To report workplace injuries or accidents, both employers and employees can file a Workplace Injury Report Form. Employees completing this form should include the amount of time off required due to the incident. The Workplace Injury Report should contain details regarding the workplace injury or illness, including:

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  • The injured person(s)’s  name(s)
  • Their contact information (address, phone number, extension)
  • Their department
  • Their work ID number
  • The time and date of the incident
  • The events leading to the incident
  • Any contributing factors to the incident
  • The details of the illness or injuries sustained
  • The treatment of the injuries or illness
  • Any time off due to the incident

Be as specific as possible when writing a Workplace Injury Report Form, since you’ll use this form to complete the OSHA Form 301 (Injury and Illness Report). The Workplace Injury Report Form is the primary record of the event, so include as many details as you can, make copies, and file them. That way, you can review the form if there is ever a lawsuit or dispute about the event (accident or illness).

Complete a Workplace Injury Report Form today with Rocket Lawyer’s easy online interview. You can also Find a Business Lawyer or Personal Injury Lawyer.

Get started Start Your Workplace Injury Report Answer a few questions. We'll take care of the rest.

Get started Start Your Workplace Injury Report Answer a few questions. We'll take care of the rest.