Get Canada Wsib 3886a 2012-2025

The Canada WSIB 3886A form, also known as the Employer's Exposure Incident Reporting Form, helps employers document unexpected workplace exposure incidents. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently online.

Follow the steps to fill out the Canada WSIB 3886A form online.

1. Click the ‘Get Form’ button to obtain the Employer's Exposure Incident Reporting Form and open it in your preferred online editor.
2. Begin by filling out Section 1: Employer's Information. Provide your employer's name, firm number, rate number, and classification unit code. Enter the appropriate addresses for correspondence and the location of the incident, ensuring accuracy in postal codes.
3. In Section 2: Additional Employer's Information, indicate whether your workplace has a Joint Health and Safety Committee or a representative. Attach relevant reports if applicable. List all workers involved in the incident and include details such as last names, given names, dates of birth, hire dates, addresses, and contact numbers.
4. Next, proceed to the Details of Incident section. Depending on the nature of the incident, complete Section A for exposures to infectious substances or Section B for other chemical substances. Record the specific details about the incident, including date, time, type of exposure, and affected body areas.
5. If applicable, provide information about any WSIB claims related to the incident, and detail any formal reports made to the Ministry of Labour or the Environment, noting if officials visited the site.
6. Complete the report by entering the name and title of the person responsible for the report, their contact details, and the date of completion. Ensure to print and sign the document if necessary, or type your name for submission.
7. Finally, save your changes, download the completed form, or print it. Ensure the form is sent to the Workplace Safety and Insurance Board via the specified mailing or fax options.

Complete your Canada WSIB 3886A form online today to ensure accurate reporting of workplace incidents.