Oregon Dept. of Forestry. Incident Analysis Form.
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Transcript of Oregon Dept. of Forestry. Incident Analysis Form.
![Page 1: Oregon Dept. of Forestry. Incident Analysis Form.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649da55503460f94a906d7/html5/thumbnails/1.jpg)
Oregon Dept. of Forestry
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Incident Analysis Form
![Page 3: Oregon Dept. of Forestry. Incident Analysis Form.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649da55503460f94a906d7/html5/thumbnails/3.jpg)
ODF SAIF 801
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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]
![Page 5: Oregon Dept. of Forestry. Incident Analysis Form.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649da55503460f94a906d7/html5/thumbnails/5.jpg)
![Page 6: Oregon Dept. of Forestry. Incident Analysis Form.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649da55503460f94a906d7/html5/thumbnails/6.jpg)
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.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649da55503460f94a906d7/html5/thumbnails/7.jpg)
IIR Form
Initial Incident Report
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SRI FormFire supervisor must complete within 3 days.
IIR Form is required along with this form.
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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
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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
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SF137 Form
(Vehicle AccidentReporting Form)
Needed if an employee is injured in a vehicle accident
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Agency Specific Clarifications
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Call Us! DNR’s Incident Business Manager
(Presenter at Workshop)
![Page 14: Oregon Dept. of Forestry. Incident Analysis Form.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649da55503460f94a906d7/html5/thumbnails/14.jpg)