Sh900 2026

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The document is a Log of Work Related Injuries and Illnesses Form (SH-900) required by the New York State Department of Labor. It is designed to collect confidential information about employee health related to occupational safety and health, including details on injuries or illnesses, their severity, and the circumstances surrounding them. The form must be maintained for five years and includes instructions for recording significant work-related incidents.

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Click ‘Get Form’ to open the sh900 in the editor.
Begin by entering the 'Political Subdivision (Employer)' and 'Establishment Name' at the top of the form. This identifies your organization.
Fill in the 'Employee Name' and 'Job Title' fields to specify who is involved in the incident.
Record the 'Date of Injury or Onset of Illness' using the format Mo./day, ensuring accuracy for reporting purposes.
In the 'Where the Event Occurred' section, provide a detailed location description, such as 'Loading dock, north end'.
Describe the injury or illness comprehensively in the designated field, including parts of the body affected and any substances involved.
Complete the totals section by checking relevant boxes for days injured workers remained at work, death, job transfer or restriction, and other recordable cases.

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