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INJURY/NEAR MISS

Incident Process Description

DWC-1 Form

Form needed for initiating a workers' compensation claim

Employee First report of injury

Complete form for any level of incident or near miss.

Supervisor's incident investigation report

To be completed for any workers' comp incident or potentially serious minor injury or near miss.

Injury Process Flowchart

Diagram of the steps to follow when an incident occurs.

© 2020 Casitas Municipal Water District

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