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Send work ca via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out work ca with our platform
- Click ‘Get Form’ to open the work ca in the editor.
- Begin by entering your establishment information. Fill in the name, street address, city, state, and ZIP code accurately.
- Next, move to the 'Number of Cases' section. Count and input the total number of deaths, cases with days away from work, job transfer or restriction, and other recordable cases.
- Provide an industry description and Standard Industrial Classification (SIC) if known. This helps categorize your establishment correctly.
- In the 'Employment Information' section, enter the annual average number of employees and total hours worked by all employees last year.
- Finally, certify the document by signing it as a company executive. Ensure all entries are true and accurate before submission.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2007 | 5 Satisfied (42 Votes) |
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