Maryland incident report template

Maryland rules for this report

These rules are about how and when you report, not the template's fields. Check them before you deliver.

• Maryland applies the federal recording and reporting rule with its own changes: a work-related death is reported to MOSH within 8 hours, and an in-patient hospitalization, an amputation involving bone or cartilage loss, or the loss of an eye within 24 hours, by telephone or in person to the MOSH Central Office, by calling MOSH at 1-800-759-6297, or through MOSH's websiteCOMAR 09.12.21.02 A, B (29 CFR 1904.39 as adopted)
• Since June 8, 2026, the size and industry exemptions from injury recordkeeping apply only to private sector establishments: every Maryland public body, whatever its size or industry, records and reports work-related injuries and illnessesCOMAR 09.12.21.02 C (53:11 Md. R. 484, effective 2026-06-08)
• When an accidental injury causes disability for more than 3 days or death, the employer reports it to the Workers' Compensation Commission within 10 days of receiving oral or written notice of the disability or death, and reports an occupational disease disability promptly. The report states whether the injury arose out of and in the course of employment, the time, cause and nature of the injury and disability, and how long the disability will probably lastMd. Code, Lab. & Empl. 9-707
• If the employer was notified of the injury, or knew of the disability or death at the place it happened, the employee's time limit to file a claim does not start running until the employer files its report with the CommissionMd. Code, Lab. & Empl. 9-708 (b)
• An injured employee gives the employer oral or written notice within 10 days of the injury (30 days after a death); written notice gives the employee's name and address and the time, place, nature and cause of the injury in plain language, and is signed. Without notice a claim is barred unless the Commission excuses it for sufficient reason or because the employer was not prejudicedMd. Code, Lab. & Empl. 9-704 · Md. Code, Lab. & Empl. 9-706

What is in it

• What happenedWhat the person was doing just before the incident, with the tools, equipment or material used, then how the incident happened, in the order it happened.
• Injury or illness and treatmentThe part of the body affected and how, the object or substance that directly caused harm, and the first aid or medical treatment given and where.
• Damage to property, equipment or the environmentWhat was damaged, spilled or released, and how much, as the notes give it.
• Immediate actions takenWhat was done right away: first aid, emergency calls, the area made safe, equipment stopped or tagged out, and who was notified.
• CausesThe immediate cause and any underlying causes the notes identify: equipment, procedures, training, work conditions, supervision. Only what the notes support.
• Witness statementsName, Role, What they saw or said
• Corrective actionsAction, Responsible, Due, Status

Rules last reviewed October 13, 2026. Read the full Maryland incident report requirements.