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Re to submit the necessary forms on a timely basis may delay medical and income benefits to the injured employee and may result in administrative fines to the University. Please fax, mail via interoffice mail or deliver in person to Risk Management. Completed by: This form shall be completed by the injured employee s supervisor or their designated representative. Instructions/Responsibilities: 1. The supervisor or department designated representative must completely fill out each section of.

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If someone is injured in an incident, first check that you and the person who is injured are not in any danger. If you are, make the situation safe. When it's safe to do so, assess the person who is injured and, if necessary, dial 999 for an ambulance. You can then carry out basic first aid.

Checking an Injured or Ill Person 1 CHECK the scene for safety, form an initial impression, obtain consent, and use personal protective equipment (PPE) 2 If the person appears unresponsive, CHECK for responsiveness, breathing, life-threatening bleeding or other life-threatening conditions using shout-tap-shout.

Supervisor Responsibilities When an injury does occur, supervisors are expected to directly respond and assist the injured employee in receiving the appropriate medical treatment. A supervisor, should never be in a situation where one of their employees is injured and they don't know about it.

RICE stands for Rest, Ice, Compression, and Elevation. Doing these things can help limit pain and swelling after an injury. RICE also helps injuries heal faster. Use RICE for sprains, strains, and severe bruises or bumps.

Call 911 if: The person is bleeding a lot, is unresponsive, is not breathing, or has more than one injury. You think a person has a fracture or other serious injury in their spinal column, head, hip, pelvis, or thigh. In this case, do not move the person.

The time frame for reporting a work injury varies by state and employer policies. In general, it is best to report the injury as soon as possible, ideally within 24 hours. Check with your employer and review your state's workers' compensation laws to determine the specific reporting deadline.

Here are the five steps to take after a safety incident occurs. Step 1: Get Medical Attention and Care Immediately. ... Step 2: File an Incident Report As Soon As Possible. ... Step 3: Inform All Necessary Parties. ... Step 4: Review of Safety Procedures. ... Step 5: Be Alert but Remain Courteous.

By reporting injuries quickly, you demonstrate your intent to exercise your rights and seek appropriate compensation. Additionally, timely reporting can help prevent potential employer retaliation, as it establishes a clear record of your injury and your commitment to addressing it within the legal framework.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232