Employer's Report of Occupational Injury or Illness
Form Template
Employers are required to report within five days of knowledge every occupational injury or illness which results in lost time beyond the date of the incident OR requires medical treatment beyond first aid.
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In addition, every serious injury, illness, or death must be reported immediately by telephone or telegraph to the nearest Occupational Safety and Health office. With this Employer's Report of Occupational Injury or Illness app the injury/illness can be completed quickly on any mobile device.
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