We protect people and the businesses they run.™
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Safety & Compliance Resources

J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

Company & Careers

J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

News & Events
  • Supervisors can use this form to report and document injury, illness, or near miss incidents to record details for injury and illness recordkeeping, workers’ compensation, and safety and health program initiatives.
  • Provides the systematic method for collecting workplace incident details and analysis for mitigation.
  • Padded format, 50 forms per pad
  • Measures 8-1/2" W x 11" L
  • Made in the USA

Size: 8.5" x 11"

Format: Pad

Compliance Topic: Injury & Illness Recordkeeping

Language: English