2014 Pre-note 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 2014. In preparation for this survey, to be conducted in 2014, you are being asked to keep
Occupational Safety and Health Administration injury and illness records throughout 2014. 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.
In order to obtain complete and accurate information about the safety record of America’s workplaces, our
survey must include a sample of all establishments, regardless of size and industry. Some establishments
that are normally exempt from keeping Occupational Safety and Health Administration (OSHA) records are
included in the survey and must keep records for the survey year.
Please refer to the enclosed document “Notice of Recordkeeping Requirements for the 2014 Survey of
Occupational Injuries and Illnesses.” This document outlines your recordkeeping responsibilities. OSHA
forms have been enclosed for your convenience. For 2014, your establishment will be asked to 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). This information should be reported on the SOII in January 2015.
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