IDCF Screenshots

Contents

IDCF Log in and registration screens 2

Welcome page: 4

Dear employer page: 5

Contact preference page: 5

Add establishment page: 6

Help request form: 6

Section 1: 7

Section 2: 8

Section 3 and case entry: 9

Case entry screen: 10

Alternative Section 3 and case entry wording: 14

Additional Section 3 wording alternative: 15

Section 4: 16

Page asking for OSHA ID: 18

Thank you page: 21

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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