Worker’s Exposure Incident Form

The Worker’s Exposure Incident Form (form 3958A) is intended for voluntary use when an unplanned workplace exposure has resulted from a leak, spill, explosion, release, or an unexpected contact with a chemical or other substance, or psychological mistreatment. The event may have exposed workers to an infectious, chemical or other substance, or to psychological trauma. The purpose of this form is to obtain information about the exposure incident experienced by the worker should an illness or disease occur in the future.

Worker’s exposure claim adjudicative approach

WSIB Form and Explanation

About opseulocal500

Union office Unit 1, B-2A, (Basement, room 2A), Queen Street West Site 1001 Queen Street West Toronto, ON M6J 1H4 Tel: 416 535-8501 x32330 Fax: 416-583-1254 Email:
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