Matching Pairs Workplace Injury TrainingOnline version Match the concepts related to workplace injury training. by Lindsay Willis 1 Witness Statement Document 2 Supervisor's Investigative Report 3 Investigation Techniques 4 Doctors Report of Treatment 5 Modified Duty Agreement 6 Employee Incident Report 7 Incident Report - Medical Release 8 Return to Work Expectations 9 Employee Statement on Incident Report Ask associate to show you what happened; get up and go to the scene if applicable May be accommodated on a short term/progressive basis, need to involve Director of Compliance Provides a statement from the supervisor that outlines what they saw during their investigation - utilize the five whys Want the associate to sign but they can refuse Not required if associate has a doctors note If an associate is injured enough to leave, they cannot come back to work without a doctors note Required to be written in associate's own words. May be completed in associate's native language Must be completed within 24 hours, ideally by the end of the associate's shift May be filled out by the first person notified, even if they did not witness the incident