2013 Data Collection Letter DJTR - Mandatory

U.S. Department of Labor

Bureau of Labor Statistics
2 Massachusetts Ave., N.E.
Washington, D.C. 20212

Dear Employer:
You have been selected to participate in the Survey of Occupational Injuries and Illnesses (SOII) for
calendar year 2013. This survey is conducted by the Bureau of Labor Statistics in cooperation with state
agencies, is mandatory under Public Law 91-596, and is approved under OMB No. 1220-0045. Your
participation in this survey is vital for assessing the number, frequency, and types of work-related injuries
and illnesses occurring in the workplace.
For this survey year, your establishment should report information on case circumstances and worker
characteristics both for cases that resulted in days away from work (with or without days of job transfer or
restriction) and for cases that resulted in days of job transfer or restriction (without days away from work).
To make survey completion as easy as possible, we are providing two convenient ways to submit your
survey: through our online webpage or by paper form via US mail. If the detailed case information requested
is not recorded on your OSHA forms, please refer to other sources of information you may have (including
your Workers’ Compensation records). Please note, however, that OSHA’s rules
(www.osha.gov/recordkeeping) concerning which injuries and illnesses to record differ from your state’s
Workers’ Compensation reporting. If you need assistance, please contact your state at the number(s) listed
on the front of the form.
The Bureau of Labor Statistics, its employees, agents, and partner statistical agencies, will use the
information you provide for statistical purposes only and will hold the information in confidence to the
full extent permitted by law. In accordance with the Confidential Information Protection and Statistical
Efficiency Act of 2002 (Title 5 of Public Law 107-347) and other applicable Federal laws, your
responses will not be disclosed in identifiable form without your informed consent.
Thank you for helping us collect accurate information and for helping in the effort to make America’s
workplaces safer and healthier.

Sincerely,

William J. Wiatrowski
Associate Commissioner
Office of Compensation and Working Conditions
Bureau of Labor Statistics