Injury or illness report INJ000000001
Demo data for Aldermoor County, a fictional agency.
Report
- Employee
- Otis Farrow (00032741)
- Incident date
- Jun 30, 2026
- Location
- Central Garage, tire bay
- What happened
- Strained his lower back lifting a truck tire onto the balancer.
- Injury or illness
- Strain or sprain
- Body part
- Back
- Medical treatment
- Clinic visit
- Primary cause
- Lifting or carrying
- Witness
- None
- Workers' compensation claim number
- WC-5521
Follow-up
- Returned to work
- Yes
- Return date
- Jul 7, 2026
- Corrective action
- A tire lift was installed in the bay.
- Comments
- None
Status
- Status
- Completed
- Completed date
- Jul 30, 2026