Employment law

Occupational illness or accident: the employer's obligations

10 September 2026

First aid, reporting within 48 hours, and compensation borne by the INPS.

Where the condition is occupational in origin, the regime changes entirely: it is no longer the employer that compensates, but the INPS. In return, two obligations fall on the employer, and both play out in the hours following the event.

These two obligations, give aid, then report, are what condition the victim's access to benefits. On the regime for conditions unconnected with work, see Non-occupational illness or accident.

1. The first obligation: give aid

In case of a workplace accident or occupational disease, the employer must:

  • provide first aid;
  • alert the available doctor;
  • have the employee taken to the nearest health centre.

This obligation is immediate and awaits no verification. It presupposes arrangements made in advance: an accessible first-aid kit, identified first aiders, the contact details of the designated health centre posted, and transport available. This is exactly what belongs in the hygiene and safety part of the internal rules. Social Security Code, Article 72 (French).

2. The second obligation: report within 48 hours

The employer must report within 48 hours every workplace accident and every occupational disease established. The report goes to the INPS.

Two clarifications on when the deadline starts:

SituationStart of the deadline
Event occurring in MaliThe occurrence of the accident or the establishment of the disease
Event occurring outside MaliThe employer's receipt of the information

The deadline therefore does not run from the end of an internal enquiry. An incomplete file filed on time is always worth more than a complete file filed late: supporting documents follow, the deadline cannot be recovered. Social Security Code, Article 71 (French).

3. Why does this deadline matter so much?

Because it conditions cover. Compensation by the INPS requires three conditions to be met:

  • the company and the victim are registered with the INPS;
  • social contributions are up to date;
  • the accident was reported within the prescribed period.

If any is missing, the burden of compensation returns to the employer, without prejudice to damages and administrative penalties. A late report therefore does not merely delay a payment: it turns a pooled risk into a company debt.

4. Compensation for the victim

Employees whose contract is suspended following an occupational disease or workplace accident are compensated by the INPS, under the Social Security Code. Cover includes:

BenefitPurpose
Medical costs and hospitalisationCare related to the condition
Prosthetic appliancesSupply and replacement
Transport costsTravel connected with care
Daily allowancesIncome replacement during temporary incapacity
PensionIn case of permanent incapacity

The payroll consequence: the absence is not treated as ordinary sick leave, and the employer does not apply the compensation scale for non-occupational conditions.

5. Effects on the contract

Unavailability suspends the employment contract, with no six-month limit, unlike the non-occupational regime.

  • The post is kept throughout the incapacity.
  • The period counts towards seniority and is treated as effective work for calculating annual leave.
  • Termination during the incapacity is closed off, save for misconduct of sufficient gravity assessed under the ordinary rules.
  • Where unfitness is found by the occupational physician, redeployment is possible, including to a lower post, but with pay maintained.

Labour Code, Articles L.34 and L.149 (French).

6. What to do, in order

PriorityActionTiming
1First aid, alert the doctor, transport to the health centreImmediate
2Secure the area and prevent a second accidentImmediate
3Record the facts, time, place and witness statementsThe same day
4Report to the INPS, with reasoned reservations if in doubt48 hours
5Treat the absence as suspension, not as ordinary illnessFrom the start of the absence
6Analyse the cause and correct what made the accident possibleIn the following days

Key takeaways

The ruleWhat it implies
First aid, doctor, transportAn immediate obligation, to be organised in advance
Reporting within 48 hoursFrom the events, or from receipt of the information where the event occurred outside Mali
Three conditions for coverRegistration, contributions up to date, timely reporting
Failing those, the employer bears the compensationPlus damages and penalties
The INPS compensates throughout the incapacityWithout the six-month limit of the non-occupational regime
Unfitness: redeployment with pay maintainedRedeployment does not justify a pay cut