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Divison of Safety and Health Public Employee Safety and Health State Office Campus Building 12, Room 158 Albany, NY 12240 STATE OF NEW YORK DEPARTMENT OF LABOR SUMMARY OF WORK-RELATED INJURIES AND.

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How to fill out the Sh900 online

This guide provides clear and comprehensive instructions for completing the Sh900 form online. Following these steps ensures accurate submission of work-related injury and illness data as required by the State of New York.

Follow the steps to successfully complete the Sh900 form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the establishment information. Fill in the establishment name, street address, city, state, and ZIP code. Provide an accurate description of your industry.
  3. Input the average number of employees based on the calculations provided in the document. If figures are unavailable, follow the guidelines for estimation in the instructions section.
  4. Calculate and enter the total hours worked by all employees during the last year. Follow the outlined steps to determine the total from full-time and other employment categories.
  5. Proceed to record the number of cases based on data collected from the Log of Occupational Injuries and Illnesses (SH 900). Ensure that you enter '0' for any category without cases.
  6. Fill in the number of days related to injuries, illnesses, and any job transfers or restrictions as applicable, ensuring accuracy for each section.
  7. Complete the certification section by signing, indicating your title, printing your name, and dating the document to confirm the information is true and complete.
  8. Finally, review all entries for accuracy, then save changes, download, print, or share the form as needed.

Complete your Sh900 form online today to ensure compliance with reporting obligations.

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This form contains information relating to employee health and must be used in a manner that protects the confidentiality of employees to the extent possible while the information is being used for occupational safety and health purposes.

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