Accident Accident ReportingReporting

Ouch! I’ve Had A Job Related Accident & Injury

Ouch! I’ve Had A Job Related Accident & Injury

What happens now?

Immediately report it to your Supervisor or Manager – By Law, late notice or failure to notify may bar a claim for Workers’ Compensation Benefits! and get medical treatment (if required).

Complete the employee portion of the ‘First Report of Injury’ form.

Cooperate with any investigation by Management.

Return to work (if possible).

First Report of Injury FormFirst Report of Injury Form

First Report of Injury FormFirst Report of Injury Form

Used to provide personal information and describe the specifics of the accident & injury

Complete the form even if the injury is minor and only requires first aid

You may be contacted by the Corporate Workers’ Compensation Administrator to verify the information provided

Why?

Investigation of Accident & InjuryInvestigation of

Accident & InjuryInitiated promptly by managementDiscuss with any and all witnessesDocument findings of what happened and how to prevent future incidentsReview policy and procedure to determine if there was an infraction and any consequencePerform remedial training in safety policy and procedure when and where needed

Returning to WorkReturning to WorkImmediate if no medical treatment required or only minor in-house first aid performed If outside medical treatment is required:

You will be post accident drug tested if injury is self-inflicted

If unable to work and medical leave is required, bring a doctor’s written statement with diagnoses and estimated return to work to your supervisor

Returning to WorkReturning to WorkImmediate if no medical treatment required or only minor in-house first aid performed If outside medical treatment is required:

If able to work but with restrictions, bring a doctors written statement of what job functions you are able to perform – Your Supervisor may be able to find suitable duties (but not guaranteed)

When released to full work duties, bring a doctor’s written statement of the same to your Supervisor

Please Know that…Please Know that……your safety and well being is one of H. D. Smith’s primary goals!

If you have any future questions, please contact your Supervisor, Manager, or Division HR Associate.

Thank you for your attention.

What questions do you have?