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DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service August 13, 2015, Food and Drug Administration 10903 New Hampshire Avenue Document Control Center WO66G609 Silver Spring, MD 209930002 Vascular

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What is wo66?

wo66 is a form used to report work-related injuries and illnesses.

Who is required to file wo66?

Employers are required to file wo66 when an employee experiences a work-related injury or illness.

How to fill out wo66?

wo66 must be filled out with detailed information about the employee, the injury or illness, and the circumstances surrounding it.

What is the purpose of wo66?

The purpose of wo66 is to track work-related injuries and illnesses for record-keeping and safety improvement purposes.

What information must be reported on wo66?

Information such as the employee's name, date of injury, type of injury, and treatment provided must be reported on wo66.

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