Washington Accident - Injury Report

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Multi-State
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US-429EM
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Word; 
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Description

This form is used to document accidents and/or work-related injuries.

The Washington Accident — Injury Report is an essential document that provides detailed information about accidents and injuries that occur in the state of Washington. This report plays a crucial role in documenting and investigating various types of accidents, ensuring necessary measures are taken for safety and legal purposes. Keywords: Washington, Accident, Injury Report, types 1. Automobile Accident — Injury Report: This type of report is primarily focused on documenting accidents involving vehicles, such as cars, trucks, motorcycles, and bicycles. It includes information on the parties involved, details of the accident scene, injuries sustained, and any contributing factors like weather conditions or road hazards. 2. Workplace Accident — Injury Report: When accidents occur within the workplace, employers are required to prepare this report. It covers incidents like slip and falls, equipment malfunctions, exposure to hazardous substances, or any other work-related accident resulting in injuries. The report includes details of the injured employee, witnesses, incident description, and steps taken for immediate medical attention. 3. Sports & Recreation Accident — Injury Report: This report specifically caters to accidents that occur during sporting or recreational activities, such as contact sports, outdoor adventures, or organized events. It captures information related to the individuals involved, location, nature of the injury, equipment involved, and potentially any rules or regulations that might apply to the activity. 4. Public Property Accident — Injury Report: When accidents happen on public property, like parks, sidewalks, or government buildings, this report is necessary. It covers incidents such as slips, trips, falls, poor maintenance, or accidents caused by negligence. The report documents information about the injured party, witnesses, explanation of the incident, and any contributing factors that led to the accident. 5. Medical Accident — Injury Report: In situations where accidents or injuries occur within medical facilities or during medical treatment, this report is utilized. It documents incidents like surgical errors, medication mistakes, misdiagnosis, or any other medical negligence leading to harm. The report captures relevant details about the patient, medical staff involved, contributing factors, and the immediate actions taken. 6. Product Liability Accident — Injury Report: When accidents or injuries result from a defective or dangerous product, this report is crucial. It includes incidents like faulty machinery, malfunctioning consumer goods, or hazardous materials causing harm. The report outlines information about the injured party, product details, possible defects, and any evidence to support the claim. 7. General Incident — Injury Report: Apart from the specific types mentioned, there is also a general incident report used to record accidents and injuries that do not fall under any particular category mentioned above. It serves as a comprehensive document covering all essential details, ensuring accurate information is provided for further investigation and resolution.

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FAQ

According to the Washington State Patrol you must file a Motor Vehicle Collision Report in Washington state if anyone is injured or if any party's damage meets or exceeds $1000. Typically, law enforcement will file this report for you when you call them to the scene.

Call 911 and inform them of any injuries....Be sure to exchange the following:Name, address, phone numbers of all drivers.Name, address, phone number of all passengers or witnesses.Driver's license numbers and license plate numbers.Insurance companies of all drivers involved.Registered owners of all cars.

Get first aid at your workplace; all employers in Washington are required to provide a first-aid kit. If further treatment is necessary, go to the emergency room or health2011care provider of your choice and tell them you were injured at work.

You should make a police report when the accident involves a government vehicle, damage to government property, a foreign vehicle, a pedestrian or cyclist, a hit-and-run case, or an injury requiring hospitalisation or medical leave of 3 days or more.

If you would like to download a copy of the paper report, click this link Motor Vehicle Collision Report. Follow the instructions and mail it to Collision Records Section P.O. Box 42628 Olympia, WA 98504-2628; or email the completed form, with signature, to collisionrecords@wsp.wa.gov.

If there is a serious injury or illness, a death or a dangerous incident, you must report it to us immediately on 13 10 50 as an urgent investigation might be needed. Incidents can be notified 24 hours a day, 7 days a week by calling 13 10 50.

Additional information, including edited copies of investigation files may be available through Freedom of Information. For assistance with your application, please contact Public Access on 61 8 6229 5900 or via email on PublicAccess@police.wa.gov.au.

According to WA Police, you must report a traffic crash when the incident occurred on a road or any place commonly used by the public (such as a carpark) and where: the incident resulted in bodily harm to a person; or. the total value of property damaged to all involved parties exceeds $3000; or.

Injuries must be reported within one year. Diseases must be reported within two years after receiving written notice from a doctor that the condition exists and is workrelated. In Washington, you must also file a claim for industrial insurance benefits.

L&I or your self-insured employer must receive your Report of Accident within 1 year of your injury date to file a claim. We must receive it within two years from the date of your doctor's diagnosis for occupational disease claims.

More info

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Washington Accident - Injury Report