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Click ‘Get Form’ to open the Building 12, Room 158 document in our editor.
Begin by filling out the 'Establishment Information' section. Enter your establishment name, street address, city, state, and ZIP code accurately.
Next, provide the 'Employment Information.' Input the average number of employees and total hours worked by all employees last year. If you need assistance with calculations, refer to the instructions provided within the form.
In the 'Number of Cases' section, enter totals from your Log of Occupational Injuries and Illnesses for each category. If there are no cases for a category, simply enter '0.'
Complete the 'Certification' section at the end of the form. Ensure you sign, print your name, title, and date to validate your submission.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (238 Votes)
2005	4.1 Satisfied (41 Votes)
2003	4.2 Satisfied (51 Votes)

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What is the PESH Act in NY?

Every employer shall: (1) furnish to each of its employees, employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to its employees and which will provide reasonable and adequate protection to the lives, safety or health of its

How to contact OSHA in NY state?

If you work for a private company or the federal government, call the Occupational Safety and Health Administration at 1-800-321-OSHA. If you work for a non-federal public employer in New York, visit the Public Employee Safety and Health Bureau (PESH) website or call 518-457-5508 for more information.

What is the mission of OSHA?

The mission of OSHA is to assure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outdocHub, education and assistance.

What are the requirements for OSHA training in NY?

To obtain these, workers must complete a 30-hour OSHA construction course. The DOB considers OSHA 30 cards in construction as equivalent to Limited SST cards. Also by this date, supervisors will need 62 hours of training. This includes OSHA 30-Hour Training and an additional 32 hours of Site Safety Training.