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Template for Departments Injury and Illness Prevention Program at the University of California, BerkeleyRevised July 2010(Note: This template was downloaded from the website of the Office of Environment,
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The template for departments injury is a standardized form used to report workplace injuries within a department.
The supervisor or manager of the department where the injury occurred is required to file the template for departments injury.
The template for departments injury should be filled out with detailed information about the injury, including date, time, location, description, and any witnesses.
The purpose of the template for departments injury is to ensure that workplace injuries are properly documented and reported for further investigation and prevention.
The template for departments injury must include information such as the name of the injured employee, date and time of the injury, location, description of the injury, and any witnesses.
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