If there is concern that an injury or illness may develop at a later date as a result of an unexpected workplace exposure due to a leak, spill, unanticipated emission, explosion, release of a chemical or substance, or contact with an infectious substance or biological agent, workers and employers can contact the WCB's General Enquiry Line at 204-954-4321 or 1-855-954-4321 to report a statement of concern.
This will ensure the WCB has a record of the exposure should an illness or injury related to exposure develop sometime in the future.
Information gathered by the WCB will include:
- Worker name, address, telephone number, date of birth, social insurance number, individual reported to at the place of employment
- Employer name, address, telephone number
- Date, time and location of exposure
- Source of exposure
- Type of exposure (chemical, other substances)
- Duration or degree of exposure (how long was the exposure and how long was the worker in the affected area?)
- Was any personal protective equipment worn?
When the WCB receives notification of a statement of concern it will clarify any missing details surrounding the exposure and contact the worker(s) in writing to provide confirmation of receipt of the statement of concern.
Details can also be submitted in writing to the WCB:
BY MAIL:
Workers Compensation Board of Manitoba
333 Broadway
Winnipeg MB
R3C 4W3
Attention: Occupational Disease Unit
BY FAX:
204-954-4330
Attention: Occupational Disease Unit
A statement of concern should only be reported if an unexpected workplace exposure has occurred and there has been no lost time from work and no injury or illness.