Clinics and Emergency Rooms in the
The N.C. Industrial Commission for Workers Compensation and the Department of Labor require that the University collect data about all occupational accidents, injuries, and illnesses to employees. The data from all such occurrences is compiled in several reports by EH&S.
These reports also initiate investigations and / or payment of claims. They are designed to reduce both the number and severity of such incidents.
To reduce injuries on campus, as well as the likelihood of their being repeated.
Many times a bad situation that causes a near-miss or minor accident is not corrected and results in a much more serious accident.
The supervisor has the responsibility to investigate and report all occurrences (occupational injury/ illness, first aid, and near-miss incidents ) happening in their work area. Once the investigation is complete, the supervisor must fill out the appropriate forms. EH&S will compile all data and disseminate reports as required by law.
If an employee is injured during working hours, and has not sustained a medical emergency, the supervisor should complete a Supervisor's Medical Treatment Authorization Form and call one of the approved medical facilities (Raleigh area Kannopolis area) before sending the employee for treatment.
If an employee is injured off campus, use whatever existing medical care facility is available. It is still the supervisor's responsibility to complete all the appropriate forms.
In case of a serious work-related injury, illness, or Near Miss the immediate concern is to aid the affected person. The following procedure is to be used:
OSHA requires that records of all occupational injuries and illnesses be maintained and reported to employees and regulatory agencies. Required record keeping includes:
2. A supplementary record, giving detailed data for each individual accident, injury, or illness.
The Supervisor will need to ensure that the First report of injury (filled-out by the Supervisor) and the Employee Statement form (filled-out by the employee) are completed for every occupational Injury/Illness, First-Aid, and Near-Miss Incident that occurs with employees in which she or he supervises.
If medical treatment is sought, then the Supervisor shall also complete the Workers’ Compensation Form 19, Leave Options form, and WC Authorization | Physician’s Report | Pharmacy Guide form for the employee.
If an employee is injured during working hours and it is not a medical emergency, then the supervisor should complete a WC Authorization | Physician’s Report | Pharmacy Guide form and call one of the approved medical facilities (Raleigh area Kannopolis area) before sending the employee for treatment with the WC Authorization | Physician’s Report | Pharmacy Guide form in hand.
In addition, a Workers’ Compensation form 19 will be required for Workers’ Compensation consideration. This form will insure:
Before sending the employee for treatment.
Accident investigations are necessary to identify accident causation and insure implementation of corrective action. Therefore, supervisors shall immediately investigate and report all occurrences (near miss, accidents, illnesses)with a written investigation report.
Supervisors can help improve accident reporting in several ways:
2. Take action on all incidents immediately
3. Emphasize the importance of reporting incidents in regular meetings with employees.
2. Control hazards/secure accident site
3. Investigate promptly
6. Interview employee and witnesses
7. Implement corrective action
8. Prepare incident form(s)
9. Report the incident to EH&S
Answer all questions on the First Report of Injury Form. If no answer is available or the question does not apply, indicate by "n/a." (not applicable). Make answers complete and specific.
Use a separate form for each employee injured in a multiple-injury accident. Make sure you enter the anticipated date for implementing corrective action.
Send a copy of the accident investigation documents to Environmental Health within 5 days.
When a single accident involves four or more injured persons, or results in the death of a state employee, the supervisor must immediately notify EH&S immediately. Within 8 hours Environmental Health shall notify OSHA, and the Employee Safety and Health Division at the Office of State Personnel.
All Accident reporting forms are available on-line or call the Environmental Health and Safety Center (919-515-6871).