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Vermont uses federal OSHA forms.
Click on the following links to view the state and federal regulations regarding injury and illness reporting:
Injury and Illness Recordkeeping and Reporting
Citations
Vermont: 24 050 016, Recordkeeping; see also VOSHA Reporting
Federal: 29 CFR 1904
Reporting work-related fatalities and hospitalizations (29 CFR 1904.39)
Employers in Vermont must, within eight (8) hours after the death of any employee as a result of a work-related incident, 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).
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.
Employers must report the fatality, in-patient hospitalization, amputation, or loss of an eye using one of the following methods:
For more information on the state plan, call 800-287-2765.