Michigan Report of Claimed Occupational Injury or Illness

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Control #:
US-AHI-279
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Description

This AHI form is a report that documents an injury or illness claim filed by an employee.

How to fill out Report Of Claimed Occupational Injury Or Illness?

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FAQ

DEFINITION OF INJURY ON DUTY /OCCUPATIONAL DISEASE (IOD /OD) An unexpected occurrence, at a specific date, time and place and arising out of and in the course of the employee's employment, resulting in personal injury or death, or when an occupational disease is contracted due to exposure at the workplace.

From a health and safety perspective, reporting hazards, incidents and injuries is a matter of prevention. The idea is to prevent accidents from happening in the first place. If one has already occurred, then the goal is to prevent it from occurring again.

Report the injury or illness to your employer Reporting promptly helps avoid problems and delays in receiving benefits, including medical care. If you don't report your injury within 30 days, you could lose your right to receive workers' compensation benefits.

As an alternative, employers can provide the information through the MIOSHA Severe Injury Report Line at 844-464-6742 Monday through Friday a.m. to p.m. or leave a message after hours. If you have any questions, please contact MIOSHA Information Services Section staff at 517-284-7788.

Your employer is legally responsible for reporting your injury on duty to the Compensation Fund within seven (7) days of receiving notice from you and within fourteen (14) days when it is an occupational disease as well as submitting the necessary forms and documents.

Reporting incidents is essential since it raises the organization's awareness about the things that can go wrong so that corrective and preventative actions can be taken promptly. This applies to industries involving manual labor, manufacturing with heavy machinery, office work, and many others.

The employer must report a workplace injury within 7 days or within 14 days of finding out that you have an occupational disease.

Reporting a workplace injury is your right. If you are unsure about your injury, report it. The sooner we receive your information, the faster we can process your benefits and provide you with the support you need.

Not giving proper notice to their employer: You must report your claim to your employer within 90 days after the injury.

Remember, an injury may not show its full spectrum of symptoms right away. By arranging medical access as soon as an injury is reported, the employee can be examined properly. If the injury requires more than simple first aid treatment, further evaluation and care can be implemented immediately.

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Michigan Report of Claimed Occupational Injury or Illness