IDCF Screen Shots

Survey of Occupational Injuries and Illnesses

SOII IDCF_20181004

Survey of Occupational Injuries and Illnesses - Private Sector

OMB: 1220-0045

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Select Survey:

























Dear Employer:

(New Cyber Security language is included at the end of the second to last paragraph)

Email opt-in page:

Select/Add establishment(s) page:



Section 1:



Section 2:

Section 3:



Case details:



























Section 4: Data Review

Section 4a: Additional Establishment Information

This is the section proposed to collect the OSHA ITA establishment number from respondents. It is be displayed as a pop-up and shown only to respondents that are covered by the OSHA rule. Question 2 is dynamic based on the response to question 1. Question 2 will include a soft error message if the respondent enters a digit less than 5 digits: “The OSHA ID number is typically 6 numbers long

Shape1

















































There is information provided to respondents in hover over text (by placing the cursor over the blue question mark) in question 2:

OSHA sends an email after receiving data in the Injury Tracking Application. The email contains the 6 digit ID, and looks like this:

Shape2





































Confirmation of Submission:



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorShepherd, Kenneth - BLS
File Modified0000-00-00
File Created2021-01-20

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