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U.S. Department of Labor, Bureau of Labor Statistics OMB No.12200045Survey of Occupational Injuries and Illnesses, 2022Indiana Fax Response Form Fax to (317) 2333790 or email to IndianaSOIIHelp@bls.govEmployers
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How to fill out survey of occupational injuries

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Access the survey of occupational injuries form
02
Provide accurate and detailed information about the injury
03
Include information about the individual who was injured
04
Describe the circumstances surrounding the injury
05
Submit the completed form to the appropriate department or agency

Who needs survey of occupational injuries?

01
Employees who have been injured on the job
02
Employers who are required to report workplace injuries
03
Government agencies responsible for tracking and monitoring occupational injuries
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Survey of occupational injuries is a report that documents and tracks workplace injuries and illnesses.
All employers are required to file survey of occupational injuries.
Survey of occupational injuries can be filled out online through the designated reporting portal.
The purpose of survey of occupational injuries is to gather data on workplace injuries and illnesses to improve safety measures.
Information such as type of injury, date of occurrence, and affected employee details must be reported on survey of occupational injuries.
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