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Employee Accident or Illness Report (Ad d e n d u CT OT h EK W C1 1 0 1 AF o r m. )Revised: 3/15/19Human Resources 1845 Fairmount Wichita, Kansas 672600015 3169785205**Notice: This report must be
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How to fill out employee accident or illness

01
Collect all necessary information about the accident or illness, including date, time, location, and description of the incident.
02
Ensure that the injured employee receives immediate medical attention and treatment as necessary.
03
Notify the appropriate supervisor or manager about the accident or illness.
04
Document the details of the accident or illness using the company's accident or illness report form. Include the employee's personal information, information about the incident, and any witnesses.
05
Submit the completed accident or illness report to the designated department or personnel responsible for processing such reports.
06
Follow up with the injured employee to ensure they are receiving adequate support and assistance for their recovery.
07
Review the accident or illness report and take appropriate actions to prevent similar incidents in the future.

Who needs employee accident or illness?

01
Employers and HR departments often require employees to fill out accident or illness reports to ensure proper documentation of workplace incidents.
02
Workers who experience an accident or illness while on the job need to complete these reports to initiate the necessary process for receiving medical treatment and workers' compensation benefits.
03
Insurance companies may also request accident or illness reports from employees to process claims and determine liability.
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Employee accident or illness refers to any work-related injury or sickness that an employee experiences while on the job.
Employers are required to file employee accident or illness reports with the relevant authorities.
Employee accident or illness reports can be filled out online or through paper forms provided by the employer.
The purpose of employee accident or illness reporting is to ensure that work-related injuries and illnesses are documented and addressed appropriately.
The information that must be reported on employee accident or illness includes the name of the employee, date and time of the accident or illness, description of the incident, and any medical treatment received.
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