Washington Report of Claimed Occupational Injury or Illness

State:
Multi-State
Control #:
US-AHI-279
Format:
Word; 
Rich Text
Instant download
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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

Employers must report work-related fatalities within 8 hours of finding out about it. For any in-patient hospitalization, amputation, or eye loss employers must report the incident within 24 hours of learning about it. Only fatalities occurring within 30 days of the work-related incident must be reported to OSHA.

The CA-7 must be filed within one year of the dates claimed, or the date your claim is accepted, whichever is later.

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.

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.

OSHA requires employers to post a citation near the site of the violation for 3 days for employers who receive citations for violations.

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.

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.

1) An occupational disease is a disease or infection that arises naturally and proximately out of the worker's employment. 2) A disease arises naturally out of employment if the disease comes about as a matter of course as a natural consequence of the distinctive conditions of the worker's employment.

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

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.

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Washington Report of Claimed Occupational Injury or Illness