• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar

Prevention Link

Disability Prevention at Work

  • Occupational Disability Response Training
  • Return to Work
  • The Lighthouse Initiative
  • Home
  • About
    • App Download
  • Services
    • Occupational Disability Response Training
    • Return to Work
    • The Lighthouse Initiative
      • Information Guides
  • Events
  • Order Items
  • Instructor Zone
  • Awards
    • Award Recipients
  • Testimonials
  • Resources
  • Twitter
  • Facebook
  • Instagram
  • Linkedin

Workers’ Compensation Exposure Incident Reporting

Exposure incident forms are used to voluntarily report an unexpected workplace exposure event, with no lost time and no illness. 

To report a workplace exposure the worker may complete one of these forms:
Worker’s Exposure Incident Form ( 3958A) (PEIR)
Worker’s Exposure Incident Reporting Form for Construction (3885A ) (CEIR)

To report a workplace exposure the employer may complete one of these forms:
Employer’s Exposure Incident Form (3959A ) (PEIR)
Employer’s Exposure Incident Reporting Form (Construction) (3886A ) (CEIR)

Keep this handy resource at your workplace. To download it as a PDF, click here!

 

 

Primary Sidebar

Contact Us

Prevention Link

15 Gervais Drive, Suite 200
Toronto ON M3C1Y8

416-441-2731 1-800-668-9138

info@preventionlink.ca

Directory:
The Prevention Link Team >>
OFL Officers >>

Office Hours
Prevention Link maintains office hours Monday through Fridays from 9:00 a.m. until 4:00 p.m.

Cart

COPE Local 343 logo Copyright 2023 Prevention Link. All rights reserved. Contact

Brought to you by OFL logo

The views expressed in this publication are the views of the Ontario Federation of Labour (OFL) and Prevention Link and do not necessarily reflect those of the province of Ontario and the Workplace Safety and Insurance Board (WSIB).