California Code of Regulations › Title 8 - Industrial Relations › Division 1 - Department of Industrial Relations › Chapter 7 - Department of Industrial Relations › Subchapter 1 - Occupational Injury or Illness Reports and Records › Article 1 - Reporting of Occupational Injury or Illness › Section 14001 - Employer

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Every employer
					 shall file a complete report of every occupational injury or occupational
					 illness to each employee which results in lost time beyond the date of such
					 injury or illness or which requires medical treatment beyond first aid, as
					 defined in Labor Code Section
					 5401(a).
					 As used in this subdivision, "lost time" means absence from work for a full day
					 or shift beyond the date of the injury or illness.
(b) In the event an employer has filed a
					 report of injury or illness pursuant to subdivision
					 14001(a), and the
					 employee subsequently dies as a result of the reported injury or illness, the
					 employer shall file an amended report indicating such death, within five days
					 after the employer is notified or learns of the death.
(c) The report(s) required by subdivisions
					 14001(a) and (b)
					 shall be made on Form 5020, Rev. 6, Employer's Report of Occupational Injury or
					 Illness, reproduced in accordance with Section
					 14005, or by use of computer input
					 media, prescribed by the Division and compatible with the Division's computer
					 equipment. However, reports may be submitted on Form 5020, Rev. 5 until June
					 30, 1993.
(d) In the case of a
					 self-insured employer, the reports required by subdivision
					 14001(a) and (b)
					 shall be filed directly with the Division within five days after the employer
					 obtains knowledge of the injury, illness or death. In addition, the
					 self-insured employer shall transmit the doctor's report filed in accordance
					 with Section
					 14003 to the Division within five
					 days of receipt.
(e) In the case of
					 an insured employer, the report required by subdivisions
					 14001(a) and (b)
					 shall be filed with the insurer within five days after such insured employer
					 obtains knowledge of the injury, illness or death.
(f) To assure timely filing of the doctor's
					 first report, the employer, upon request by the physician, shall immediately
					 disclose the name and address of the employer's workers' compensation insurance
					 provider.
1. New
						section filed 3-3-47; effective thirtieth day thereafter (Register
						7).
2. Amendment filed 11-26-51; effective thirtieth day thereafter
						(Register 26, No. 5).
3. Repealer filed 5-16-73; designated
						effective 7-1-73 (Register 73, No. 20).
4. New section filed 2-8-80;
						designated effective 5-1-80 (Register 80, No. 6).
5. Amendment of
						subsection (b) filed 1-13-83; effective thirtieth day thereafter (Register 83,
						No. 3).
6. Amendment of subsections (b)-(d) filed 3-18-87; effective
						thirtieth day thereafter (Register 87, No. 12).
7. Amendment filed
						6-14-89; operative 7-14-89 (Register 89, No. 25).
8. Editorial
						correction of printing error in subsections (a) and (b) (Register 90, No.
						6).
9. Amendment of subsection (a), new subsection (b), subsection
						relettering, amendment of newly designated subsections (c)-(e), new subsection
						(f), and amendments of NOTE filed 1-14-93; operative 2-16-93 (Register 93, No.
						3).
Note: Authority cited: Section
						  6410, Labor
						  Code. Reference: Sections
						  5401(a),
						  6409(a)
						  and
						  6409.1(a),
						  Labor Code.