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Print Form Franklin Pierce College Incident Report EMPLOYER INFORMATION Employer Name: Franklin Pierce College Address: 20 College Rd. Telephone: (603) 8994100 Ridge, NH 034610060 Nature of Business:
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How to fill out first report of injury
How to fill out the first report of injury:
01
Gather all necessary information: Collect all relevant details about the injured person, including their name, contact information, job title, and department. Also, document the date, time, and location of the incident.
02
Describe the injury: Provide a detailed description of the injury sustained, including the body part affected, severity, and any other pertinent information. If available, attach any medical reports or diagnosis related to the injury.
03
Identify the cause: Determine the cause of the injury and be specific in describing how it occurred. This can involve mentioning any hazardous conditions, equipment malfunctions, or human factors contributing to the incident.
04
Check for witnesses: If there were any witnesses to the injury, record their names and contact information. Their statements can be crucial in clarifying the circumstances surrounding the incident.
05
Complete the employer section: The employer needs to provide their name, address, and other contact information. Indicate the worker's position, shift, date of hire, and other relevant employment details.
06
Fill out the supervisor's section: The supervisor should provide their name, contact information, job title, and a description of their responsibilities or involvement in the incident.
07
Provide additional details: If there are any additional factors or information that could be relevant to the injury, such as safety measures in place or any previous similar incidents, include it in the report.
Who needs the first report of injury?
The first report of injury is typically required by the employer or the company's human resources department. It is necessary to initiate the workers' compensation process and ensure that the injured employee receives the appropriate medical care and benefits. Additionally, insurance companies and regulatory authorities may request this report for record-keeping and verification purposes.
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What is first report of injury?
The first report of injury is a form that must be filled out after an employee is injured on the job.
Who is required to file first report of injury?
Employers are required to file the first report of injury when an employee is injured on the job.
How to fill out first report of injury?
The first report of injury must be filled out with all relevant information about the employee, the injury, and the circumstances surrounding the injury.
What is the purpose of first report of injury?
The purpose of the first report of injury is to document and report workplace injuries in order to ensure that the employee receives proper medical treatment and to prevent future injuries.
What information must be reported on first report of injury?
The first report of injury must include information about the employee, the injury, when and where it occurred, and any witnesses to the incident.
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