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Employer's Supplementary Report of Accident or Occupational Illness. ls-210

Employer's Supplementary Report of Accident or Occupational Illness. ls-210 2025

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The document is an Employer's Supplementary Report of Accident or Occupational Illness, required by the U.S. Department of Labor's Office of Workers' Compensation Programs. It outlines the process for reporting workplace injuries and disabilities, including necessary information about the injured employee, periods of disability, medical treatment received, and employer details. The report must be filed promptly to determine entitlement to benefits under the Longshore and Harbor Workers' Compensation Act.

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What is a work related illness or injury?

You must consider an injury or illness to be work-related if an event or exposure in the work environment either caused or contributed to the resulting condition or docHubly aggravated a pre-existing injury or illness.

What is the summary of work-related injuries and illnesses?

An injury or illness is considered work- related if an event or exposure in the work environment caused or contributed to the condition or docHubly aggravated a preexisting condition.

What are some worker rights related to injury and illness?

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.

What is not considered a work-related injury?

Usually, injuries that happen on an employees lunch break are not considered work-related. For example, you probably cant claim workers comp for spraining your ankle while walking to a deli to pick up your lunch (or lunch for your coworkers).

What are the five categories of work-related injuries?

Top 5 most common workplace injuries and how to avoid them. Trips, Slips And Falls. Being Struck By Or Caught In Moving Machinery. Vehicle Related Accidents. Fire And Explosions. Repetitive Stress and Overexertion Injuries.

How do I file for workers comp Hawaii?

You may file Form WC-5, Employees Claim for Workers Compensation Benefits with this Division or on the neighbor-island, the Department of Labor and Industrial Relations District Office nearest you. You may be eligible for Temporary Disability Insurance (TDI) benefits while your WC claim is being investigated.

Employer's Supplementary Report of Accident or Occupational Illness. ls-210 2025

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