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CUSP INJURY AND ILLNESS PREVENTION PROGRAMReport of Unsafe Condition or Hazard Please submit this report to the District Safety Officer: Dan Panoramic in Business Services. You will receive a response
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How to fill out cusd injury and illness

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To fill out the CUSD Injury and Illness form, follow these steps:
02
Start by entering the date of the injury or illness at the top of the form.
03
Provide the injured or ill person's name and contact information.
04
Specify the location where the injury or illness occurred.
05
Describe the details of the injury or illness, including how it happened and any contributing factors.
06
Indicate whether medical attention was sought and provide details of any medical treatment received.
07
If applicable, include information about witnesses to the incident.
08
Sign and date the form to confirm the accuracy of the information provided.
09
Submit the completed form to the appropriate authority within CUSD.

Who needs cusd injury and illness?

01
Anyone who experiences an injury or illness while under the jurisdiction of CUSD (e.g., students, staff, visitors) needs to fill out the CUSD Injury and Illness form. It is important to report any incidents promptly to ensure appropriate measures can be taken for the well-being and safety of the individuals involved.
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CUSD injury and illness refers to the reporting and documentation of any injuries or illnesses that occur within the Central Unified School District.
All employees of the Central Unified School District are required to file reports of any injuries or illnesses that occur while on the job.
To fill out a CUSD injury and illness report, employees must provide details of the injury or illness, when and where it occurred, and any medical treatment received.
The purpose of CUSD injury and illness reporting is to track and monitor workplace safety, identify any patterns of injuries or illnesses, and take steps to prevent future incidents.
Information that must be reported includes the date, time, and location of the incident, details of the injury or illness, any medical treatment received, and the names of witnesses.
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