OCCUPATIONAL HEALTH SAFETY NETWORK (OHSN)

Please send OHSN Enrollment Documents for my facility / system to join.

We plan to join as a:

Single healthcare facility
Healthcare system with multiple facilities

Healthcare Facility Name (if applicable):

City:

State:

Healthcare System Name (if applicable):

City:

State:

Point of Contact Name:

Point of Contact Email:

Point of Contact Phone Number:

Point of Contact Mailing Address
for receiving Federal Express documents.
Please no PO Box – physical address only:

How are you currently tracking occupational injury events?

Commercial Software (please specify)
Internally-developed Software
Excel
Hard copy
Other (please specify)

Notes:

Please contact nioshohsn@cdc.gov or 513-841-4337 with any questions.

Contact information is collected by NIOSH for OHSN user support and account setup. NIOSH will not sell, exchange or otherwise make available information regarding OHSN accounts to anyone for any reason.