Get the free INJURIES AND ILLNESSES FORM SH-900.1
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Division of Safety and Health Public Employee Safety and Health State Office Campus Building 12, Room 158 Albany, NY 12240STATE OF NEW YORK DEPARTMENT OF LABORSUMMARY OF CORRELATED INJURIES AND ILLNESSES
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How to fill out injuries and illnesses form
How to fill out injuries and illnesses form
01
Obtain the injuries and illnesses form from your employer or HR department.
02
Fill out your personal information such as name, address, and contact number.
03
Provide details about the injury or illness, including how and when it occurred.
04
Mention any medical treatment received or ongoing care for the injury or illness.
05
Sign and date the form before submitting it to the appropriate person or department.
Who needs injuries and illnesses form?
01
Employees who have experienced a work-related injury or illness.
02
Employers who are required to keep records of workplace injuries and illnesses as per regulations.
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What is injuries and illnesses form?
The injuries and illnesses form is a document used to record and report workplace injuries and illnesses.
Who is required to file injuries and illnesses form?
Employers are required to file injuries and illnesses form for their employees.
How to fill out injuries and illnesses form?
The form can typically be filled out online or submitted in paper format, with details of the injury or illness, along with information about the employee.
What is the purpose of injuries and illnesses form?
The purpose of the injuries and illnesses form is to track and report workplace injuries and illnesses in order to ensure employee safety and compliance with regulations.
What information must be reported on injuries and illnesses form?
Information such as the nature of the injury or illness, the date it occurred, and details of the employee involved must be reported on the form.
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