This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F417-048-000?
A: Form F417-048-000 is the Supervisor's Report of an Accident in Washington.
Q: Who needs to fill out this form?
A: Supervisors are required to fill out this form in case of an accident.
Q: What information does this form collect?
A: This form collects information about the accident, including the date, time, location, and description of the event.
Q: Is this form mandatory?
A: Yes, this form is mandatory for supervisors to fill out in the event of an accident.
Q: What should supervisors do with this form?
A: Supervisors should submit this form to their employer, who will then report the accident to the Department of Labor & Industries.
Q: Are there any deadlines for submitting this form?
A: Yes, supervisors are required to submit this form within 48 hours of the accident.
Form Details:
Download a printable version of Form F417-048-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.