Reporting

Semi-Annual Report

For a printable version of the Semi-Annual report, Click Here

Safety Council Account Number:

Company Name:

Street Address:

Address (cont.):

City:

State/Province:

Zip/Postal Code:

Phone:

FAX:

E-mail:

Submitted By:

Please check here if the information provided above has been updated on this report

Date of most recent injury:

Average number of Employees?

Total hours worked (entire 6 month period, all employees?

Number of deaths...(Column G in OSHA 300 Log)?

Number of occupational injuries / Illnesses resulting in days from work...(Column H in the OHSA 300 log)?

Number of days away from work as a result of occupational injuries / illnesses ...(Column K in the OHSA 300 log)?