1. Immediate Reporting:

• The employer must submit an Accident Report (Form-12) to the local ESIC branch office or ESI Dispensary within 24 hours of the occurrence of any accident that results in death or disablement of an employee.
• Minor accidents that do not cause absence from work do not need to be reported.

2. Online and Offline Submission:

• The Accident Report (Form-12) should be filed both online via the ESIC Employer Portal and physically at the concerned ESIC branch/dispenary.

3. Information to Include:

• Details of the injured employee (name, IP number, department, etc.)
• Date, time, and location of the accident
• Nature and cause of the accident
• Details of injury sustained
• Witness details, if available
• Steps taken post accident

4. Documentation:

• Collect and attach medical certificates, hospital records, ESI card, employer’s declaration, and police report (if applicable).
• Maintain Form-11 (Accident Register) as part of statutory records.

5. After Reporting:

• The ESIC branch will investigate fatal accidents within three days of receiving the report.
• The employee or their family may follow up with the local ESIC branch for further action and benefits.

Note: Failure to report within the stipulated time can result in penalties. Valid reasons for delay (e.g., police inquiry or hospitalization) should be recorded and explained in writing to the ESIC branch.

• Occurrence of accident → Notify ESIC branch/dispensary within 24 hours
• Use Form-12 Accident Report (available online)
• Attach relevant documents (medical certificate, witness statement, etc.)
• Maintain and update statutory registers (Form-11)
• Cooperate with ESIC inquiries and follow-up for benefits

This process ensures legal compliance and timely access to medical and disablement benefits for the affected employee