IDCF Screenshots

Survey of Occupational Injuries and Illnesses

SOII IDCF screenshots 2019 (002)

Survey of Occupational Injuries and Illnesses - Private Sector

OMB: 1220-0045

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IDCF Log in and registration screens



















Welcome page:









Dear employer page:





Contact preference page:





Add establishment page:

Help request form:

From screen above, or any screen within the survey, users can click on the “Help Request Form” link on the bottom of the page to send a question to the helpdesk. The Help Request Form is shown below. This year we added a Salutation drop down so that our helpdesk staff can address users properly:



After submitting the help request, the user will return to the section they are on and press “Save and Continue” to proceed through the survey.



Section 1:







Section 2:





If you report a death the bottom of section 2 looks like this:

Section 3 and case entry:



Case entry screen:

(1 of 3):









Case entry screen (2 of 3):



Case entry screen (3 of 3):











Alternative Section 3 and case entry wording:

Alternative section 3 and case screen for if establishment has to report case details for days of job transfer or restriction cases in addition to their days away from work cases:






Case screen:

Rest of case screen is the same as other section.

Additional Section 3 wording alternative:

Alternative section 3 screen where user is only asked to report case details for cases that occurred during the indicate date ranges:











Section 4:

(1 of 2)



Section 4 (2 of 2):



Page asking for OSHA ID:



Selecting ‘Yes’ radio button dynamically displays question 2.



Clicking on the ‘Injury Tracking Application’ hyperlink opens up the ITA landing page on a separate browser tab.








Sample OSHA ITA submission reply: Clicking on the ? icon at the end of question 2 provides a sample email that OSHA ITA respondents received upon successful submission to ITA. (Note: this example opens on a separate browser tab.)








Thank you page:

Seen either after the OSHA ID page or directly after section 4.






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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDowdell, Gina - BLS
File Modified0000-00-00
File Created2021-01-15

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