Form IDCF Screen Shots

Survey of Occupational Injuries and Illnesses

Internet Data Collection Facility

Initial Login

Enter and confirm email

Respondent Information

Create Password

Login Confirmation

Update Respondent Information

Help Request Form

Survey Selection

General SOII Information

More than one survey

Add new establishment ID’s

Establishment ID’s attached to account

Select Establishment

Section 1: Establishment Information Update Establishment Information

Worksheet to Estimate Annual Average Number of Employees

Worksheet to Estimate Total Hours Worked

Section 1: Error Messages

Section 2: Summary of Work-Related Injuries and Illnesses, 2012 Section 2 Error Message

Section 3: Cases with Days Away from Work

Enter Case Details (1 of 2)

Enter Case Details (2 of 2)

Enter Case Details Error Messages

Section 3: With one added case

Section 4: Review (1 of 2)

Section 4: Review (2 of 2)

Confirmation

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