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Get UT Commission Form 122 2010

Ithin 8 hours of occurrence, notify the Division of Occupational Safety and Health, at (801) 530-6901 or (800) 530-5090, of any; work related fatality; disabling, serious, or significant injury; or occupational disease incident. A serious injury includes; amputation, fractures of major bones (both simple and compound), and hospitalization for medical treatment. * All information requested on this form is of vital importance. Please answer all items in detail in order to avoid additional correspo.

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