2005 Washington Revised Code RCW 51.28.025: Duty of employer to report injury or disease — Contents — Penalty. (Expires June 30, 2007.)

(1) Whenever an employer has notice or knowledge of an injury or occupational disease sustained by any worker in his or her employment who has received treatment from a physician or a licensed advanced registered nurse practitioner, has been hospitalized, disabled from work or has died as the apparent result of such injury or occupational disease, the employer shall immediately report the same to the department on forms prescribed by it. The report shall include:

     (a) The name, address, and business of the employer;

     (b) The name, address, and occupation of the worker;

     (c) The date, time, cause, and nature of the injury or occupational disease;

     (d) Whether the injury or occupational disease arose in the course of the injured worker's employment;

     (e) All available information pertaining to the nature of the injury or occupational disease including but not limited to any visible signs, any complaints of the worker, any time lost from work, and the observable effect on the worker's bodily functions, so far as is known; and

     (f) Such other pertinent information as the department may prescribe by regulation.

     (2) Failure or refusal to file the report required by subsection (1) shall subject the offending employer to a penalty determined by the director but not to exceed two hundred fifty dollars for each offense, to be collected in a civil action in the name of the department and paid into the supplemental pension fund.

[2004 c 65 § 5; 1987 c 185 § 32; 1985 c 347 § 1; 1975 1st ex.s. c 224 § 5; 1971 ex.s. c 289 § 39.]

Report to legislature -- Effective date -- Expiration date -- Severability -- 2004 c 65: See notes following RCW 51.04.030.      Intent -- Severability -- 1987 c 185: See notes following RCW 51.12.130.      Effective date -- 1975 1st ex.s. c 224: See note following RCW 51.04.110.      Effective dates -- Severability -- 1971 ex.s. c 289: See RCW 51.98.060 and 51.98.070. RCW 51.28.025 (1) Whenever an employer has notice or knowledge of an injury or occupational disease sustained by any worker in his or her employment who has received treatment from a physician, has been hospitalized, disabled from work or has died as the apparent result of such injury or occupational disease, the employer shall immediately report the same to the department on forms prescribed by it. The report shall include:      (a) The name, address, and business of the employer;      (b) The name, address, and occupation of the worker;      (c) The date, time, cause, and nature of the injury or occupational disease;      (d) Whether the injury or occupational disease arose in the course of the injured worker's employment;      (e) All available information pertaining to the nature of the injury or occupational disease including but not limited to any visible signs, any complaints of the worker, any time lost from work, and the observable effect on the worker's bodily functions, so far as is known; and      (f) Such other pertinent information as the department may prescribe by regulation.      (2) Failure or refusal to file the report required by subsection (1) shall subject the offending employer to a penalty determined by the director but not to exceed two hundred fifty dollars for each offense, to be collected in a civil action in the name of the department and paid into the supplemental pension fund. [1987 c 185 § 32; 1985 c 347 § 1; 1975 1st ex.s. c 224 § 5; 1971 ex.s. c 289 § 39.] Notes: 51.12.130.      Effective date -- 1975 1st ex.s. c 224: See note following RCW 51.04.110.      Effective dates -- Severability -- 1971 ex.s. c 289: See RCW 51.98.060 and 51.98.070.