Minnesota Reporting Injuries and Illnesses Checklist

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Multi-State
Control #:
US-445EM
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Word; 
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Description

This Employment & Human Resources form covers the needs of employers of all sizes.

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FAQ

Your employer is legally responsible for reporting your injury on duty to the Compensation Fund within seven (7) days of receiving notice from you and within fourteen (14) days when it is an occupational disease as well as submitting the necessary forms and documents.

An employee who is at work when s/he becomes aware of an injury or illness must report it as soon as reasonably possible, but in no event later than leaving the workplace or 8 hours after becoming aware of the injury or illness, whichever is earlier. The report must be made to the employee's supervisor.

Supervisors should, if appropriate, provide injured employee with alternative work assignment to accommodate any medical limitations, or provide light restricted duty assignments whenever possible.

Accident/Incident Reporting Policy. PURPOSE. 2022 To report, record and investigate all work-related injuries or illnesses, accidents, near miss or dangerous. occurrence on the premises, or any other significant incident.

Get emergency treatment if needed Tell the medical staff that your injury or illness is job-related. If you can safely do so, contact your employer for further instructions. If you don't need emergency treatment, make sure you get first aid and see a doctor if necessary.

As soon as an accident or injury happens, business owners should follow these steps:Get workers to a safe place. Move any injured workers away from an area if it is dangerous and make sure other employees stay clear.Assess the situation.Assist the injured.Gather information and keep evidence.

Workplace fatalities and serious injuries must be reported to the Department of Labor and Industry within 48 hours by either calling the Workers' Compensation Division Help Desk at 651-284-5005 (press 3) or 800-342-5354 (press 3) or sending an encrypted email message to helpdesk.dli@state.mn.us, to be followed by the

If it's an emergency, call 911 or go to an emergency room right away. Tell the medical staff that your injury or illness is job-related. If you can safely do so, contact your employer for further instructions.

What to do when an injury occurs: SupervisorsCall the ambulance if necessary.Call as soon as possible to report all serious injuries: 1-877-682-7778.Remove the equipment from service (if applicable).Tag the equipment for identification (if applicable).Call Larry Wong at 510-987-9772 for inspection.More items...

Injury and Illness reporting is the reporting of workplace incidents that result in harm to an employee. It is often called incident reporting, though that is a broad term that can also include a range of incidents like vehicle accidents and chemical spills.

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Minnesota Reporting Injuries and Illnesses Checklist