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!
