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City of Clovis INJURY AND ILLNESS PREVENTION Prevised March 2016 September 2003 September 2020 July 2021 December 2021Table of Contents 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 11.0 12.0Program Responsibilities

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How to fill out 1-4-113 injury and illness

01

Begin by gathering all necessary information related to the injury or illness, including date, time, location, and details of the incident.

02

Fill out the employee information section, providing the name, job title, and contact information of the affected individual.

03

Provide a detailed description of the injury or illness, including any medical treatment received and impact on work duties.

04

Complete any additional sections as required by company policies or regulations.

Who needs 1-4-113 injury and illness?

01

Employers who are required to report workplace injuries and illnesses to the appropriate regulatory agencies.

02

Employees who have experienced a work-related injury or illness and need to document the incident for insurance or legal purposes.

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What is 1-4-113 injury and illness?

1-4-113 injury and illness refers to the reporting of work-related injuries and illnesses to the relevant authorities.

Who is required to file 1-4-113 injury and illness?

Employers are required to file 1-4-113 injury and illness reports.

How to fill out 1-4-113 injury and illness?

Employers can fill out 1-4-113 injury and illness reports online or through a paper form provided by the authorities.

What is the purpose of 1-4-113 injury and illness?

The purpose of 1-4-113 injury and illness reporting is to ensure workplace safety and to track trends in work-related injuries and illnesses.

What information must be reported on 1-4-113 injury and illness?

Information such as the date of the injury or illness, the nature of the injury or illness, and the name of the affected employee must be reported on 1-4-113 injury and illness.

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