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Oregon Occupational Injury and Illness Survey Calendar Year 1999 Research & Analysis Section Oregon Department of Consumer & Business Services December 2001 38Oregon Occupational Injury and Illness

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How to fill out injury and illness survey

01

Step 1: Obtain the injury and illness survey form from the designated authority.

02

Step 2: Read the instructions thoroughly to understand the purpose and requirements of the survey.

03

Step 3: Gather all relevant information related to the injury or illness, such as the date, time, location, and a detailed description of the incident.

04

Step 4: Complete the demographic section, providing accurate personal details and contact information.

05

Step 5: Use the provided sections to accurately document the injury or illness information, including the nature of the injury, severity, and any medical treatment received.

06

Step 6: Be specific and clear while describing the circumstances surrounding the incident to provide a comprehensive understanding of the situation.

07

Step 7: If required, attach any supporting documents that may be necessary to strengthen your report.

08

Step 8: Review your filled-out survey form for any errors or missing information.

09

Step 9: Sign and date the form to validate its authenticity.

10

Step 10: Submit the completed injury and illness survey form to the designated authority within the specified timeframe.

Who needs injury and illness survey?

01

Employers who are required to maintain records of occupational injuries and illnesses.

02

Employees who have experienced work-related injuries or illnesses.

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What is injury and illness survey?

The injury and illness survey is a form used to record and report workplace injuries and illnesses.

Who is required to file injury and illness survey?

Employers are required to file the injury and illness survey.

How to fill out injury and illness survey?

The injury and illness survey can be filled out online or submitted in paper form.

What is the purpose of injury and illness survey?

The purpose of the injury and illness survey is to track workplace injuries and illnesses and identify trends for prevention.

What information must be reported on injury and illness survey?

Information such as the type of injury or illness, the date it occurred, and the affected employee's details must be reported on the injury and illness survey.

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