(a) The establishment’s name.
(b) The location of the work-related incident.
(c) The time of the work-related incident.
(d) The type of reportable event, fatality, inpatient hospitalization, amputation,
or loss of an eye.
(e) The number of employees who suffered a fatality, inpatient hospitalization,
amputation, or loss of an eye.
(f) The names of the employees who suffered a fatality, inpatient
hospitalization, amputation, or loss of an eye.
(g) Your contact person and his or her phone number.
(h) A brief description of the work-related incident.
(6) Am I required to report the fatality, inpatient hospitalization, amputation, or
loss of an eye if it resulted from a motor vehicle accident on a public street or
highway? If the motor vehicle accident occurred in a construction work zone, you
must report the fatality, inpatient hospitalization, amputation, or loss of an eye. If
the motor vehicle accident occurred on a public street or highway, but not in a
construction work zone, you are not required to report the fatality, inpatient
hospitalization, amputation, or loss of an eye to MIOSHA. However, the fatality,
inpatient hospitalization, amputation, or loss of an eye must be recorded on your
MIOSHA injury and illness records, if you are required to keep such records.
(7) Am I required to report the fatality, inpatient hospitalization, amputation, or
loss of an eye if it occurred on a commercial or public transportation system? No.
You are not required to report the fatality, inpatient hospitalization, amputation, or
loss of an eye to MIOSHA if it occurred on a commercial or public transportation
system, such as an airplane, a train, subway, or bus. However, the fatality,
inpatient hospitalization, amputation, or loss of an eye must be recorded on your
MIOSHA injury and illness records, if you are required to keep these records.
(8) Am I required to report a work-related fatality or inpatient hospitalization
caused by a heart attack? Yes. The MIOSHA director will decide whether to
investigate the incident, depending on the circumstances of the heart attack.
(9) What if the fatality, inpatient hospitalization, amputation, or loss of an eye
does not occur during or immediately following the work-related incident? You
must report a fatality to MIOSHA only if the fatality occurs within 30 days of the
work-related incident. For an inpatient hospitalization, amputation, or loss of an
eye, you must report the event to MIOSHA only if it occurs within 24 hours of the
work-related incident. However, the fatality, inpatient hospitalization, amputation,
or loss of an eye must be recorded on your MIOSHA injury and illness records, if
you are required to keep these records.
(10) What if I don't learn about a reportable fatality, inpatient hospitalization,
amputation, or loss of an eye immediately? If you do not learn about a reportable
fatality, inpatient hospitalization, amputation, or loss of an eye at the time it
occurred, you must make the report to MIOSHA within the following time period
after the fatality, inpatient hospitalization, amputation, or loss of an eye is reported
to you or to any of your agents: 8 hours for a fatality, and 24 hours for an inpatient
hospitalization, an amputation, or a loss of an eye.
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