1. Oregon Dept. of Forestry

2. Incident Analysis Form

3. ODF SAIF 801

4. CONTACT INFORMATION: Dan Jones, HR Generalist Oregon Department of Forestry Office: 503-945-7253 Cell: 541-619-8609 Fax: 503-945-7404 Email: djones@odf.state.or.usdjones@odf.state.or.us

6. New in 2013! * Has information for injuries (Great resource for incident business practices for DNR resources)

7. IIR Form Initial Incident Report

8. SRI Form Fire supervisor must complete within 3 days. IIR Form is required along with this form.

9. WA State DNR Injuries Information * On-the-job injuries are covered by WA ST Labor & Industries (L&I) * Medical expenses are covered by providers completing the form when services are provided * Failure to use the L&I process could result in injured employee paying costs out of pocket without reimbursement

10. WA ST L&I Form * Medical Providers have & initiate * Form/process thru L&I must be followed. For help, call: 360.902.1061 or 800.562.6010

11. SF137 Form (Vehicle Accident Reporting Form) Needed if an employee is injured in a vehicle accident

12. Agency Specific Clarifications

13. Call Us! DNR’s Incident Business Manager (Presenter at Workshop)