Form for Reporting SIFs to OSHA
I'm looking for a form that we could use when we need to report a serious injury or fatalities to OSHA. The form would document all the information needed when making that phone plus allow us to document the time and date of the report. Does anyone have something like this they are willing to share.
Comments (7)
I don't have a form, but you can go here and find your state, and you can see what information is required.
https://www.osha.gov/ords/ser/serform.html
I did a lot of research on this a two years ago for a customer down in Madison (WI). I have been looking through my case file for 30 minutes to find what I reported on. But I must have buried it somewhere. If can get these 69 year old neurons to fire again maybe I can remember where I put it. In any case I know I developed a form for them by using the questions on the OSHA 301 and then I went online (OSHA.gov) and went through the online form as if I was reporting an injury, I screen captured all the questions, but did not type in any info, and developed a form from that.
That is how I did it, if that helps. I know you want to save time but that is how I would do it again.
Even though I sold the information to the customer, I also advised NOT to report an injury into OSHA that way. You are a pro so I will not bore you with the three ways, but I do not advise you just report online, unless you are stalling for time (by the way OSHA will take it that way). An attorney may have different advice. However, my preferred method is to call the local OSHA Office. As an old Foundryman my preferred method is almost always "Straight Up and Head On!" Thank God, I never had to report any single injury to OSHA, especially the one we do not want to talk about, as I retired as a practicing OHS Manager just before the new regs came into effect. But I do work with lots of customers, and bottom line is reporting online seems kind of "Chicken Poop" to me, especially in a fatality case. Again from an Old School Baby Boomer Foundryman!
Having been the Compliance officer blessed with “duty officer”, and getting those calls -
Who
What happened
How - brief, don’t want the unabridged discussion
Where - location is incident, where injured EE was taken
And name of person handling this issue, email, phone
After that, you will get a “fax and send” (email with what are you doing now to mitigate, and long term answers. Root cause, pictures showing final mitigation.
If you don’t get the fax and send, you’re probably going to get an on site visit. Be nice, be prompt. Do not give any more detail than needed.