Get Ny Sh-900.1 2005

Filling out the NY SH-900.1 form is a crucial process for summarizing work-related injuries and illnesses in your establishment. This guide will walk you through each section and field of the form, ensuring that you complete it accurately and efficiently.

Follow the steps to successfully complete the NY SH-900.1 form online.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Enter your establishment information, including the name, street address, city, state, and ZIP code. This information is essential for identifying your workplace.
3. Provide the average number of employees for your establishment. To calculate this, consider all employees paid during the year, including full-time, part-time, temporary, and seasonal employees.
4. Fill out the industry description (e.g., village fire department) and the North American Industrial Classification System (NAICS) code relevant to your establishment.
5. Record the total hours worked by all employees last year. This includes full-time hours and any additional hours worked by part-time and temporary employees.
6. Complete the number of cases by entering total figures from the Log of Occupational Injuries and Illnesses (SH 900) for each category. If a category has no cases, enter '0'.
7. Report the number of days away from work due to injuries and illnesses, as well as other relevant data on specific types of injuries and illnesses.
8. In the certification section, sign and date the form, providing your title and printed name to verify the accuracy of the information provided.
9. Once all sections are completed, save your changes, then download, print, or share the form as needed.

Complete your form online today and ensure compliance with reporting requirements.