The Employee-Supervisor Incident Report is a mandatory form for documenting workplace injuries, exposures, or safety concerns. Employees must complete and return this form to their supervisor within 72 hours, detailing the time, location, and nature of the incident, as well as any injuries sustained. Supervisors must then investigate the incident, identify potential causes, and implement corrective measures. This report is submitted to Tuolumne JPA and Human Resources for compliance with workers’ compensation and safety regulations.