Utah Employers First Report of Injury Or Illness

State:
Utah
Control #:
UT-SKU-0693
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PDF
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Description

Employers First Report of Injury Or Illness

The Utah Employers First Report of Injury or Illness is a document that employers in the state of Utah must fill out and file with the Industrial Accidents Division (IAD) of the Utah Labor Commission whenever there is an injury or illness that results in a worker missing more than one day of work due to their injury or illness. This document is used to inform the IAD of the injury or illness and provide them with the necessary information to investigate the incident. The Utah Employers First Report of Injury or Illness comes in two main forms: the Standard Report and the Occupational Disease Report. The Standard Report is used when the injury or illness is a result of an accident or incident in the workplace, while the Occupational Disease Report is used when the injury or illness is a result of repeated exposure to certain conditions or substances in the workplace. Both forms contain the same basic information, such as the name, address, and contact information of the employer and the injured worker, as well as the date and location of the incident. In addition, they also ask for detailed information about the injury or illness, such as the body part affected, the type of injury, and any medical treatment that was received. The Utah Employers First Report of Injury or Illness must be filled out completely and accurately and returned to the IAD within seven days of the incident. Failure to do so can result in fines and other penalties.

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FAQ

The Employer's First Report of Injury or Illness provides information on the claimant, employer, insurance carrier and medical practitioner necessary to begin the claims process. Details of the claimant's employment and circumstances surrounding the injury or illness are also requested.

Workers must report all workplace incidents, hazardous conditions, near misses, and property and environmental damage to their immediate supervisor as soon as possible.

All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. A fatality must be reported within 8 hours. An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.

Employers must report work-related fatalities within 8 hours of finding out about them. Employers only have to report fatalities that occurred within 30 days of a work-related incident. For any inpatient hospitalization, amputation, or eye loss employers must report the incident within 24 hours of learning about it.

Each recordable injury or illness case must be recorded on the OSHA 300 Log and the Form 301 Incident Report within seven calendar days after the employer receives notice that the injury or illness occurred.

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.

Reporting a Work Injury or Illness It is important to ensure the report of an injury or illness is documented. If an injured employee fails to report an injury or illness within 180 days, they may be disqualified from receiving workers' compensation benefits.

All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. A fatality must be reported within 8 hours. An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.

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Utah Employers First Report of Injury Or Illness