Get Employee's Incident Report - West Chester University

Filling out the Employee's Incident Report is an essential step for employees at West Chester University to report workplace injuries or illnesses. This guide provides a clear, step-by-step process to assist you in completing the form accurately and efficiently online.

Follow the steps to complete the Employee's Incident Report with ease.

1. Press the ‘Get Form’ button to access the Employee's Incident Report. This will open the form for you to begin the filling process.
2. Enter the date of the report at the beginning of the form. This is crucial for documentation purposes.
3. Fill in the date of injury. Accurate records are vital for your incident report.
4. Provide your Social Security number, first name, last name, city, street address, state, and phone number in the designated fields to ensure proper identification.
5. Fill out your date of birth, employment status, and the number of dependents. These details help in understanding your demographic information.
6. Complete the sections regarding your occupation, department, date of hire, and the time you began work. This information is essential for your employment record.
7. Indicate if the injury or illness occurred on the employer's premises and the time of occurrence. Be as specific as possible.
8. Note when the employer became aware of the injury and provide details about any witnesses, including their names and phone numbers.
9. Describe the parts of the body affected, the location of the injury, and whether safety equipment was provided and used at the time of the incident.
10. Detail what you were doing when the injury occurred, including any tools, equipment, or materials involved in the incident.
11. Explain how the injury occurred by describing the events leading up to it. Include pertinent details about the situation.
12. After filling in all required fields, sign and print your name where indicated. Ensure you also date the form before submission.
13. Once all information is complete, review the form for accuracy. Save your changes, download a copy, print, or share the form as necessary by faxing it to the designated Human Resources office.

Complete your Employee's Incident Report online today to ensure timely processing of your injury claim.