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Ting to employee health and must be used in a manner that protects the confidentiality of employees to the extent possible while the information is being used for occupational safety and health purposes. Form Approved OMB No. 1218-0176 Information about the employee This Injury and Illness Incident Repor t is one of the first forms you must fill out when a recordable workrelated injury or illness has occurred. Together with the Log of Work-Related injuries and Illnesses and the accompanying Su.

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