Job-Related Injury or Illness Supervisor Responsiblities
- Ensure that employee gets appropriate medical attention.
- Student Health Center, when classes are in session.
- Mad River Occupational Health.
- Any Emergency Room
- If requires immediate emergency assistance, call 9-1-1 from a campus phone (rings at University Police and officers are dispatched immediately).
- Ensure that appropriate paperwork is complete and submit to Human Resources within 24 hours of injury:
- Supervisor's Injury Prevention Report (STD. 620)
- Employee Claim Form (DWC-1)
- Contact Cindy Darnall Stevens in Human Resources: (707)826-5171
- Supervisors should make preliminary investigation of accident.
- Complete Supervisor's Injury Prevention Report (STD. 620).
- Fill in all areas of form as completely as possible.
- Attach clarifying statements as needed to express any work-related concerns and impressions. Sedgwick will investigate further if necessary.
- Deliver Supervisor’s Report to Human Resources within 24 hours of notification of injury or illness. Do not wait for employee to return employee claim form.
- Stay actively involved in the status of the employee.
- Notify Human Resources if employee misses work beyond date of injury.
- The goal of the University is for the employee to return to work as soon as medically possible.
- If necessary, modify job duties to include lighter and/or part time work based on:
- Employee's education, training and work experience.
- How soon employee is expected to resume full duty status.
- Any work restriction imposed by treating physician.
- Under no circumstance should injured employee be placed in job where medical condition will be aggravated or cause harm to fellow employees or state property
- Notify Human Resources as soon as employee returns to work.
For more information regarding Workers' Compensation, please refer to the Workers' Compensation Website.
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