Toolbox Talk – WCL 1 Form

The WCL1 form is used by employers in South Africa to report an occupational disease contracted by an employee due to workplace exposure. It is submitted to the Compensation Fund under the Compensation for Occupational Injuries and Diseases Act (COIDA) to initiate a compensation claim.

When to use

• An employer must complete this form within 14 days of learning that an employee has an occupational disease.

Key Details Included in the Form:

• Employer Information: Company name, address, registration number, and industry type.
• Employee Details: Name, ID number, occupation, and employment history.
• Disease Information: Diagnosis, date of first symptoms, and medical confirmation of the condition.
• Exposure Details: Workplace conditions, substances, or activities leading to the disease.
• Medical Practitioner’s Report: Confirmation of the diagnosis and impact on the employee’s ability to work.
• Declaration by Employer: Confirmation that the details provided are accurate.

Documents needed to claim compensation

• Certified copy of the injured person’s ID.
• Copy of the injured person’s current payslip.
• First Medical Report from the doctor.

Who can claim compensation

• Anyone who is employed, apprenticed, or being trained by an employer, and is injured or gets sick on or because of the job.

Other forms related to work injuries

• WCL 2: Notice of Accident and Claim for Compensation, completed by an employee who has been injured or become sick on the job.
• WCL 3: Employer’s Report of Accident, completed by an employer to report an accident to the Compensation Commissioner.
• WCL 4: First Medical Report, completed by a doctor.

This form is essential for employees seeking compensation and medical benefits for workplace-related illnesses and helps employers meet legal reporting requirements under COIDA.

Download the full Toolbox Talk document on WCL 1 Form below:

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