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Get the free Supervisor Report of Injury Form (81-C)

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Supervisors: Please ensure that the injured employee receives a copy of this Workers Compensation Form TO:Injured SDPS EmployeesFROM:Casandra Bracken Office of Human Resources South Carolina Department
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How to fill out supervisor report of injury

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How to fill out supervisor report of injury

01
Gather all necessary information about the injured employee including name, contact information, job title, and description of the injury.
02
Record the date and time the injury occurred as well as the location.
03
Document any witnesses to the injury and their contact information.
04
Describe the circumstances surrounding the injury including any contributing factors.
05
Complete any required forms or paperwork related to the injury report.
06
Submit the completed supervisor report of injury to the appropriate personnel in a timely manner.

Who needs supervisor report of injury?

01
Employees who have been injured on the job
02
Employers and management team members responsible for maintaining a safe work environment
03
Human resources or safety compliance personnel who need to track and report workplace injuries
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The supervisor report of injury is a document that details the circumstances surrounding an employee's work-related injury or illness.
It is the responsibility of the supervisor or manager to file the supervisor report of injury.
The supervisor report of injury should be filled out with all relevant details about the injury, including date, time, location, and extent of the injury.
The purpose of the supervisor report of injury is to document and report work-related injuries or illnesses in order to ensure proper medical care and follow-up.
The supervisor report of injury must include information such as the employee's name, date of injury, description of the injury, and any medical treatment received.
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