Get Survey Of Occupational Injuries And Illnesses Fax Form - Stats Bls

This guide provides clear instructions on how to effectively complete the Survey Of Occupational Injuries And Illnesses Fax Form - Stats Bls online. By following these detailed steps, users can ensure accurate and timely reporting of occupational injuries and illnesses.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to begin the process of obtaining the Survey Of Occupational Injuries And Illnesses Fax Form. This will allow you to access the document in the editor for completion.
2. In Section 1, fill in the Establishment Information. Enter the Establishment ID Number, Company Name, Contact Name and Title. Ensure you also add today's date, your telephone number, and fax number.
3. Provide the annual average number of employees for the year 2010, alongside the total number of hours worked by all employees during that year.
4. Indicate whether there were any work-related injuries or illnesses during 2010. If the answer is 'Yes', proceed to complete Section 2.
5. In Section 2, summarize the work-related injuries and illnesses. Reference the OSHA Forms for accurate data. You can also attach the OSHA Form 300A if preferred.
6. Fill in the total number of cases, including those that resulted in deaths, as well as cases with days away from work and cases with job transfer or restriction.
7. Document the total number of days away from work and the total number of days under job transfer or restriction.
8. Record the types of injuries and illnesses in the designated areas, ensuring to tally accurately as per the requirements.
9. If applicable, move to the Case with Days Away from Work section to report specific details on the incidents. Fill out one form per incident.
10. Include details about the employee, incident, and additional relevant information. This might require checking previous records such as OSHA Form 300.
11. Once all sections are completed, review the information for accuracy. Save your changes and ensure the document is ready for submission.
12. Finally, fax the completed form to (404) 893-8343 as instructed to finalize the process.

Complete your documents online now to ensure timely compliance.