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Survey of Occupational Injuries and Illnesses

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1220-0045 can be found here:

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New OSHA ID Page before section 1:

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New OSHA Error Handling

New OSHA ID Successful Match:

Section 1 & 2 if OSHA data not pulled in:

Section 1& 2 if OSHA data pulled in:

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Deetz, Robert - BLS
File Modified	0000-00-00
File Created	2023-11-07