wsib incident reporting
F249-008-000 Injured by a Third Party? You have legal options
Protect your rights: Complete the enclosed form promptly. In Washington, if you believe your workplace injury was caused by someone other than your employer or
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A: INCIDENT TYPE B: EMPLOYEE INFORMATION LAST
Complete and return all report forms received from the WSIB. 5. In the case of a lost time injury, keep your supervisor updated as to your progress.
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