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Employer's First Report of Injury or Disease

Employerıs First Report of Injury or Disease should be completed and signed by the department supervisor within 24 hours of injury and original submitted to Human Resources Engelmann Hall Room 125. This report should explain the employer's detailed version of what happened, including witnesses, safety violations, etc. Supervisor should submit this report along with the Supervisor Accident Analysis and Prevention Report and Supervisor's Evaluation of Repetitive Motion and or Material Handling Activities (if needed). Any notice of injury from an employee constitutes a legal notification to the supervisor.


How To Write Injury Descriptions

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Last modified: March 13, 2006