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Free Work Injury Report

Use the Work Injury Report to report details regarding a workplace accident, injury or illness. This document can also help you complete OSHA Form 301 (Injury and Illness Report). Our simple interview will help you put together all the information you need within minutes.

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Work Injury Report

 

A Work Injury Report should be completed immediately following the incident or as soon thereafter as possible to comply with OSHA safety requirements. An employer is required to complete a detailed report of any recordable incident within 7 calendar days of learning of the event.

Examples of recordable events include any event that results in any of the following:

  • Results in the death of an employee.
  • Loss of consciousness.
  • Employee Misses Work.
  • Employee's limited ability to work.
  • Employee is transferred to a different position as a result of the incident.
  • Addition Medical treatment is needed beyond first aid.

(This list is not all encompassing. Employers should visit the OSHA website for a complete list and to review OSHA safety requirements).

While the employer is required to complete a report to comply with OSHA safety requirements, the employee directly involved in the incident will typically provide the information. This report provides a detailed description of the event including the date and time, events leading up to the incident, a description of the incident, the resulting injuries and any other information the reporter elects to include.

In order to comply with OSHA safety guidelines, Public Law 91-596 and 29 CFR 1904, an employer must retain the report regarding an incident for a minimum of 5 years following the year the incident occurred.

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Use this document if…

Reasons to create a
Work Injury Report

- You were recently injured on the job.
- An employee was recently injured on the job.
 
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