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Eric accident report form 12 onlineContinueAll kinds of ERIC Forms here Download in PDF format List of all forms of ERIC available here as Declaration Form, Crash Book, Form Certificate of Addiction
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How to fill out esic accident report form

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How to fill out esic accident report form

01
Step 1: Obtain a copy of the ESIC accident report form from the ESIC office or website.
02
Step 2: Fill in the personal details of the employee, including name, address, and contact information.
03
Step 3: Provide details of the accident, including the date, time, and location of the incident.
04
Step 4: Describe the nature of the accident and how it occurred.
05
Step 5: Document any injuries sustained by the employee and the medical treatment received.
06
Step 6: Provide the names and contact information of any witnesses to the accident.
07
Step 7: Sign and date the accident report form.
08
Step 8: Submit the completed form to the ESIC office within the specified time frame.

Who needs esic accident report form?

01
Employees who have suffered an accident or injury in the workplace.
02
Employers who need to report an accident or injury involving their employees.
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The ESIC Accident Report Form is a document used to report workplace accidents to the Employees' State Insurance Corporation (ESIC) in India, ensuring that injured employees receive appropriate medical benefits and compensation.
Employers of ESIC-covered establishments are required to file the ESIC Accident Report Form for any workplace accidents that occur involving their employees.
To fill out the ESIC Accident Report Form, provide details such as the employee's information, accident date and time, nature of injury, circumstances of the accident, and medical treatment received. Ensure all sections are completed accurately.
The purpose of the ESIC Accident Report Form is to formally document workplace accidents, ensuring that affected employees are recognized for their injuries and can access necessary medical care and compensation benefits.
The form must report the following information: employee's details, accident date, time, location, type of injury, cause of the accident, and medical treatment administered.
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