Instructor's Report of Accident / Incident

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  How to complete a fillable form.
Title Instructor's Report of Accident / Incident

This form must be submitted to L&I's Apprenticeship Section by the Instructor at the time of the incident and the appropriate Apprenticeship Program within 5 days of an accident/incident of an apprentice/trainee during Related Supplemental Instruction (RSI).

Document number F100-509-000
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Valid dates 03/2003
Contact information
Related information

Notice to Attending Physician of Apprentice / On-the-Job-Training Accident / Incident

Websites Apprenticeship

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