Environmental Health and Safety (EHS)

Department Work-Related Injury

What should the department do if an employee is injured on the job?

  1. If the injury is an emergency, arrange for appropriate medical treatment.  The employee has the right to select his or her own treating physician.  If employee is incoherent, the supervisor or administrative staff may select an emergency facility.  Send a responsible employee to accompany the injured employee.
  1. if the injury is not an emergency, complete the form, Notification of an On-The-Job Injury, for the employee to give to his/her medical provider.
  1. All work-related injuries or illnesses must be reported.  Complete the form, Employer’s First Report of Injury or Illness. Send it to Environmental Health & Safety Department within 24 hours from the time of the injury.  This form is required whether or not there is lost time from work.
  1. If the injury/illness involves more than one day of lost time from work, fax a copy of the Employer’s First Report of Injury or Illness form to the Environmental Health & Safety Department, at 567-2965 then send the original through campus mail.  In addition, the form Workers’ Compensation Leave of Absence must be completed by the employee and the department representative.  This form is necessary for each period of time the employee has lost time (more than a day/shift due to the injury).  Finally, the employee must be given notice that he or she will be placed under the Family Medical Leave Act (FMLA) from the first day of absence if the employee and injury are eligible under the law.  Call the Office of Human Resources for more information about FMLA and procedures to follow.
  1. If the employee is on paid or unpaid leave of absence due to the injury/illness for more than 30 working days, the employee and department must complete the Health Science Center’s Exit/Clearance Form.  In addition, if the employee is taken off the payroll due to the injury/illness, the transaction must be entered into PeopleSoft.
  1. When the employee is medically released by the treating physician and he/she physically returns to work, the form Supplemental Report of Injury must be sent to the Environmental Health & Safety Department within 24 hours of the return to work date.  The transaction showing the return to payroll must be entered into PeopleSoft.  Lost time injuries also require Supplemental Reports of Injury when there are additional days of disability, a return to work after additional days of disability, a change in the employee’s time or pay, or a termination/resignation or death.  Fax a copy of this form to the Environmental Health & Safety Department at 567-2965 and mail the original.  
  1. Forward all doctor’s bills and/or notes to the Environmental Health & Safety Department to the attention of the Workers’ Compensation Coordinator.
  1. The unsafe condition which caused the injury should be corrected.  If assistance is necessary to accomplish the correction, call the Environmental Health & Safety Department at 567-2955.

If you have any questions, contact the Workers’ Compensation Coordinator in the Environmental Health & Safety Department at 567-2955.