oregon dept. of forestry. incident analysis form

Oregon Dept. of Forestry

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Oregon Dept. of Forestry

Incident Analysis Form

ODF SAIF 801

Page 4: Oregon Dept. of Forestry. Incident Analysis Form

CONTACT INFORMATION:

• Dan Jones, HR Generalist• Oregon Department of Forestry• Office: 503-945-7253• Cell: 541-619-8609• Fax: 503-945-7404• Email: [email protected]

mailto:[email protected]

Page 5: Oregon Dept. of Forestry. Incident Analysis Form

Page 6: Oregon Dept. of Forestry. Incident Analysis Form

New in 2013!

* Has information for injuries

(Great resource for incident business practices for DNR resources)

Page 7: Oregon Dept. of Forestry. Incident Analysis Form

IIR Form

Initial Incident Report

Page 8: Oregon Dept. of Forestry. Incident Analysis Form

SRI FormFire supervisor must complete within 3 days.

IIR Form is required along with this form.

Page 9: Oregon Dept. of Forestry. Incident Analysis Form

WA State DNR Injuries Information

* 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

Page 10: Oregon Dept. of Forestry. Incident Analysis Form

WA ST L&I Form

* Medical Providers have & initiate

* Form/process thru L&I must be followed. For help, call: 360.902.1061 or 800.562.6010

Page 11: Oregon Dept. of Forestry. Incident Analysis Form

SF137 Form

(Vehicle AccidentReporting Form)

Needed if an employee is injured in a vehicle accident

Page 12: Oregon Dept. of Forestry. Incident Analysis Form

Agency Specific Clarifications

Page 13: Oregon Dept. of Forestry. Incident Analysis Form

Call Us! DNR’s Incident Business Manager

(Presenter at Workshop)

Page 14: Oregon Dept. of Forestry. Incident Analysis Form

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