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Get Wsib Pier Form
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How to fill out the Wsib Pier Form online
Filling out the Wsib Pier Form online is a crucial step for workers who have experienced an unexpected exposure incident in the workplace. This guide provides clear instructions to help you navigate the form accurately and efficiently.
Follow the steps to successfully complete the Wsib Pier Form online.
- Press the ‘Get Form’ button to obtain the Wsib Pier Form and open it in your chosen editor.
- Provide your personal information. Fill in your last name, given name, maiden name (if applicable), address, postal code, telephone number, sex, date of birth, and social insurance number.
- Enter your employer's information, including the employer's name at the time of the incident, date of hire, nature of the employer's business, occupation/job title, employer's address for correspondence, and the location of the exposure incident.
- Answer whether the project or workplace has a functioning Joint Health and Safety Committee (JHSC) or a Joint Health and Safety Representative. Attach the relevant report if available.
- Detail the incident. If the exposure was to an infectious substance, complete Section A. If it was to chemical or other substances, complete Section B. Provide the date and time of exposure, type of exposure, details of chemicals or substances involved, description of the incident, personal protective equipment worn, and any possible infectious substances.
- Sign and date the form, providing consent for release of functional abilities information, if applicable.
- Submit the completed form to your supervisor or Health and Safety Representative, or send it directly to the Wsib via mail or fax.
- After completing the form, remember to save your changes, and you may also choose to download, print, or share the Wsib Pier Form as needed.
Complete your Wsib Pier Form online today to ensure accurate reporting of your workplace exposure incident.
A WSIB form is an official document used in Ontario to report workplace injuries and illnesses. One of the critical forms is the WSIB Pier Form, which details the nature of the injury and other relevant information. Completing this form accurately helps employees access necessary benefits and support. Understanding the purpose of each WSIB form can empower you during the claims process.
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