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Canada WorkSafe BC 57W1 2009 free printable template

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Worker Complaint of Discriminatory Action RESET Your complaint must be filed in writing with WorkSafeBC within the time limits specified in the Workers Compensation Act (? Act?) to preserve your rights
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How to fill out Canada WorkSafe BC 57W1

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How to fill out Canada WorkSafe BC 57W1

01
Obtain the Canada WorkSafe BC 57W1 form from the official website or your employer.
02
Fill in the personal information section with your name, address, and contact details.
03
Provide details about your employer, including their business name and address.
04
Enter the date of the injury or incident and describe the nature of the injury or incident.
05
Include information about any treatments received and how the injury occurred.
06
Sign and date the form to confirm that the information provided is accurate.
07
Submit the completed form to your employer or directly to WorkSafe BC as instructed.

Who needs Canada WorkSafe BC 57W1?

01
Any worker in British Columbia who has experienced a workplace injury or illness needs to complete the Canada WorkSafe BC 57W1 form.
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People Also Ask about

Create an online services account to view information about your claim (to learn more about setting up your online services account, please watch this video) or call us at 1.888. 967.5377. We're also always available to assist you. Provide your claim number to your health care provider(s).
Appeals. Contact us for information on how we deal with disputes: Telephone: 416-344-1000. Toll-free: 1-800-387-0750.
Call 604.276. 3100, or toll-free 1.888. 621.7233.
WorkSafeBC's Prevention Emergency Line: Lower Mainland: 604-276-3301. Toll-free: 1-888-621-7233.

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Canada WorkSafe BC 57W1 is a form used for reporting workplace incidents in British Columbia, Canada. It is specifically designed for employers to document and submit information about injuries or illnesses that occur at the workplace.
Employers in British Columbia are required to file the Canada WorkSafe BC 57W1 for any workplace incidents that result in worker injuries or illnesses. This includes incidents that require medical treatment or time off work.
To fill out the Canada WorkSafe BC 57W1, employers must provide detailed information about the incident, including the date and time it occurred, the names of the affected workers, a description of the incident, the nature of the injury, and any immediate actions taken.
The purpose of the Canada WorkSafe BC 57W1 is to ensure that workplace injuries are properly documented and reported, facilitating appropriate response and prevention measures, as well as compliance with occupational health and safety regulations.
The Canada WorkSafe BC 57W1 must report information such as the date and time of the incident, the location, details of the injury or illness, the names of the workers involved, witness accounts, and any corrective actions taken by the employer.
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