Mandatory prenotification

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 for calendar year
2017. In preparation for this survey, to be conducted in 2018, you are being asked to keep Occupational
Safety and Health Administration records throughout 2017. 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 2017 Survey of
Occupational Injuries and Illnesses.” This document outlines your recordkeeping responsibilities. OSHA
forms have also been enclosed for your convenience.
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,

Hilery Simpson
Assistant Commissioner
Office of Safety, Health and Working Conditions
Bureau of Labor Statistics