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 |
Notification of Requirement to Participate in the Survey of Occupational Injuries and Illnesses - Calendar Year 2017 |
This form is sent to establishments selected to participate in the 2017 SOII. This notification instructs survey
participants to maintain the required information for all recordable work-related injuries and illnesses that occur during calendar year 2017 for
the location identified on the front under the heading "Maintain Records for:" Establishments will receive the survey form to report their 2017
information in early 2018. |
| 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 download them from OSHA's
website: http://www.osha.gov/recordkeeping/RKforms.html |
| Instructions for Electronic Survey |
Instructions for the Survey of Occupational Injuries and Illnesses, 2016 (Form BLS-9300-IDCF) |
These instruction explain how to submit your data electronically. This set of instructions is sent to all sampled
establishments who are in the 2016 SOII sample. |
|
Printable Survey Form |
Survey of Occupational Injuries and Illnesses, 2016 (Form BLS-9300 N06) |
This is the standard 8-page survey form for reporting your work-related injuries and illnesses to the Bureau of
Labor Statistics. This form can be printed, completed by hand, and mailed to BLS. |
| Survey Form (fillable) |
Discontinued |
The electronic survey form for reporting your work-related injuries and illnesses was discontinued following collection of the 2015 SOII. However, you may still submit your data electronically using the BLS Internet Data Collection Facility (IDCF). |
| Spanish Survey Form |
Encuesta Sobre Lesiones y Enfermedades Occupacionales, 2016 (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 2016, you
may respond to us via FAX using a FAX form. |
Last Modified Date: December 19, 2016
|
