Form 07-6101 - Report Of Occupational Injury Or Illness Page 3
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3OSHA REQUIREMENTS
Report industrial deaths and accidents to the Division of Labor Standards and Safety.
Alaska Statute 18.60.058 requires employers to report to Division of Labor Standards and Safety any
employment accident which is fatal to one or more employees or which results in the overnight
hospitalization of one or more employees. The report, which must be made immediately, but no later than
8 hours after receipt by the employer of information that the accident has occurred, must relate the
circumstances of the accident, the number of fatalities, and the extent of the injuries.
·
Monday-Friday Alaska OSH (800) 770-4940
24-hour OSHA Hotline (800) 321-6742
“Injury” means accidental injury or death arising out of in the course of employment and an
occupational disease, illness, or infection which arises naturally out of the employment or which
naturally or unavoidably results from an accidental injury.
“Injury” does not include mental injury caused by stress unless it is established that (A) the work
stress was extraordinary and unusual in comparison to pressures and tensions experienced by
individuals in a comparable work environment, and (B) the work stress was the predominant cause
of the mental injury. A mental injury is not considered to arise out of and in the course of
employment if it results from a disciplinary action, work evaluation, job transfer, layoff, demotion,
termination, or similar action taken in good faith by the employer.
Alaska Worker's Compensation
Alaska Labor Standards and
Division Offices:
Safety Division Offices:
Anchorage: 3301 Eagle Street, #304
3301 Eagle Street, #305
Anchorage, AK 99510-7019
Anchorage, AK 99503-4149
(907) 269-4980
(907) 269-4940 or
(800) 770-4940
Fairbanks: 675 Seventh Avenue, Station K
Fairbanks, AK 99701-4586
(907) 451-2889
Juneau: 1111 West 8th Street, #305
1111 West 8th Street, #304
PO Box 115512
PO Box 111149
Juneau, AK 99811-5512
Juneau, AK 99811-1149
(907) 465-2790
(907) 465-4855
Form 07-6101 (Rev 04/2011)
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