Download Forms

SOII forms are available for download as PDF files. You will need Adobe Acrobat Reader to view the form. Adobe Acrobat Reader is a free software program that allows you to view Portable Document Files (PDF). You may download it at no cost from Adobe's Web site.

Form Form Name Description
Notification to Participate Booklet Notification of Requirement to Participate in the Survey of Occupational Injuries and Illnesses - Calendar Year 2008 This form is sent to establishments selected to participate in the 2008 SOII. This notification instructs survey participants to maintain the required information for all recordable work-related injuries and illnesses that occur during calendar year 2008 for the location identified on the front cover under the heading "Keep Records for this Location." Establishments will receive the survey form to report their 2008 information in early 2009.
OSHA Forms (subset) OSHA's Form 300, "Log of Work-Related Injuries and Illnesses"

OSHA's Form 300A, "Summary of Work-Related Injuries and Illnesses"

OSHA's Form 301, "Injury and Illness Incident Report"		 This is a subset of the full OSHA Recordkeeping forms package. It includes the OSHA Form 300, OSHA Form 300A, and the OSHA Form 301. To obtain a complete set of OSHA Recordkeeping forms, you can send an e-mail to OSHprenote2008@idcf.bls.gov. By return e-mail, you will receive a set of forms.
Instructions for Electronic Survey Instructions for the Survey of Occupational Injuries and Illnesses, 2007 (Form BLS-9300-IDCF) These instruction explain how to submit your data electronically. This set of instructions is sent to all sampled establishments in 17 States as well as establishments who used the BLS Internet Data Collection Facility to report their 2006 SOII data online and who are in the 2007 SOII sample.
Survey Form (nonfillable) Survey of Occupational Injuries and Illnesses, 2007 (Form BLS-9300 N06) This is the standard 12-page survey form for reporting your work-related injuries and illnesses to the Bureau of Labor Statistics.
Survey Form (fillable) Survey of Occupational Injuries and Illnesses, 2007 (Form BLS-9300-N06) This is the standard 12-page survey form for reporting your work-related injuries and illnesses to the Bureau of Labor Statistics. To receive a fillable PDF version of the survey, please send an e-mail to OSH2007@idcf.bls.gov. By return e-mail, you will receive a copy of the survey along with pertinent instructions.
Spanish Survey Form Encuesta Sobre Lesiones y Enfermedades Occupacionales, 2007 (Form BLS-9300 N06) This is the standard 12-page survey form in Spanish that our sampled establishments in Puerto Rico use.
FAX Form FAX Response Form (Form BLS-9300 FAX) If there were few or no work-related injuries and illnesses at your sampled establishment in calendar year 2007, you may respond to us via FAX using a FAX form.
Electronic Options Flyer Options for Reporting Your Survey of Occupational Injuries and Illness Data This is a flyer that is included with the 12-page survey form that explains the electronic data collection methods available. This information is also presented in the electronic survey.

 

Last Modified Date: December 20, 2007