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Risk Management

Injury & Illness Information

Accident Investigation/Illness Report

Accident Investigation

The senior staff member available at the accident scene or the first member notified should complete the appropriate investigation reporting form (accident, incident, or near miss). When the Accident Investigation Report form is complete, it should be sent to the Office of Risk Management who will report it to the Accident Investigation Committee.


When a student is injured:

  1. If injury is life threatening, call 911, then call Campus Security at x2222 to report incident.
  2. Call Health Service x2200 for all other injuries.
  3. Protect others.
  4. Minimize property damage.
  5. Stabilize the situation.
  6. Conduct an investigation.

When an employee is injured:

  1. If injury is life threatening, call 911, then call Campus Security at x2222 to report incident.
  2. If minor injury, bring or send injured employee to the Human Resource Office for direction to the respective Worker's Comp clinic.
  3. Protect others.
  4. Minimize property damage.
  5. Stabilize the situation.
  6. Complete the Injury & illness Incident Report form.

General guidelines for investigating accidents:

  • Go to the scene of the accident while the facts are fresh.
  • Inspect and record any changed physical characteristics or conditions of the accident site
  • Preserve any physical evidence, such as potentially defective equipment.
  • Take photos to help preserve the scene (i.e., puddles on the floor, overturned storage shelves and spilled contents).
  • Talk to the injured person, if possible.
  • Talk to any eyewitnesses.
  • Ask simple open-ended questions, one question at a time, and attempt to have events related chronologically to ensure thorough coverage.
  • Distinguish a person's actual knowledge from hearsay.
  • Ask when, where, who, how, and what was said or done.
  • Avoid opinions, judgments or conclusions and be as objective as possible.
  • Avoid commenting on the information gathered except to confirm your understanding or to clarify.
  • Stress getting the facts.
  • Do not comment on liability or fault during the investigation. Listen for clues in the conversation around you.
  • Unsolicited comments often have merit.
  • Review and finalize any notes immediately upon completion of your inspection and any interview or other communication with those involved.
  • Fill out the appropriate accident, incident or near-miss form, giving an accurate account of the facts.
  • Send the completed form to the Office of Risk Management for review.

Ergonomics

Injury & Illness Report

Reporting an On-the-Job Injury/Illness

If you experienced an on-the-job injury or illness, you are to report the incident immediately to your supervisor no matter how minor. Once the injury is reported, an incident investigation will occur to determine the cause of the incident and corrective action taken to prevent the incident from reoccurring. Please note: Failure to report an injury could result in the denial of your claim.

Injury & Illness (Report work-related injury/illness with the form below):

Contact Information:

Dell Jean Van Fossen
Human Resource Director
(951) 785-2088 (Office)
(951) 785-2087 (Fax)
dvanfoss@lasierra.edu

Office Hours:
Mon. - Thurs. 8:30am to 4:30pm
Fri. 8:30am to 12:00pm

 

 

Safety Recommendations

Ten Principles of Safety:

  1. All injuries and occupational illness can be prevented.
  2. Management is directly responsible for prevention of injury and illness.
  3. Safety is a condition of employment.
  4. Training is essential for a safe workplace.
  5. Safety audits are a must
  6. All deficiencies must be corrected promptly.
  7. It is essential that all unsafe practices, accidents and injuries be investigated.
  8. It is good bu$ine$ to prevent injuries and illnesses.
  9. People are the most important element.
  10. Safety off-the-job is as important as safety on-the-job.

 

Worker's Compensation

Reporting an On-the-Job Injury/Illness
If you experienced an on-the-job injury or illness, you are to report the incident immediately to your supervisor no matter how minor. Once the injury is reported, an incident investigation will occur to determine the cause of the incident and corrective action taken to prevent the incident from reoccurring. Please note: Failure to report an injury could result in the denial of your claim.

Workers' Compensation
The Worker's Compensation Program provides benefits to any employee who suffers disability through accident or occupational disease arising out of, and in the course of employment, according to the provisions of the State of California Workers' Compensation Act. This act applies to all University Employees, whether full-time, part-time, or temporary.

Information Brochure:

  • Employee - Injured, what to do now.
  • Supervisor - of an injured employee, what to do now.

Injury & Illness (Report work-related injury/illness with the form below):

Contact Information:

Dell Jean Van Fossen
Human Resource Director
(951) 785-2088 (Office)
(951) 785-2087 (Fax)
dvanfoss@lasierra.edu

Office Hours:
Mon. - Thurs. 8:30am to 4:30pm
Fri. 8:30am to 12:00pm