Washington Reporting Injuries and Illnesses Checklist

State:
Multi-State
Control #:
US-445EM
Format:
Word; 
Rich Text
Instant download

Description

This Employment & Human Resources form covers the needs of employers of all sizes.

How to fill out Reporting Injuries And Illnesses Checklist?

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FAQ

The Department of Labor and Industries (L&I) is the Washington State agency that administers these benefits. Consequently, it's L&I's job to determine the benefits to provide in every workers' compensation claim.

Get first aid at your workplace; all employers in Washington are required to provide a first-aid kit. If further treatment is necessary, go to the emergency room or health2011care provider of your choice and tell them you were injured at work.

Types of injuries that must be reported are:a fracture of the skull, spine or pelvis;a fracture of any bone in the arm (other than in the wrists or hand) or in the leg (other than a bone in the ankle or foot);an amputation of an arm, a hand, finger, finger joint, leg, foot, toe or toe joint;More items...?10-Apr-2017

Employers purchase coverage through the Department of Labor & Industries (L&I). L&I manages all claims and pays benefits out of an insurance pool called the Washington State Fund. The fund is financed by premiums paid by employers and employees, not by general revenue taxes.

The term monopolistic state refers to any state that has special legislation in place that requires workers' compensation coverage be provided exclusively by the state's workers' compensation program.

Medical Coverage: In Washington, L&I coverage pays for all medical care that is deemed proper and necessary. Among other things, this may include emergency medical treatment, hospital bills, diagnostic studies, health care provider visits, costs of medications, and occupational and physical therapy.

Injuries must be reported within one year. Diseases must be reported within two years after receiving written notice from a doctor that the condition exists and is workrelated. In Washington, you must also file a claim for industrial insurance benefits.

Keep Washington Safe and Working The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety, health, and security of Washington's 3.3 million workers.

L&I or your self-insured employer must receive your Report of Accident within 1 year of your injury date to file a claim. We must receive it within two years from the date of your doctor's diagnosis for occupational disease claims.

In Washington state, OSHA covers workplaces with federal employees, nonfederal employees working on federal reservations and military bases, employees working on floating worksites (floating dry docks, fishing boats, construction barges), and employees working for tribal employers on tribal lands.

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Washington Reporting Injuries and Illnesses Checklist