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OnTheJob Injury Instructions If you have an onthejob injury, the following actions are required: 1. Reporting Incident/Injury: a. Notify supervisor and Medical Management (304.293.HURT) that an injury
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How to fill out on-form-job injury instructions

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How to fill out on-form-job injury instructions:

01
Start by carefully reading the instructions provided on the form. Make sure you understand each step before proceeding.
02
Begin by entering your personal information accurately. This may include your full name, address, contact number, and employee identification number if applicable.
03
Next, provide details about the incident or injury. Explain how, when, and where it occurred. Be as specific as possible, including any contributing factors or witnesses.
04
Describe the nature of the injury or condition sustained. Include information about any body parts affected, symptoms experienced, and the severity of the injury.
05
Indicate whether you sought immediate medical attention or received first aid treatment at the time of the incident. If medical attention was not required, make a note of it.
06
If applicable, provide information about any medical professionals or facilities involved in diagnosing or treating your injury. This may include the name and contact details of your healthcare provider or the hospital where you received treatment.
07
Include details about any time missed from work as a result of the injury. Specify the dates and the duration of the absence, and whether it was fully paid or unpaid leave.
08
Finally, sign and date the form to confirm the accuracy of the information provided. If there are additional sections or documents required, make sure to complete them before submitting the form.

Who needs on-form-job injury instructions?

01
Employees who have experienced a work-related injury or illness and need to report the incident to their employer or insurance company.
02
Employers who are responsible for managing and documenting on-the-job injuries to comply with legal requirements, such as workers' compensation regulations.
03
Insurance companies or claims adjusters who require accurate and complete information about a work-related injury or illness in order to process a claim or provide benefits.
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On-form-job injury instructions are guidelines and procedures provided by employers to employees on how to handle and report workplace injuries.
Employers are required to provide and file on-form-job injury instructions for their employees.
Employees should follow the guidelines provided by their employer in the on-form-job injury instructions, which may include reporting the injury to a supervisor and completing a written form.
The purpose of on-form-job injury instructions is to ensure that employees know how to properly handle and report workplace injuries, ultimately leading to a safer work environment.
On-form-job injury instructions must include details about the injury, how and when it occurred, the employee's personal information, any witnesses, and the steps to be taken following the injury.
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