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Mandatory Reporting of Injuries/ Illnesses to VOSHA Online Form

Mandatory Reporting of Injuries/ Illnesses to VOSHA Online Form
Basic Requirements -1904.39(a):

  1. Within eight (8) hours after the death of any employee as a result of a work-related incident, you must report the fatality to the Occupational Safety and Health Administration (OSHA), U.S. Department of Labor or the Vermont Occupational Safety and Health Administration (VOSHA).
  2. Within twenty-four (24) hours after the in-patient hospitalization of one or more employees or an employee’s amputation or an employee’s loss of an eye, as a result of a work-related incident, you must report the in-patient hospitalization, amputation, or loss of an eye to OSHA or VOSHA.
  3. You must report the fatality, in-patient hospitalization, amputation, or loss of an eye using one of the following methods:
    1. By telephone or in person to the OSHA Area Office that is nearest to the site of the incident.
    2. By Telephone to the OSHA toll-free central telephone number, 1-800-321-OSHA (1-800-321-6742).
    3. By electronic submission using the form below.)
Type of Event
Has this injury or illness occurred before?
Please provide FULL NAME(S) for injured employee(s)
more items
Please provide TITLE(S) for injured employee(s)
more items
Telephone of Injured Employee(s)
more items
Last Name
Street Address
Address Line 2
City
State
Zip Code
  • This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.