Get Tulane University - First Report Of Occupational Injury/illness

Filing the Tulane University - First Report Of Occupational Injury/Illness form online is essential for accurately reporting workplace injuries or illnesses. This guide provides clear, step-by-step instructions to help you complete the form efficiently and effectively.

Follow the steps to successfully complete the form online.

1. Use the ‘Get Form’ button to obtain the Tulane University - First Report Of Occupational Injury/Illness form and open it in your preferred editor.
2. Begin by filling out the 'Date of Report' field, indicating the date you are submitting the report.
3. In the 'Date of Injury' section, provide the date when the injury occurred, and specify the time of the incident.
4. Complete the 'Normal Starting Time on Day of Accident' section by entering the usual start time of the employee's workday, including whether it was AM or PM.
5. If applicable, provide the 'Fatal Injury' date in the corresponding field; otherwise, skip this section.
6. Record the date when the employer first learned about the injury in the 'Date Employer Knew of Injury' field.
7. Fill in the 'Date Disability Began' to indicate when the employee started experiencing disability due to the injury.
8. Document the 'Last Full Day Paid-Date' by entering the date of the employee's last paid workday.
9. Input the employee's Social Security Number in the 'Social Security Number' section.
10. In the 'Print Employee' field, provide the employee's full name (First, Middle, Last).
11. Identify the employee’s gender by checking the appropriate box for Male or Female.
12. Provide the employee's residential address, including the parish and zip code in the specified fields.
13. Enter the employee's home phone number along with an alternate phone number if available.
14. Fill in the employee's email address—either Tulane or personal—and the date of hire.
15. Complete the sections regarding the employee's occupation, department, and office phone number.
16. In the 'Exact Location' section, describe where the incident occurred, including building, floor, and room number if applicable.
17. Clearly state what the employee was doing at the time of injury in the designated area.
18. Provide a detailed description of how the injury occurred and any objects or substances involved.
19. Indicate whether the injury was due to mechanical defects or unsafe acts by checking 'Yes' or 'No' as applicable.
20. Describe the nature and location of the injury or disease in detail, including body parts affected.
21. List the attending physician's name and address; specify if a hospital was involved.
22. Complete the employer’s information, including Tulane University, address, and telephone number.
23. Document the person completing the report, along with their contact details and signature.
24. If required, provide any comments or recommendations to help prevent future occurrences.
25. Once all fields are completed, save your changes, download the document, print it, and mail it to OEHS-TW16 as instructed.

Complete the Tulane University - First Report Of Occupational Injury/Illness form online to ensure accurate reporting and timely processing.