What information do I need to submit an Employer’s Report of Incident?

There are TWO sections that you will need to submit:

  1. Incident Section
  2. Injury and Fatality Section

Before you begin, please make sure you have the following:

Incident Information:

  1. Business name and address
  2. Email address or phone number
  3. Position title
  4. Incident details
    • Was there an injury
    • Was there a fatality
    • Incident location
    • Incident date and time
    • Incident description
  5. Names of the people involved and their contact information. This includes the names of all injured workers, fatally injured workers, as well as witnesses to the incident.
  6. Any documents related to the incident that you would like to include, such as photos, investigation reports, and statements (submit as attachments).

Injured worker information:

  1. Worker’s:
    • Name
    • Date of birth
    • Social Insurance Number (SIN)
    • Address
    • Email address or phone number
    • Supervisor name and email address or phone number
  2. A description of the injury
  3. If the worker missed any time from work:
    • Work schedule information
    • Name and details of who we can contact for work schedule information
    • Wage information (salary/benefits)
    • If the worker is being paid for missed time
    • Name and details of the person we can contact for wage information
  4. Any documents related to the injury you would like to include (submit as attachments).

For Employer’s Reports of Injury, you are able to assign an Email Key for sections that require information that the Incident Owner may not have (e.g. payroll information). Incident Owners will be able to send an Email Key to authorized WSCC Connect users to complete specific sections.

Fatally injured worker information:

  1. Worker’s:
    • Name
    • Marital status
    • Date of birth
    • Social Insurance Number (SIN)
    • Gender
    • Job title
    • Date and time of death
    • Name and address of attending doctor or coroner
    • Worker address
    • Supervisor name and email address or phone number
  2. Details about the nature of the individual’s employment.
  3. Contact details for the individual’s dependants or next of kin