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FOR REPORTING PURPOSES ONLY INCIDENT NOTICE ONLY Instructions: For occupational injuries requiring medical attention or lost work days, call the Telephonic Claims Reporting System 1-877-656-RISK (7475)
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What is incident only form?
The incident only form is a document that is used to report an incident or accident that occurs during a specific time period.
Who is required to file incident only form?
Any individual or organization that experiences an incident or accident during the designated time period is required to file the incident only form.
How to fill out incident only form?
The incident only form can be filled out by providing the necessary information about the incident or accident, including the date, location, description of what occurred, and any other relevant details.
What is the purpose of incident only form?
The purpose of the incident only form is to gather information about incidents or accidents that occur within a specific time frame in order to track and analyze trends, identify potential hazards, and implement appropriate preventive measures.
What information must be reported on incident only form?
The incident only form typically requires information such as the date and time of the incident, location, description of the incident, any injuries or damages, persons involved, and any corrective actions taken.
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