University of Manitoba Notice of Injury (Green Card – Physical Plant) 2017-2025 free printable template
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Notice of Injury (Green Card Physical Plant) PLEASE COMPLETE BOTH PAGES Form to be completed for all injuries. Workers Compensation Employee and Employer Reports should be completed for incidents
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How to fill out University of Manitoba Notice of Injury Green Card
How to fill out University of Manitoba Notice of Injury (Green Card –
01
Obtain the University of Manitoba Notice of Injury (Green Card) form from the Health and Safety Office or download it from the university's website.
02
Fill out the date and time of the injury at the top of the form.
03
Provide your personal information including your name, contact details, and student or employee ID.
04
Describe the nature of the injury, including details about how and where it occurred.
05
List any witnesses to the incident if applicable.
06
Sign and date the form to confirm that the information provided is accurate.
07
Submit the completed form to the Health and Safety Office as soon as possible.
Who needs University of Manitoba Notice of Injury (Green Card –?
01
Students who sustain an injury while on university property or during university activities.
02
University employees who experience work-related injuries or incidents.
03
Visitors or contractors involved in accidents while on the university campus.
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What is University of Manitoba Notice of Injury (Green Card)?
The University of Manitoba Notice of Injury (Green Card) is a form used to officially document any injuries that occur on university premises or during university-related activities.
Who is required to file University of Manitoba Notice of Injury (Green Card)?
Any individual who experiences an injury while on university premises, including students, staff, and visitors, is required to file the Notice of Injury.
How to fill out University of Manitoba Notice of Injury (Green Card)?
To fill out the Notice of Injury, individuals should provide details such as the date and time of the injury, a description of what happened, the location of the incident, and any witnesses or medical attention required.
What is the purpose of University of Manitoba Notice of Injury (Green Card)?
The purpose of the Notice of Injury is to ensure that incidents are reported for record-keeping, liability assessment, and to facilitate any necessary follow-up or support for the injured party.
What information must be reported on University of Manitoba Notice of Injury (Green Card)?
The information that must be reported includes the date and time of the injury, a thorough description of the incident, location, names of involved individuals, and details of any medical treatment sought.
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