The New York Employers First Report of Work-Related Injury or Illness (NYS-45) is a form used by employers to report work-related injuries or illnesses to the New York State Workers' Compensation Board. This form is used to report all work-related injuries and illnesses, regardless of whether the employee will be receiving workers' compensation or not. The NYS-45 must be submitted within ten days of the employee's injury or illness and must include details such as: the employee's name and address, the date of the injury or illness, the type of injury or illness, and the body part affected. There are two types of New York Employers First Report of Work-Related Injury or Illness: 1. NYS-45 for Non-fatal Injury or Illness: This form is used to report all non-fatal work-related injuries and illnesses. 2. NYS-45 for Fatal Injury: This form is used to report all fatal work-related injuries. It must be submitted within 24 hours of the employee's death.
New York Employers First Report of Work-Related Injury Or Illness
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How to fill out New York Employers First Report Of Work-Related Injury Or Illness?
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FAQ
After an injury or illness occurs, your employer must: Provide a workers' compensation claim form to you within one working day a work-related injury or illness is reported. Return a completed copy of the claim form to you within one working day of receipt.
If the case is recordable, decide which form you will fill out as the injury and illness incident report. You may use OSHA's 301: Injury and Illness Incident Report or an equivalent form.
The employer is required to file an Employer's First Report of Injury or Illness DWC FORM-001 Rev. 10/05 with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease.
Notify Your Supervisor of Your Injury Written notification should be provided to your employer as soon as possible, but within 30 days. If you fail to notify your employer, within 30 days after the date of injury, you may lose your rights to workers' compensation benefits.
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. An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.
The first thing a supervisor should do when an injury is reported is to ensure the safety of the injured worker and any other individuals that may be involved. The supervisor should assess the situation to determine if the worker needs medical attention or assistance in the form of first aid.
Report the injury or illness to your employer If you don't report your injury within 30 days, you could lose your right to receive workers' compensation benefits.