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ARCHIVED REPORTS_1999
EnvironmentalHealth
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4400 - Solid Waste Program
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ARCHIVED REPORTS_1999
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Last modified
7/17/2020 3:53:20 PM
Creation date
7/3/2020 10:47:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
1999
RECORD_ID
PR0440005
PE
4433
FACILITY_ID
FA0004516
FACILITY_NAME
FORWARD DISPOSAL SITE
STREET_NUMBER
9999
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106001-3, 5
CURRENT_STATUS
01
SITE_LOCATION
9999 AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4433_PR0440005_9999 AUSTIN_1999.tif
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EHD - Public
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13. Report the incident to the nearest CAL/OSHA district office within 24 hours. <br />* If an injured employee is hospitalized for more than 24 hours for more than <br />routine observation. <br />* If an employee is fatally injured use the Preliminary Report of Industrial Accident <br />form to report the incident. CAL/OSHA address: 2424 Arden Way, Suite 330, <br />Sacramento, CA 95825 [(916) 920-6131]. <br />14. Forward, Inc. must provide an "Employee Claim Form for Worker's Compensation <br />Benefit's" to the employee within 24 hours of learning of the injury or illness. <br />Follow Up <br />Investigate the accident. <br />* Find out what happened. <br />* Who saw what happened. <br />* How could the accident have been prevented. <br />* Take pictures if the situation warrants. <br />2. Use the "Accident Injury and Illness Investigation Form" or the "Supplementary <br />Record of Occupational Injuries and Illness" available from CAL/OSHA. <br />3. The "Employer's First Report of Occupational Injury and Illness must be completed <br />when an employee suffers and occupational injury or illness if: <br />* The occupational injury/illness results in lost time (defined as an absence from <br />work for a full day or shift beyond the date of the injury or illness). <br />* The occupational injury or illness requires medical treatment beyond first aid. <br />Note: You do not need to file an "Employer's First" if the occupational injury or illness <br />results only in first aid treatment or there is no lost time. The "Employer's First" must be <br />filed with your Worker's Compensation insurance carrier within five days, or the Division <br />of Labor Statistics if you are self-insured. <br />
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