First Report of Occupational Injury or Disease Reporting Form

Form Template

Use the First Report of Occupational Injury or Disease Reporting Form mobile app with your smartphone or tablet to report a first report of occupational injury or disease.

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The app documents employee information, occupation, department, date of report and date of incident, description of illness or injury, affected body parts, employee’s activity at the time of the incident, how the incident occurred and attending physicians’ details.

Features
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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