

Form OCC-5 Employee Exposure Follow-Up Record - New Jersey

What Is Form OCC-5?

This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the OCC-5 Employee Exposure Follow-Up Record?
A: The OCC-5 Employee Exposure Follow-Up Record is a form used in New Jersey to track and document employee exposure to hazardous substances or physical agents.

Q: Who uses the OCC-5 form?
A: The OCC-5 form is used by employers in New Jersey to comply with the state's occupational safety and health regulations.

Q: What is the purpose of the OCC-5 form?
A: The purpose of the OCC-5 form is to ensure that employers properly monitor and address employee exposure to hazardous substances or physical agents.

Q: What information does the OCC-5 form require?
A: The OCC-5 form requires employers to provide details about the hazardous substances or physical agents involved, the affected employees, the exposure levels, and any medical follow-up that is necessary.

Q: Is the OCC-5 form mandatory in New Jersey?
A: Yes, the OCC-5 form is mandatory for employers in New Jersey who have employees exposed to hazardous substances or physical agents.

Q: Are there any fees associated with submitting the OCC-5 form?
A: No, there are no fees associated with submitting the OCC-5 form in New Jersey.

Q: What should employers do with the completed OCC-5 forms?
A: Employers should keep the completed OCC-5 forms on file for at least five years and provide them to the New Jersey Department of Labor and Workforce Development upon request.

Q: Can the information provided on the OCC-5 form be used against employees?
A: No, the information provided on the OCC-5 form cannot be used against employees in any civil or criminal proceedings.

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Form Details:

  • Released on January 1, 2013;
  • The latest edition provided by the New Jersey Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form OCC-5 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form OCC-5 Employee Exposure Follow-Up Record - New Jersey

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  • Form OCC-5 Employee Exposure Follow-Up Record - New Jersey, Page 1
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