Instructor's Report of Accident / Incident
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
||
| Title |
 Instructor's Report of Accident / Incident (57 KB DOC)
|
|
| Description | This form must be submitted to L&I's Apprenticeship Section by the Instructor at the time of the incident and the appropriate Apprenticeship Program within 5 days of an accident/incident of an apprentice/trainee during Related Supplemental Instruction (RSI). | |
| Detail | ||
| Form number | F100-509-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | accident, apprenticeship, injury, report of accident | |
| Languages | English | |
| Valid dates | 03-2003 | |
| Contact information | ||
| Related information | ||
| Documents | Notice to Attending Physician of Apprentice / On-the-Job-Training Accident / Incident |
|
| Web pages | Apprenticeship | |
We value your feedback!
Please take this survey to help improve the L&I website.
Take survey
(About 3 minutes)
© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.