What to do if a workplace accident or illness occurs - Wichita 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the injured person's name, address, and contact information. Ensure accuracy as this information is crucial for follow-up.
3. Specify the date of injury or occupational illness, along with the time of occurrence. This helps establish a timeline for the incident.
4. Detail the safety equipment used at the time of the accident and provide a thorough description of how the incident occurred, including any objects involved.
5. Indicate what the employee was doing at the time of injury and describe the injury or illness in detail, specifying which part of the body was affected.
6. List any witnesses and indicate whether medical treatment was required. If so, provide details about who administered that treatment.
7. Finally, confirm if the employee has returned to work and whether follow-up medical treatment will be necessary.

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