Get Workforce Safety Insurance Employee Report of Accident Injury or Illness 2003-2024

Report the injury or illness to your employer If you don't report your injury within 30 days, you could lose your right to receive workers' compensation benefits.

Your six-step guide The name, gender, date of birth and job title of the injured party; The date the accident happened; The date the accident was reported; The name and job title of the person logging the accident; Whether or the not the injured party is an expectant mother; and.

When & How to Document Workplace Injury Get to the site as quickly as possible. Ensure the area is safe to enter. Make sure the injured/ill person is receiving first-aid or medical attention. Identify any witnesses. Record the scene with photos (ideally with date and time stamp) or sketches. Safeguard any evidence.

The Employer's Report of Occupational Injury or Illness (Form 5020). Every employer is required to file a complete report of every occupational injury or illness to each employee which results in lost time beyond the date of injury or illness or which requires medical treatment beyond first aid*.

The OSHA Poster states: All workers have the right to: Raise a safety or health concern with your employer or OSHA, or report a work-related injury or illness, without being retaliated against.

After the injury, go directly to your supervisor or boss and tell them exactly what happened. You can tell your boss in person, if you are in the same location, or over the phone if you're in a different location. You'll want to tell them the order of events and the names of anyone who saw the injury occur.

Call or tell the health and safety committee or OSH OFFICER about the incident. Notify the DEPARTMENT OF LABOR AND EMPLOYMENT in writing, within 48 hours of the incident.

10 days: A worker has 10 days from the date of the accident to report the injury to their employer, although it is always advised that hurt employees report the incident as soon as possible.