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

The Employer’s Report of Incident contains two sections:

Incident Section

It takes approximately 15 minutes to complete this section. Before you begin, please make sure you have the following information:

  1. Business Name and Address
  2. Email Address or Phone Number
  3. Position Title
  4. Incident Details:
    • Incident Injury (Was there an injury?)
    • Incident Location
    • Incident Date and Time
    • Incident Description
  5. Name(s) of the person(s) involved and their contact information
  6. Any documents related to the incident you would like to include, such as photos, investigation reports and written statements (submit these as attachments).

Injury Section

A report must be completed for each injured worker.

Providing you have all your information, it takes approximately 25 minutes to complete a report. You do not have to complete it in one sitting. You can save as you work through the sections. Before you begin, please make sure you have the following information:

  1. Worker’s:
    • 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 who we can contact for wage information
  4. Any documents related to the injury you would like to include (submit as attachments).