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WSU EMPLOYEE INJURY/INCIDENT REPORT INCIDENT WITHIN 24 HOURS Case #:___ Call 9911 for: loss of consciousness, stroke, seizures, heart attack, electric shock, allergic reaction or bleeding and Call
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How to fill out injury report formpub

01
Begin by entering the date and time of the injury.
02
Provide details about the injured person, including their name, contact information, and job title.
03
Describe the nature of the injury and how it occurred.
04
Include information about any medical treatment that was provided.
05
Sign and date the form to confirm its accuracy.

Who needs injury report formpub?

01
Employers who are required to maintain records of workplace injuries
02
Employees who have suffered a work-related injury and need to report it
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Injury report formpub is a form used to report injuries or accidents that occur in the workplace.
All employees who witness or are involved in a workplace injury or accident are required to file the injury report formpub.
To fill out the injury report formpub, employees must provide details about the injury or accident, including the date, time, location, and nature of the incident.
The purpose of the injury report formpub is to document and track workplace injuries and accidents, identify potential hazards, and prevent future incidents.
The information that must be reported on the injury report formpub includes the names of those involved, the extent of injuries, any witnesses, and any contributing factors.
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