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FIRST REPORT OF INJURY Student Visitor (This form applies to students and visitors who are not employed by the University of Delaware) 1. Submit To: University of Delaware Environmental Health & Safety,
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How to fill out first report of injury

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How to fill out the first report of injury:

01
Begin by gathering all relevant information about the injured person, including their name, contact details, and job position.
02
Describe the nature of the injury in detail, including when and where it occurred, as well as any contributing factors.
03
Provide a detailed account of the events leading up to the injury, including any witnesses or supervisors present.
04
Document any medical treatment received by the injured person, including the name of the healthcare provider and any prescribed medications.
05
Include any additional information such as whether the injury required time off work or if it resulted in any lost wages.
06
Sign and date the report to verify its accuracy and completeness.

Who needs the first report of injury:

01
Employers: It is crucial for employers to have a record of workplace injuries to ensure compliance with occupational health and safety regulations. The first report of injury helps employers identify potential hazards and implement necessary measures to prevent future accidents.
02
Insurance providers: Insurance companies often require a first report of injury to process workers' compensation claims. This report helps them assess the legitimacy of the claim and determine the appropriate compensation.
03
Legal authorities: In some cases, the first report of injury may be used as evidence in legal proceedings. Police, attorneys, or other legal authorities may request this report to investigate the circumstances surrounding the incident.
It is important to note that specific guidelines for filling out the first report of injury may vary depending on the jurisdiction or organizational policies. It is advisable to consult with the appropriate authorities or seek legal advice if needed.
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The First Report of Injury is a form that documents details of an employee's work-related injury or illness.
Employers are required to file the First Report of Injury when an employee has a work-related injury or illness.
The form must be completed with details of the employee's injury, including date, time, location, and cause.
The purpose of the First Report of Injury is to document and track work-related injuries and illnesses for recordkeeping and insurance purposes.
Information that must be reported includes employee details, injury details, date of injury, and any medical treatment received.
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