Initial Online First Report of Injury Requirements

1. Employee's Statement Part I.

   An employee who is injured or suffers an occupational disease as a result of a job must submit an online form (First Report) within 4 days. Failure to do so can result in the loss of one day's benefits for each day's failure to report. The employee is to complete the online form and submit it to their Departmental Designated Person.

2. Departmental Designated Person Section Part II.

   The Departmental Designated Person (DDP) will receive an email notification of the injured employee submission. Once notified the DDP should log into the EHS Workers' Comp. Site to review the employee's statement and complete the required departmental section and submit the completed form to EHS.

The employee's Departmental Designated Person must review the information provided for accuracy, giving special attention to contributing conditions or circumstances which led to the accident/exposure.