Skip to main content
WSIB
About us
Policy
Contact us
English
Français
Enter search terms
Toggle Search
Sign up
Businesses
Injured or ill people
Health care providers
Representatives and others
Log in
Businesses
Injured or ill people
Health care providers
Representatives and others
Menu
Sign up
Businesses
Injured or ill people
Health care providers
Representatives and others
Log in
Businesses
Injured or ill people
Health care providers
Representatives and others
Businesses
Registration and coverage
Registration and coverage
Do you need to register with us?
Information you need to register your business
Employer Classification Manual (ECM)
Independent operators
Registration FAQs
New businesses - what you need to know
Mandatory coverage in the construction industry
Meeting your responsibilities
Premiums and payment
Premiums and payment
2025 Premium Rates
Rates from past years
Surplus rebate
How to report and pay your premiums
Understanding your rate
How to calculate your premium and insurable earnings
Premiums and payment FAQs
Reconciliation
Clearances
Business audits
Schedule 2
Experience rating programs
Account maintenance
Managing your account
Account balance and statements
Ownership changes
Changes to your business
Business activity change
Buying or selling your business
Authorizing a business representative
How to communicate with the WSIB by email
Closing your account
Claims
Claims
Injury or illness reporting
Fatality support
COVID-19 FAQs for business accounts
Occupational disease and workplace health hazards
Benefits provided to people with claims
Administrative Practice Documents
Return to work
Return to work
Return-to-work responsibilities
Getting help
Co-operating in the return-to-work process
Return to work and disability resources
Service providers
Appeals
Appeals
Objecting to a WSIB decision
Employer account operations decision
Review of claim file
Formal appeal
Representation
Appeal is registered
The oral hearing
Withdrawals
Appeals decision
Disagreeing with a decision of the ARO
Appeals: Common definitions
Small business
Small business
Benefits and programs
Health and safety
Health and safety
What you need to know about health and safety
First Aid Program
Health and Safety Excellence program
Check a business's safety record
Forms: Businesses
Forms: Businesses
Resources
Resources for businesses
Your Guide: services and responsibilities – business edition
Injured or ill people
Claims
Report an injury or illness
Making a claim for occupational disease
Making a claim for noise-induced hearing loss
Making a claim for COVID-19
Make a claim for work-related mental stress
Online services for your claim
Benefits
Occupational disease and survivors benefits program
Meeting your responsibilities
Administrative Practice Documents
Return to work
Return to work
Responsibilities for workers
Getting help with work reintegration for workers
Co-operating in the return-to-work process
Return to work and disability resources
Service providers
Appeals
Appeals
Objecting to a WSIB decision
Employer account operations decision
Review of claim file
Formal appeal
Representation
Appeal is registered
The oral hearing
Withdrawals
Appeals decision
Disagreeing with a decision of the ARO
Health and safety
Health and safety
First Aid Program
Check a business’s safety record
Forms: Injured or ill people
Forms: Injured or ill people
Resources for injured or ill people
Overview
Health care programs: Find a provider
Your Guide: Benefits, services and responsibilities – Claimant edition
Workplace fatality support
Report a workplace fatality or catastrophic accident
For families
FAIR partnership
Health care providers
Provider information
Health care information
Reporting requirements
Meeting your responsibilities
Provider fees
Provider fees
Health practitioner fees
Guidelines
Preferred suppliers
Preferred suppliers
Health care equipment and supplies
Information about hearing devices
Occupational disease
List of occupational diseases adjudicated by WSIB
Ontario regulation film services program
Programs
Health care programs
Community Mental Health Program
Programs of care
Interdisciplinary team program of care
Occupational health hub
Specialized recovery services
Drug benefit program
Serious injury program
Forms
Forms: Health care providers
Resources
Resources for health care providers
Health care practitioners & the WSIA
Physician learning modules
exposure incident report (all industries) (3958A)
Keywords
Forms
Type of file
PDF
Attachment File
3958a_202407_workersexposureincidentform_web.pdf
Sign up
Businesses
Injured or ill people
Health care providers
Representatives and others
Log in
Businesses
Injured or ill people
Health care providers
Representatives and others
Businesses
Registration and coverage
Registration and coverage
Do you need to register with us?
Information you need to register your business
Employer Classification Manual (ECM)
Independent operators
Registration FAQs
New businesses - what you need to know
Mandatory coverage in the construction industry
Meeting your responsibilities
Premiums and payment
Premiums and payment
2025 Premium Rates
Rates from past years
Surplus rebate
How to report and pay your premiums
Understanding your rate
How to calculate your premium and insurable earnings
Premiums and payment FAQs
Reconciliation
Clearances
Business audits
Schedule 2
Experience rating programs
Account maintenance
Managing your account
Account balance and statements
Ownership changes
Changes to your business
Business activity change
Buying or selling your business
Authorizing a business representative
How to communicate with the WSIB by email
Closing your account
Claims
Claims
Injury or illness reporting
Fatality support
COVID-19 FAQs for business accounts
Occupational disease and workplace health hazards
Benefits provided to people with claims
Administrative Practice Documents
Return to work
Return to work
Return-to-work responsibilities
Getting help
Co-operating in the return-to-work process
Return to work and disability resources
Service providers
Appeals
Appeals
Objecting to a WSIB decision
Employer account operations decision
Review of claim file
Formal appeal
Representation
Appeal is registered
The oral hearing
Withdrawals
Appeals decision
Disagreeing with a decision of the ARO
Appeals: Common definitions
Small business
Small business
Benefits and programs
Health and safety
Health and safety
What you need to know about health and safety
First Aid Program
Health and Safety Excellence program
Check a business's safety record
Forms: Businesses
Forms: Businesses
Resources
Resources for businesses
Your Guide: services and responsibilities – business edition
Injured or ill people
Claims
Report an injury or illness
Making a claim for occupational disease
Making a claim for noise-induced hearing loss
Making a claim for COVID-19
Make a claim for work-related mental stress
Online services for your claim
Benefits
Occupational disease and survivors benefits program
Meeting your responsibilities
Administrative Practice Documents
Return to work
Return to work
Responsibilities for workers
Getting help with work reintegration for workers
Co-operating in the return-to-work process
Return to work and disability resources
Service providers
Appeals
Appeals
Objecting to a WSIB decision
Employer account operations decision
Review of claim file
Formal appeal
Representation
Appeal is registered
The oral hearing
Withdrawals
Appeals decision
Disagreeing with a decision of the ARO
Health and safety
Health and safety
First Aid Program
Check a business’s safety record
Forms: Injured or ill people
Forms: Injured or ill people
Resources for injured or ill people
Overview
Health care programs: Find a provider
Your Guide: Benefits, services and responsibilities – Claimant edition
Workplace fatality support
Report a workplace fatality or catastrophic accident
For families
FAIR partnership
Health care providers
Provider information
Health care information
Reporting requirements
Meeting your responsibilities
Provider fees
Provider fees
Health practitioner fees
Guidelines
Preferred suppliers
Preferred suppliers
Health care equipment and supplies
Information about hearing devices
Occupational disease
List of occupational diseases adjudicated by WSIB
Ontario regulation film services program
Programs
Health care programs
Community Mental Health Program
Programs of care
Interdisciplinary team program of care
Occupational health hub
Specialized recovery services
Drug benefit program
Serious injury program
Forms
Forms: Health care providers
Resources
Resources for health care providers
Health care practitioners & the WSIA
Physician learning modules
About us
Policy
Contact us
