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WCB Incident Report Form - Picture Info
WCB Incident Report Form - Picture Info
Use the information on this page to help you fill out the incident report.
Imagine the picture below is yourself as a warehouse worker. Use it to help you fill in
how and what the injury is. You must have a minimum of 6 sequence markers in your
writing.
Because of this incident, you have lost 2 weeks of full-time work, but have now
returned. Your employer, BIM Metals, is not paying you for the lost time which would be
$21.50/hour for an 8 hour work day.
For the rest of the information needed for the form, fill it out with your own information.
However, you may change personal/confidential information (ie. SIN, health card
numbers, etc.)