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NDSU Report of Occupational Incident/Injury/Illness/Exposure 2014 free printable template

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North Dakota State University Incident Reporting Responsibilities Employee Supervisor 1. Report incident/event immediately to your supervisor 1. Assess the injury for first aid or medical treatment
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How to fill out NDSU Report of Occupational Incident/Injury/Illness/Exposure

01
Begin by accessing the NDSU Report of Occupational Incident/Injury/Illness/Exposure form.
02
Fill in the date and time of the incident.
03
Provide a detailed description of the incident, including what happened.
04
Include the location of the incident.
05
List any witnesses to the incident.
06
Fill in your personal information, including name, job title, department, and contact information.
07
Indicate the nature of the injury or illness, if applicable.
08
Specify the steps taken immediately following the incident, such as first aid or medical attention sought.
09
Review the form for completeness and accuracy.
10
Submit the completed form to the appropriate supervisor or department.

Who needs NDSU Report of Occupational Incident/Injury/Illness/Exposure?

01
Employees who experience an occupational incident, injury, illness, or exposure.
02
Supervisors or managers overseeing employees involved in such incidents.
03
Human Resources personnel handling workplace safety and employee health records.
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The NDSU Report of Occupational Incident/Injury/Illness/Exposure is a formal document used to report incidents related to workplace injuries, illnesses, or exposure to harmful conditions at North Dakota State University.
All employees of NDSU who experience any occupational incident, injury, illness, or exposure are required to file the report.
To fill out the NDSU Report, individuals should provide detailed information regarding the incident, including the date, time, and location of the event, a description of what happened, the nature of the injury or illness, and any witnesses present.
The purpose of the NDSU Report is to ensure proper documentation of workplace incidents for compliance with safety regulations, to facilitate medical treatment if necessary, and to help improve workplace safety measures.
The report must include personal details of the individual involved, specifics of the incident (date, time, location), description of the injury or illness, and any relevant witness information.
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