Workers Comp Report Quick Training

Keep This in Mind

In case of emergency or serious injury call:

  • Kirt Poulsen (Safety & Industrial Hygiene Manager, 797-3507)

  • Steve Bilboa (Environmental Health & Safety Director, 797-2763), or

  • Environmental Health & Safety Office, 797-2892

What to do:

  • Take care of the injured employee. Provide first aid and if required take him/her to Intermountain WorkMed.

  • Report all accidents (either by manager or employee) as soon as possible of their occurrence to Kristie Larsen (Worker's Compensation Administrator, Office of Human Resources) at 797-0197.

  • Fill out Worker's Compensation First Report of Injury Form and send it to Human Resources as soon as possible.

  • If the injury is not serious, above is sufficient.

  • If the accident results in death or is very serious and/or life threatening according to a reasonable person, call 911 and report as soon as possible to:

    • Kirt Poulsen (Safety & Industrial Hygiene Manager, 797-3507)

    • Steve Bilboa (Environmental Health & Safety Director, 797-2763)

    • Environmental Health & Safety Office, 797-2892

  • Note: Secure the accident area and do not allow potential evidence to be disturbed by you or others.

  • If the accident occurs during off hours or over the weekend, you must immediately report to OSHA by calling 801-530-6910 and to Environmental Health and Safety by calling 435-797-2892 at the start of the next normal business day.

NOTE: In rare cases ex. violence, you may also need to report it to the USU Police Department at 797-1939.

Hazard, Accident and Incident Flowchart

Last Updated on 7/19/12

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