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Get the free First Report of Injury (FROI) (VWC Form #3) (Exhibit No

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2325 Dulles Corner Boulevard, Suite 1150, Herndon, VA / 703.793.1800 T / 703.793.0298 F www.fandpnet.comVIRGINIA Workers Compensation Key Forms & Dates Franklin & Prokofiev. All rights reserved (rev
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How to fill out first report of injury

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How to fill out first report of injury

01
Gather all necessary information such as the injured person's name, contact details, and job title.
02
Record the date, time, and location of the incident.
03
Describe the nature of the injury or illness in detail, including the body part affected and the circumstances surrounding the incident.
04
Include any witnesses' contact details and their version of the events.
05
Provide information about any medical treatment received by the injured person.
06
Document any workplace hazards or conditions that may have contributed to the incident.
07
Submit the completed report to the appropriate department or personnel responsible for handling workplace injuries.
08
Keep a copy of the report for your records.

Who needs first report of injury?

01
Anyone who has been injured or fallen ill at the workplace needs to fill out a first report of injury. This includes employees, contractors, and visitors who experience a work-related injury or illness.
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The first report of injury is a document that details the initial incident that resulted in an employee getting injured or becoming ill while on the job.
Employers are required to file the first report of injury when an employee gets injured or sick as a result of their job.
The first report of injury should be filled out by providing all relevant information about the incident, including details of the injury, how it occurred, and any medical treatment received.
The purpose of the first report of injury is to document workplace injuries or illnesses, track trends, and ensure proper care and compensation for affected employees.
The first report of injury should include details such as the date, time, and location of the incident, the nature of the injury, the name of the employee, and any witnesses.
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