Ohio State University Extension http://agsafety.osu.edu

Agricultural Safety and Health Program

Ohio State University Extension

Injury Reporting Procedures

Employee Injuries
In the event of a work-related injury, please see one of the medical providers recommended by your employer listed below and follow these important steps:
 
1. Report the injury immediately to your supervisor.
3. Select a medical provider from the following list for immediate care.
4. For additional providers, call CareWorks Consultants at 1-888-647-3815 from 8:00 a.m. - 5:00  p.m.
 
PROVIDER LISTINGS FOR WORKERS’ COMPENSATION
Ohio State Employee Health Services
McCampbell Hall, 2nd Floor    1581 Dodd Drive
(614) 293-8146 Hours: Monday–Friday,7:30a.m.-4:00p.m.
 
After Hours Urgent Care
Martha Morehouse Medical Plaza
2050 Kenny Road    2nd Floor, Suite 2400, Pavilion
(614) 685-3357 Hours: Monday - Friday, 5:00 p.m. – 11:00 p.m. Saturday & Sunday, 10 a.m. – 6 p.m.
 
For serious injuries that need emergency medical attention:
Employees in need of emergency care as the result of a workplace injury/illness should go to the Wexner Medical Center or University Hospital East Emergency Departments.
 
The decision to seek emergency medical treatment should consider whether emergency services would be obtained if the injury/illness was not work-related. In other words, would you go to the Emergency Room if the same injury ocurred at home?
 
Ohio States’ Wexner Medical Center - Emergency
University Hospital
410 West 10th Avenue    Columbus, Ohio    43210
(614) 293-8000
 
University Hospital East
1492 East Broad Street    Columbus, Ohio    43205
(614) 257-3000
 
In the event of a work-related life threatening injury or illness, seek medical care at the closest hospital emergency department regardless of a physician network affiliation or BWC certification status.
 
Regional campus employees should seek treatment at the designated local health provider.
 
Injury Reporting
Employees who are injured on the job or become ill as the result of a workplace exposure are required to complete an OSU Employee Accident Report and notify his/her supervisor.
 
The Employee Accident Report must be completed for every work-related accident or illness. This report will:
1. Assist employees in obtaining immediate medical treatment
2. Inform supervisor/charge person of accident
3. Be recorded for follow-up and future prevention
 
Below are guidelines for completing this form (please print neatly in ink or complete electronically)
 
Employee Responsibilities:
1. Immediately notify supervisor/designated charge person of work-related accident or illness.
2. Fully complete “Employee Information” and “Accident Information” sections, sign, and date the report.
3. Give form to supervisor/charge person for signature.
4. Seek medical treatment if necessary

Supervisor/Charge Person Responsibilities:
1. Complete “Supervisor/Charge Person” section, sign and date the report. If the employee needs or desires medical treatment, assist in thearrangement of appropriate care (see “Medical Treatment” section below).
 
2. Complete the "Supervisor Accident Analysis Report" (see page 4 of the report) New in 2015
3. Make a copy of this report for your records, provide the original to the employee, and immediately submit a copy of this completed accident report to Integrated Absence Management and Vocational Services by either fax or e-mail, as indicated below.

 
Submit report to:
Submit copies to:
(1) Integrated Absence Management and Vocational Services: Fax: 614-688-8120 or email: accidentreport@osu.edu    
(2) Supervisor/Department    
(3) Injured Employee

 
Resources:
The Office of Environmental Health and Safety: Employee Accident Reporting
 
For further information, feel free to contact the appropriate office listed below.
 
Columbus Campus, OSU Research Farms and OSU Extension
      Kent McGuire
      CFAES Safety and Health Coordinator
      260A Agricultural Engineering Building
      590 Woody Hayes Drive
      Columbus, OH 43210-1064
      Phone: 614-292-0677
      Fax: 614-292-9448
      e-mail: mcguire.225@osu.edu
 
Wooster Campus and Research Stations     
      Seth Walker
      Environmental Health and Safety
      OARDC,  Wooster, OH 44691
      Phone: 330-263-3665
      e-mail: walker.439@osu.edu
 
 

Reviewed / Updated: 9/28/16 K. McGuire