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G-13-01 POCATELLO/CHUCK SCHOOL DISTRICT NO. 25 EMPLOYEE AND SUPERVISOR INJURY REPORT This form must be completed by the injured employee and given to his/her supervisor or principal as soon as possible
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How to fill out employee and supervisor injury

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How to fill out employee and supervisor injury:

01
Start by obtaining the necessary forms from your HR department or workers' compensation office. These forms typically include an employee injury report and a supervisor's report.
02
As the employee, accurately and thoroughly describe the details of your injury on the employee injury report. Include information such as the date and time of the incident, the location, what led to the injury, and any witnesses present.
03
Provide any additional information required, such as your personal details, job title, and contact information.
04
If applicable, seek medical attention and provide details of the medical treatment received, including dates, names of healthcare professionals, and any prescribed medications.
05
Complete the supervisor's report with all relevant information from your perspective as the supervisor. This should include a detailed description of the incident, any safety measures that were in place or lacking, and any corrective actions taken.
06
Submit both the employee and supervisor reports to the designated personnel within your company or organization.

Who needs employee and supervisor injury reports?

01
Employers or companies - Employers need these reports to document and understand workplace injuries. They are essential for managing workers' compensation claims and implementing safety measures to prevent future incidents.
02
Human resources (HR) departments - HR departments play a crucial role in ensuring that all workplace injuries are properly documented, reported, and managed. They use these reports to initiate workers' compensation claims and provide support to injured employees.
03
Workers' compensation offices or insurance providers - These entities require accurate and complete employee and supervisor injury reports to process and assess workers' compensation claims.
04
Legal representatives - In some cases, legal representatives may need access to these reports to support injured employees in their workers' compensation claims or lawsuits.
Remember, it is crucial to follow your organization's specific procedures and guidelines when filling out employee and supervisor injury reports to ensure the accuracy and smooth processing of workers' compensation claims.
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Employee and supervisor injury refers to any injury sustained by an employee or supervisor while on the job.
Employers are required to file employee and supervisor injury reports.
Employee and supervisor injury reports can be filled out by providing details of the injury, when and where it occurred, and any medical treatment received.
The purpose of employee and supervisor injury reports is to track workplace injuries, address safety concerns, and ensure compliance with regulations.
Employee and supervisor injury reports must include details of the injury, the date and time it occurred, the location, and any medical treatment received.
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