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Occupational Disease Reporting Requirements and Forms

Reports of work-related diseases, injuries, and poisonings trigger public health follow-up by the Occupational Health Surveillance Unit. This includes an interview with the reported individual and worksite contact to ensure that co-workers are not also at risk.
 
Reporting is vital to preventing further disease and is required by the New Jersey regulations listed on this page. Reportable work-related conditions include: silicosis, work-related asthma, asbestosis, poisonings due to heavy metals and pesticides, work-related injuries in children under the age of 18, work-related fatalities, and occupational dermatitis. A complete list of reportable conditions can be found in the regulations and on the reporting forms.

Reporting Regulations and Forms
revised April 6, 2009*

 Regulated Community Regulation  Reporting Form
Physicians, advanced practice nurses, and physician assistants* N.J.A.C. 8:58-1.5, 1.6, 1.7* Occ-31
[pdf 26k]
[doc 64k]
Clinical laboratories N.J.A.C. 8:44-2.11 Occ-34
[pdf 15k]
[doc 49k]
Hospitals N.J.A.C. 8:58-1.4, 1.6, 1.7*
n/a

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Last Modified: Thursday, 29-Jul-10 08:56:39