Office of Emergency Management
| Environment, Health & Safety
|Reporting an Injury, Dnagerous Occurrences & Occupational Ill Health|
How to Report an Injury - Accidents, Dangerous Occurences and Occupational Ill Health
Step #1: Get Medical Attention
- On-campus Injuries:
- Employees and students should seek medical attention while on campus by calling X9-911 or X5911 from any campus phone or 9-1-1 or (281) 290-5911 from any telephone.
- Medical treatment is limited to first aide as provided first responders until external resources are available.
- LSCS does not have a physician on staff.
- Off-campus Injuries:
- If an injury occurs off the LSCS campus, use the nearest designated facility for your location.
- Local public health resources:
- Local public health department
- Local hospitals, clinics, and physician offices
- For more information go to CAMPUS HEALTH or visit your health care insurance carrier.
Step #2: Complete Necessary Forms
- LSCS Incident Report & Referral for Medical Treatment Form
- Required as a record that an injury or illness was reported
- Take the completed form to LSCS Office of Risk Management. If an employee you may also work through your local Human Resource Representative.
- Your medical provider will describe your received treatment and any work restrictions or future appointments
- Be sure to return the form to your Human Resource representative after treatment
- Workers' Compensation Claim Form & Notice of Potential Eligibility
- Use if treatment beyond first aid is required
- Must be provided by a supervisor within one day of the report of injury or illness
- Also supply the pamphlet When an Injury Occurs (see Related Information) which answers questions and provides telephone numbers.
- Contact the Office of Risk Management for the appropriate forms.
Step #3: Report the Injury to LSCS Risk Management
- Contact LSCS Risk Management within 8 hours for SERIOUS injuries
- Provide the necessary information when reporting a serious injury:
- Employee name, title and department
- Supervisor name and phone
- Your name, title, department and contact information
- Date, time and location of incident
- Description of what happened
- Whether or not employee received medical treatment and, if so, where
- If serious injuries are not reported within 8 hours, departments can be fined
- Serious injuries are listed on the Serious Injury Poster (see Related Information)
- Contact Risk Management within 24 hours for ALL injuries
Walter F. Cooley III
Director, Risk Management
Joan R. Murdoch