2014 Voluntary Pre-Note

U.S. Department of Labor
Bureau of Labor Statistics

DISTRICT OF COLUMBIA DEPARTMENT OF LABOR
STATE SECONDARY NAME
STREET ADDRESS
MONTGOMERY, AL 36130-3500

2014 Establishment ID:

For Help
Call:

334-242-3462 ext. 9999
334-242-3463 ext. 9999
334-242-3463 ext. 9999
334-242-3463 ext. 9999
Fax: 334-242-3333

01-203479880-2014

Report for:
The Unit Description goes here
NAICS: 512110 - Motion Picture and Video Production
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50

PRIMARY COMPANY NAME
{SECONDARY COMPANY NAME}
ADDRESS LINE 1
ADDRESS LINE 2
CITY, STATE ZIP-PLUS+4
DATED MATERIAL
U.S. GOVERNMENT DOCUMENTS ENCLOSED

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Notice of Recordkeeping Requirements for the
2014 Survey of Occupational Injuries and Illnesses
YOUR PARTICIPATION KEEPS AMERICA’S WORKPLACES SAFER.



Important



 Maintain the information required for all recordable work-related injuries and illnesses
that occur between January 1 and December 31, 2014, for the establishment(s) identified
above.
 Visit our respondents’ page at www.bls.gov/respondents/iif for more information about
the Bureau of Labor Statistics Survey of Occupational Injuries and Illnesses (SOII) and
your recordkeeping requirements.
 Keep these records and use them to complete the Survey of Occupational Injuries and
Illnesses. We will send you more instructions in January 2015.
 If you need help, please contact us at the phone number(s) listed above.

Overview of Your Recordkeeping Requirements


You must maintain the information required for all recordable work-related injuries and illnesses that
occur during calendar year 2014 for the establishment(s) identified on the front.



The enclosed OSHA Forms for Recording Work-Related Injuries and Illnesses provide instructions
for filling out the Log of Work-Related Injuries and Illnesses (OSHA Form 300) and the Injury and
Illness Incident Report (OSHA Form 301). In addition, please keep records on the race and/or
ethnicity of your injured or ill workers. This information will be requested in January 2014.



At the end of 2014, complete the enclosed Summary of Work-Related Injuries and Illnesses
(OSHA Form 300A) even if you had NO work-related injuries or illnesses.



In January 2015, you will be mailed instructions for completing the Survey of Occupational
Injuries and Illnesses.



If you have any questions about your record-keeping requirements for this survey, or if you need
help, call the phone number(s) on the front of this form.

How Your Injury and Illness Data Are Used
Your data are important for making American workplaces safer. Data you report are aggregated with data
from other establishments and used to identify injury and illness patterns among industries and occupations.
For more information about injury and illness statistics, please visit our website at www.bls.gov/iif.
Incidence rates and numbers of nonfatal occupational injuries and illnesses
by private industry sector, 2011
Agriculture, forestry, fishing and hunting

5.5

48.3

Health care and social assistance

5.0

Transportation and warehousing

5.0

Arts, entertainment, and recreation

631.1
193.2
4.5

Manufacturing

54.5

4.4

502.7

Construction

3.9

Accommodation and food services

3.9

Retail trade

3.9

Utilities

190.2
278.6
424.6

3.5

Wholesale trade

19.3

3.2

Real estate and rental and leasing

171.2

3.0

Administrative and waste services

48.7

2.7

Other services (except public administration)

121.9

2.6

Mining

73.8
2.2

Educational services

17.2

2.1

Information

37.5
1.6

Management of companies and enterprises

37.9

1.4

Professional and technical services

24.4
1.0

Finance and insurance

70.0

0.8
6.0

4.5

3.0

1.5

Incidence rate
(per 100 full-time workers)

Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, October 2012

41.2
0

200

400

Number of cases
(in thousands)

600

800