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_______ Age: This employee works: ‰ Regular full time ‰ Regular part time ‰ Seasonal ‰ Temporary Months with this employer Months doing this job: Step 2: Describe the incident Exact location of the incident: Exact time: What part of employee’s workday? ‰ Entering or leaving work ‰ Doing normal work activities ‰ During meal period ‰ During break ‰ Working overtime ‰ Other___________________ Names of witnesses (if any): 3 Written witness statements: Photographs: Number of attac.

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Choosing a legal professional, making an appointment and going to the business office for a personal meeting makes finishing a OSHA Employee's Report of Injury Form from beginning to end stressful. US Legal Forms enables you to rapidly create legally valid papers based on pre-constructed online blanks.

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  1. Find the OSHA Employee's Report of Injury Form you want.
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  3. Fill out the empty fields; engaged parties names, addresses and numbers etc.
  4. Customize the template with smart fillable fields.
  5. Include the day/time and place your electronic signature.
  6. Click Done after twice-examining everything.
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