Program Participant / Volunteer Injury Reporting (Non-Employee)

This information is related to incident/injury reporting for non-employees (e.g. volunteers, visitors, participants, etc.)
 
IMPORTANT:  In the event of an injury, the injured individual should obtain first aid as needed and notify the immediate supervisor of the incident as soon as practicable.
 
The “Program Participant Incident/Injury Report” should be completed for every incident/injury of a non-employee (volunteer, visitor, participant, etc.), preferably within 24 hours of the incident/injury. In addition, please complete Section 3: Contributing Factors or Conditions on the “Employee Accident Form.” Even though the individual is not an employee, the information in Section 3 is important for the risk management department to conduct a root cause analysis.
 
Submit a copy of the completed forms to The Department of Risk Management and Insurance: houser.61@osu.edu and your CFAES safety contact. (listed below)
 
If you have additional questions related to an incident, please contact:
 
Stacey Houser – Associate Director, Risk Management & Insurance at 614-247-8396 or houser.61@osu.edu
 
Terry Rodeman – Insurance Administrator at 614-247-8840 or rodeman.5@osu.edu
 
David Smith – Safety and Loss Control Representative at 614-688-2297 or smith.4629@osu.edu
 
Reminder: If the incident involves a University employee, please use the Ohio State Employee Accident Report and report the incident to:
 
Traci Laub – Workers Compensation and Disability Claim Manager at 614-688-3627 or laub.22@osu.edu
 
 Resources:
 
 
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: 614-292-0588
      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: 11/4/19 K. McGuire