OMB
No. 1220-0045
DISTRICT
OF COLUMBIA DEPARTMENT OF LABOR STATE
SECONDARY NAME STREET
ADDRESS MONTGOMERY,
AL 36130-3500
U.S.
Department of Labor Bureau
of Labor Statistics
For Help
Call: 334-242-3462 ext. 9999
334-242-3463 ext. 9999
334-242-3462 ext. 9999
334-242-3463 ext. 9999
Fax: 334-242-3333
User ID: 302203479880
Temporary Password: AnsU5155
NAICS: 512110 - Motion Picture and Video Production
12345 50
2020 Establishment ID: 01-203479880-1
Report for:
The Unit Description goes here
PRIMARY COMPANY NAME
{SECONDARY COMPANY NAME}
ADDRESS LINE 1
ADDRESS LINE 2
CITY, STATE ZIP-PLUS+4
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
MANDATORY
REPORT – DATED MATERIAL U.S.
GOVERNMENT DOCUMENTS ENCLOSED
Instructions for Completing the
2020 Survey of Occupational Injuries and Illnesses
YOUR RESPONSE IS REQUIRED BY LAW WITHIN 30 DAYS
Report
Your Data at: https://idcf.bls.gov
Use
the User ID and Temporary Password above when logging in for 2020.
Credentials are reset every year.
Check
the User IDs and Establishment IDs if you receive multiple forms;
you may have to report data for more than one establishment.
Some
establishments must also submit data to the Occupational Safety
and Health Administration (OSHA). Completing this Bureau of Labor
Statistics (BLS) survey does not fulfill the OSHA reporting
requirement.
If
you have submitted data to OSHA for this establishment, you may be
able to use that information to complete this survey. More
information is available at:
https://www.bls.gov/respondents/iif/faqs.htm#OSHA
reporting
Contact
us using the telephone number(s) listed above for questions about
this survey.
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 (44 U.S.C. 3572) and other applicable Federal laws, your responses will not be disclosed in identifiable form without your informed consent. Per the Federal Cybersecurity Enhancement Act of 2015, Federal information systems are protected from malicious activities through cybersecurity screening of transmitted data. |
BLS-9300-IDCF |
Under Public Law 91-596, all establishments that receive this survey must complete and return it within 30 days, even if they had no work-related injuries and illnesses during 2020.
In December 2019, you were notified to participate in the BLS 2020 Survey of Occupational Injuries and Illnesses (SOII) and asked to maintain records of workplace injuries and illnesses throughout 2020.
Forms to help you complete the survey
OSHA’s Form 300 - Log of Work-Related Injuries and Illnesses; includes all injuries and illnesses for the year
OSHA’s Form 300A - Summary of Work-Related Injuries and Illnesses; includes average employment and total hours worked
OSHA’s Form 301 - Injury and Illness Incident Report; includes detailed injury and illness data
If the detailed case information requested is not recorded on your OSHA forms, please refer to other sources of information you may have (including your Workers’ Compensation records). Please note, however, that OSHA’s rules (www.osha.gov/recordkeeping) concerning which injuries and illnesses to record differ from your state’s Workers’ Compensation reporting.
How to Use the BLS Internet Data Collection Facility
Before reporting your data, you must register online with the BLS even if you have done so in previous years or for other BLS surveys. Please ensure that the individual registering this account will be the person entering data for the Survey of Occupational Injuries and Illnesses.
Type https://idcf.bls.gov directly into your Internet browser. The “s” in “https” is required.
Enter the 12-digit User ID in the field labeled “User ID” and the Temporary Password in the field labeled “Password”. Click I Accept.
U.S. Department of Labor
Bureau of Labor Statistics
Your
NAICS
You
will need your User ID and temporary password if you report using
the Internet.
For
Help
Call:
555-555-5555
555-555-5555 Fax:
555-555-5555 User
ID:
302203479880 Temporary
Password: AnsU5155 NAICS:
512110 - Motion Picture and Video Production
Complete the “Check Email Address”, “Enter New User Information” and “Create a Permanent Password” pages.
Click Continue on the “Confirmation Notice” page.
Report your data and click Submit when you are finished. Print a copy of the completed survey for your records.
You may log onto the website using your User ID number and permanent password at any time to make corrections to your data.
You can report for additional establishment IDs by logging into the survey again, clicking the Continue button on the “Dear Employer” page, and then clicking Add Establishment.
For alternate reporting methods, please contact your state office at the telephone number listed under “For Help” on the front page.
Need help?
For step-by-step account creation instructions or website technical help, go to http://www.bls.gov/idcf/instructions.htm.
For questions about this survey, contact us using the telephone number(s) listed on the front of this form.
For information about SOII, including frequently asked questions and to download forms, go to http://www.bls.gov/respondents/iif/.
For information about OSHA record keeping guidelines, go to https://www.osha.gov/recordkeeping/entryfaq.html.
To see how your data will be used, please visit our website at http://www.bls.gov/iif.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Survey of Occupational Injuries |
Author | kurlick_g |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |