Washington Report of an Injury, Illness, or Close Call

State:
Washington
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WA-SKU-3888
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Description

Report of an Injury, Illness, or Close Call

The Washington Report of an Injury, Illness, or Close Call (WWII) is used to report incidents that occur in the workplace and can be used to help employers and employees identify and correct safety and health hazards. The WWII is an important part of the state’s safety and healtrequirementWashington non's employers rs must complete a WWII for any incident that results in an employee injury, illness, or close call. There are three types of WWII forms: the Injury/Illness Report (Form F700-001-000); the Close Call Report (Form F700-002-000); and the Self-Reported Injury/Illness Report (Form F700-007-000). The Injury/Illness Report is used to report any employee injury or illness that requires medical treatment beyond first aid. The Close Call Report is used to report any incident that could have resulted in an injury or illness, but did not. The Self-Reported Injury/Illness Report is used to report injuries and illnesses that do not require medical treatment beyond first aid. The WWII is a key component of Washington State's workplace safety and health program and is important for employers to understand and follow. Employers must complete the appropriate WWII form for any incident that occurs in the workplace and submit it to the Department of Labor & Industries as soon as possible.

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FAQ

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.

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.

Recording Work-Related Injuries and Illnesses The Occupational Safety and Health (OSH) Act of 1970 requires certain employers to prepare and maintain records of work-related injuries and illnesses. Use these definitions when you classify cases on the Log.

Important: Employers by law must report to L&I the death or in-patient hospitalization of any worker (within 8 hours) and any non-hospitalized amputation or loss of eye (within 24 hours) due to an on-the-job injury by calling 1-800-423-7233.

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.

Complete an Injury and Illness Incident Report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office for help.

Who must submit information electronically to OSHA under the final rule? Establishments with 250 or more employees that are subject to OSHA's recordkeeping regulation must electronically submit to OSHA the information from the Summary of Work-Related Injuries and Illnesses (OSHA Form 300A).

If the injured employee needs immediate medical assistance, call 911. If the employee requires medical attention, but 911 isn't needed, a manager should take the injured employee to a medical facility, such as urgent care. The manager should alert the healthcare provider that the injury is work-related.

More info

Instructions: Complete this form as soon as possible after an incident that results in serious injury or illness. Call the OSHA 24-hour hotline at 1-800-321-6742 (OSHA).Report an on-the-job fatality, in-patient hospitalization, amputation, or loss of an eye, call 1-800-423-7233. Reporting. Injury and Illness. Your Responsibilities as an Employer. WCB.NY.GOV. Report a work-related injury, illness, exposure, property damage, or near-miss event using the UW's Online Accident Reporting System (OARS). The Injuries, Illnesses, and Fatalities (IIF) program produces a wide range of information about workplace injuries and illnesses. Campus funded employees must notify your supervisor and complete an incident report below. Complete the incident report to document the injury, illness, or close call event. See procedures for reporting of serious injuries and illnesses.

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Washington Report of an Injury, Illness, or Close Call