How to Prepare for an Industrial Injury Consultation

Information you may already have

• Date, time and place of the incident, and the name of the site or facility.
• A short description of what happened, in your own words. Incomplete is fine.
• Injuries, the hospitals and doctors involved, and any bills or letters you have received.
• Pay stubs or a rough weekly wage, and dates you have been unable to work.
• Your employer and, if you were placed by an agency, the agency name.
• Any incident report, claim form, or letter from an insurer you have already received or signed.
• Photos or video you took safely, and the names of coworkers who saw what happened.

Records an attorney may need to obtain

These are usually held by employers, contractors, manufacturers or agencies. You are not expected to collect them, and you should not go back to the site or ask for access you do not have.

• Maintenance, inspection and repair records for the equipment.
• Contracts between the companies working at the site.
• Safety program records, training records and prior incident reports.
• Machine data, control logs and surveillance footage held by others.
• Regulatory investigation files.

Worksite company worksheet

Fill in what you know. Leave the rest blank or write "not sure". A company listed here is not a finding that it is legally responsible. Entries stay in your browser and are not sent anywhere. Use your browser's print function to keep a copy.