Get South Dakota Fax Response Form - Stats Bls

Completing the South Dakota Fax Response Form - Stats Bls is essential for employers participating in the Bureau of Labor Statistics survey. This guide provides clear, step-by-step instructions designed for users of all experience levels to successfully navigate the form online.

Follow the steps to fill out the South Dakota Fax Response Form - Stats Bls.

1. Click ‘Get Form’ button to access the South Dakota Fax Response Form and open it in your preferred online document editor.
2. In Section 1, provide your establishment information by entering the establishment ID number, company name, contact name, today’s date, and your telephone and fax numbers. Ensure this information is accurate.
3. Enter the annual average number of employees and the total hours worked by all employees for the year 2011. These figures are crucial for the survey.
4. Indicate if there were any work-related injuries or illnesses during 2011 by checking ‘Yes’ or ‘No’. If you checked ‘Yes’, proceed to Section 2.
5. In Section 2, summarize work-related injuries and illnesses. Refer to the OSHA forms as needed, and if applicable, fax the Summary of Work-Related Injuries and Illnesses (OSHA Form 300A) along with this form.
6. Fill out the total number of cases for deaths, cases with days away from work, and cases with job transfer or restriction as indicated in the provided fields.
7. Provide the total number of days away from work, the total number of days of job transfer or restriction, and the total number of other recordable cases.
8. In the Injury and Illness Types section, enter the total number for each type of injury or illness recorded, such as injuries, skin disorders, and respiratory conditions.
9. For each injury or illness case that resulted in days away from work, complete the Injury and Illness Case Form by providing details about the employee and the incident, including the employee’s name, job title, date of injury, and a description of the incident.
10. Once all sections are completed, review your entries for accuracy, then save your changes. You can choose to download a copy, print the completed form, or share it as necessary.

Ensure compliance by completing the South Dakota Fax Response Form - Stats Bls online today.