Colorado Injury Report Form
Description
How to fill out Injury Report Form?
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FAQ
Provide date and time of the incident and when it was first reported, details of witnesses, and a succinct statement describing the events leading to the incident, the details of the incident, the type of work being undertaken, any hazards involved in the work and any personal protective equipment being used.
All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. A fatality must be reported within 8 hours.
All employees have the right to pursue a workers' compensation claim.
No compensation is payable for the first 3 days' disability unless the period of disability exceeds two weeks. You are entitled to reasonable and necessary medical treatment of compensable injuries or occupational diseases.
First Report of Injury/Notice of Contests When a worker is injured or has an occupational disease that results in more than three days/shifts of lost time, permanent impairment, or death, the insurance carrier must file a First Report of Injury (FROI) with the Division of Workers' Compensation (DOWC) within 10 days.
Injured Worker Reporting Responsibilities Within 10 working days of the injury, the injured worker must let their employer know about the injury. This must be done in writing. If the worker was injured more than 10 days ago, they should still notify their employer in writing as soon as possible.