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Oregon Dept. of Forestry Incident Analysis and Injury Reporting Procedures

This document outlines the procedures for reporting on-the-job injuries within the Oregon Department of Forestry. It includes vital contact information for HR Generalist Dan Jones along with a reminder that the Initial Incident Report (IIR) Form and the Safety Reporting Incident (SRI) Form must be completed within three days of an incident. It emphasizes the importance of following Washington State Labor & Industries (L&I) protocols for medical expenses to ensure reimbursement for injured employees. Additional resources and contact numbers for assistance are provided.

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Oregon Dept. of Forestry Incident Analysis and Injury Reporting Procedures

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  1. Oregon Dept. of Forestry

  2. Incident Analysis Form

  3. ODF SAIF 801

  4. CONTACT INFORMATION: • Dan Jones, HR Generalist • Oregon Department of Forestry • Office:  503-945-7253 • Cell:  541-619-8609 • Fax:  503-945-7404 • Email:  djones@odf.state.or.us

  5. New in 2013! * Has information for injuries (Great resource for incident business practices for DNR resources)

  6. IIR Form Initial Incident Report

  7. SRI Form Fire supervisor must complete within 3 days. IIR Form is required along with this form.

  8. * On-the-job injuries are covered by WA ST Labor & Industries (L&I) * Medical expenses are covered by providers completing the form when services are provided * Failure to use the L&I process could result in injured employee paying costs out of pocket without reimbursement WA State DNR Injuries Information

  9. * Medical Providers have & initiate* Form/process thru L&I must be followed. For help, call: 360.902.1061 or 800.562.6010 WA ST L&I Form

  10. SF137 Form (Vehicle Accident Reporting Form) Needed if an employee is injured in a vehicle accident

  11. Agency Specific Clarifications

  12. Call Us! DNR’s Incident Business Manager (Presenter at Workshop)

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