Maine Report of Claimed Occupational Injury or Illness

State:
Multi-State
Control #:
US-AHI-279
Format:
Word; 
Rich Text
Instant download
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Description

This AHI form is a report that documents an injury or illness claim filed by an employee.

How to fill out Report Of Claimed Occupational Injury Or Illness?

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FAQ

Injured at work? You must tell your employer within 30 days of your injury, or when you learn of your injury, that you have been injured. If you wait more than 30 days after the injury, you will lose the right to claim workers' compensation benefits.

Injury? Your employer must complete a First Report of Injury within 7 days. Your employer must give you a copy of the First Report of Injury. If you lose a day's work because of your injury, your employer must also file the First Report of Injury with the Workers' Compensation Board.

An occupational injury can be any type of physical harm that occurs at a place of business. So, cutting your arm on a broken piece of glass, hurting your back while moving boxes, getting hit by a company vehicle, being electrocuted by shorting wires, or anything else your mind can dream up.

Occupational hearing loss is the most common occupational disease in the United States: it is so common that it is often accepted as a normal consequence of employment.

An occupational injury describes any type of injury or illness that occurs to a patient as related to his or her specific occupational demands or requirements.

Step 1: The employee must report the disablement, in writing, to his/her employer as soon as possible or within 12 months from the date the disability occurred. Step 2: The employer must report work-related injury to the Fund within 7 days, or the work-related disease to the fund within 14 days.

Generally, occupational injuries occur instantly and are the result of a single traumatic event that causes physical harm, while occupational illnesses occur over time and are the result of long-term, continuous exposure to a harmful work environment.

In many instances, a disease or disorder can be caused by work or working conditions over a long period. These are known as occupational illnesses....Musculoskeletal DisordersCarpal tunnel syndrome.Rotator cuff tendinitis.Arthritis.And hernias.

Respiratory IllnessesMesothelioma.Pneumonitis.Tuberculosis.Occupational asthma.Silicosis.Pharyngitis.Chronic obstructive pulmonary disease (COPD)

An injury or illness is considered by the Occupational Safety and Health Administration to be work-related if an event or exposure in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing condition.

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Maine Report of Claimed Occupational Injury or Illness