WSU Employee Accident or Illness Report 2020-2025 free printable template

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: 1/31/2020 Human Resources 1845 Fairmount Wichita, Kansas 672600015 3169785205**Notice: This report must

How to fill out WSU Employee Accident or Illness Report

How to fill out WSU Employee Accident or Illness Report

1. Obtain the WSU Employee Accident or Illness Report form from your supervisor or the WSU website.
2. Fill in your personal details, including your name, employee ID, department, and position.
3. Provide the date, time, and location of the accident or illness.
4. Describe the incident in detail, including what happened and the circumstances leading up to the event.
5. Indicate any witnesses to the incident and their contact information.
6. Specify the type of injury or illness and the parts of the body affected.
7. Document any medical attention received or sought after the incident.
8. Sign and date the report to affirm the accuracy of the information provided.
9. Submit the completed report to your supervisor or the designated HR representative.

Who needs WSU Employee Accident or Illness Report?

1. All employees who experience an accident or illness related to their work at WSU must complete the Employee Accident or Illness Report.

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What is WSU Employee Accident or Illness Report?

The WSU Employee Accident or Illness Report is a form used to document any accidents or illnesses experienced by employees while performing their job duties at Washington State University.

Who is required to file WSU Employee Accident or Illness Report?

Any employee who experiences an accident or illness related to their work at WSU is required to file the report.

How to fill out WSU Employee Accident or Illness Report?

To fill out the WSU Employee Accident or Illness Report, employees should provide detailed information including their personal details, description of the accident or illness, any witnesses, and any medical treatment sought.

What is the purpose of WSU Employee Accident or Illness Report?

The purpose of the WSU Employee Accident or Illness Report is to ensure accurate record-keeping for workplace incidents, facilitate follow-up on injuries or illnesses, and improve workplace safety measures.

What information must be reported on WSU Employee Accident or Illness Report?

The information that must be reported includes the employee's name, job title, date and time of the incident, location, description of the incident, nature of the injury or illness, and any treatments received.