Injury and Illness Incident Report - OSHA

Form Template

This Injury and Illness Incident Report - OSHA Mobile App helps you fill out one of the first forms necessary when a recordable work related injury or illness has occurred, which in turn improves occupational safety and medical treatment for the person injured or ill.

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This app facilitates use of these forms that help the employer and OSHA develop a picture of the extent and severity of work-related incidents. These forms work in conjunction with the log of work-related injuries and illnesses, as well as the accompanying summary. As employers documenting each work-related injury, use this app to best ensure workplace safety, meaning that employees are treated with proper safety and health. Use this reporting app in the workplace to document any qualifying accident according to OSHA standards. When collecting the data on an injured employee, use this app to best promote occupational health. Document each work related injury based on OSHA recordkeeping requirements, using this app as a risk management tool for data collected for occupational injuries and illnesses.

Within 7 calendar days after you receive information that a recordable work-related injury or illness has occurred, you must fill out this form or an equivalent. Some state workers compensation, insurance, or other reports may be acceptable substitutes. To be considered an equivalent form, any substitute must contain all the information asked for on this form.

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