Loading
Get All Establishments Covered By Part 1904 Must Complete This Summary Page
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the All Establishments Covered By Part 1904 Must Complete This Summary Page online
Completing the All Establishments Covered By Part 1904 Must Complete This Summary Page is an essential task for public employers to report work-related injuries and illnesses. This guide provides step-by-step instructions to help you navigate the online form accurately and efficiently.
Follow the steps to complete the summary page online.
- Click ‘Get Form’ button to access the form and open it for completion.
- Begin by entering the total number of deaths in the provided field. If there were no deaths, input '0'.
- Fill in the department or agency details, including street address, city, state, and ZIP code.
- Describe the industry using the appropriate description (e.g., Police, School).
- Input the total number of cases with days away from work and the total cases with job transfer or restriction. Again, input '0' if necessary.
- For cases with other recordable incidents, provide the relevant totals.
- Enter the North American Industrial Classification (NAICS) and Standard Classification (SIC) codes if known.
- Record the total hours worked by all employees last year and the annual average number of employees in the specified fields.
- Indicate the total number of cases for each type of injury and illness listed in the appropriate sections. Ensure all categories are addressed, even if totals are '0'.
- Review all entries for accuracy against your logs. Once confirmed, sign and date the form, including your title and phone number.
- Finally, after verifying the information, save your changes, download, print, or share the completed form as necessary.
Complete your documents online to ensure accurate reporting and compliance.
An injury or illness is recordable if it involves restricted work or transfer to another job. ... A routine function, according to OSHA, is one the employee would normally perform at least once a week. Restricted work that is limited to the day of the injury or illness is not OSHA recordable.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.