Wisconsin Employee Workplace Injury or Illness Report (Form BFS-838) is a document used by employers in Wisconsin to report any injury or illness that has occurred in the workplace. The report must be filled out for any workplace injury or illness that results in death, lost work time, medical treatment beyond first aid, or restricted work activity. The form must be completed by the employer, employee, and treating physician, if one has been consulted. The form requires information such as the date of the injury or illness, a description of the incident, information about the employee, and the medical diagnosis. There are two types of Wisconsin Employee Workplace Injury or Illness Reports: Form BFS-838 for work-related injuries and illnesses, and Form BFS-838F for non-work related injuries and illnesses.
Wisconsin Employee Workplace Injury Or Illness Report
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How to fill out Wisconsin Employee Workplace Injury Or Illness Report?
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FAQ
The general rule is that all injuries and illnesses which result from events or exposures on the employer's premises are presumed to be work related. Furthermore, if it seems likely that an event or exposure in the work environment either caused or contributed to the case, the case is considered work related.
Report the injury or illness to your employer Reporting promptly helps avoid problems and delays in receiving benefits, including medical care. If you don't report your injury within 30 days, you could lose your right to receive workers' compensation benefits.
How does OSHA define a recordable injury or illness? Any work-related fatality. Any work-related injury or illness that results in loss of consciousness, days away from work, restricted work, or transfer to another job. Any work-related injury or illness requiring medical treatment beyond first aid.
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.
You have the right to: report a work-related injury or illness, and get copies of your medical records. see copies of the workplace injury and illness log. review records of work-related injuries and illnesses.
The OSHA Poster states: All workers have the right to: Raise a safety or health concern with your employer or OSHA, or report a work-related injury or illness, without being retaliated against.
An injured employee should give notice to the employer within 30 days of any injury. In the case of an occupational disease, the employee should give notice within 30 days of the time the employee knows about the disability and its relation to the employment.
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.