Washington Occupational Injury Illness Report

State:
Multi-State
Control #:
US-AHI-275
Format:
Word; 
Rich Text
Instant download
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Description

This AHI form is used to document an incident of injury or illness that is work-related. The form is to be completed by the employee involved in the incident.

How to fill out Occupational Injury Illness Report?

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FAQ

Occupational hearing loss is the most common occupational disease in the United States: it is so common that it is often accepted as a normal consequence of employment.

An injury or illness is considered by the Occupational Safety and Health Administration to be work-related if an event or exposure in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing condition.

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.

The time limit associated with work-related personal injury claims is 3 years from the date of when the incident occurred. Although, three years seems a long time, many work-related claims can be complicated and long-drawn out processes.

Generally, occupational injuries occur instantly and are the result of a single traumatic event that causes physical harm, while occupational illnesses occur over time and are the result of long-term, continuous exposure to a harmful work environment.

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.

Injuries include cases such as, but not limited to, a cut, fracture, sprain, or amputation. Illnesses include both acute and chronic illnesses, such as, but not limited to, a skin disease, respiratory disorder, or poisoning.

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.

Yes, as mentioned above, most states require employers to report all employee injuries and potential workers' compensation claims. Failure to do so can often result in fines as a penalty for failure to report claims.

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.

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Washington Occupational Injury Illness Report