Accident/Near Miss Reporting
Accident/Near-Miss/事故报告
All injuries or near misses, no matter how slight, need to be reported immediately. (Paper or PDF versions are available upon request)
事故报告
For injuries sustained while participating on one of our intercollegiate athletic teams (see list below), speak with the Athletic Trainer to complete the proper form within 72 hours of the accident.
- 篮球(男人的 & 女性的)
- 高尔夫球(男人的 & 女性的)
- 越野(男子 & 女性的)
- 足球(男)
- 排球(女性)
For injuries sustained while participating in a sports activity that is not included in the list above, 请填写 WWU Accident/Near Miss Report.
应急操作步骤
- 拨打911, 如果需要
- Call 校园安全, 509-527-2222
非紧急 过程
- 通知风险 & 安全官 by completing a WWU Accident/Near Miss Report form.
- 联系风险 & 安全官 before seeking medical treatment for work-related injuries
Walla Walla University’s workers’ compensation is insured through the Department of Labor & Industries’ workers’ compensation program. If you are injured on the job or develop an occupational disease, you are entitled to workers’ compensation benefits. Your claim will be handled by the benefits paid by Walla Walla University
应急操作步骤:
- 拨打911，如有需要
- Call 校园安全 509-527-2222
- When receiving care, DO NOT provide personal insurance information. Tell the provider you were injured at work, they will assist you in filing a workers' compensation claim.
- You can also file a 索赔表单 online at www.lni.wa.gov /奥瑞丽ECS / FileFast.asp or by phone at 1-877-561-FILE (3453).
- 联系风险 & 安全官 to complete an WWU Accident/Near Miss Report.
非紧急:
- 通知风险 & 安全官 24小时内 通过填写 WWU Accident/Near Miss Report form.
- The Department Head or Supervisor will be contacted by the 风险 & 安全官 to inspect the site of the accident and complete the Accident/Near Miss Investigation Report within 72 hours of the reported accident or near miss.
- It is important that all parts of the forms be completed for insurance and regulatory reporting accuracy.
- 接触的风险 & 安全官 and seek medical care.
工人的补偿 账单信息:
Walla Walla University
Washington State Department of L&I
邮政信箱44140
奥林匹亚，华盛顿州98504
All incidents on the College Place Campus should be reported directly to 校园安全 by calling 509-527-2222.
For incidents occurring on the Billings, 米苏拉, 波特兰, or Rosario campuses you may elect to complete an 事故报告 然后发邮件到 考特尼.bryant@tzmuyg.com 而不是打电话. For any incident that require a response from the Emergency Response Team, 呼叫校园保安, 509-527-2222.
Any student that exhibits signs, 症状, or behaviors consistent with concussion (headache, 恶心想吐, 呕吐, 认知障碍, 失去知觉, 等.):
-
Must be removed from learning activity, physical activity, or competition for evaluation.
- Must be evaluated by a health care professional with concussion experience.
- May only return to activity based on the recommendation of a health care professional if they determine that a concussion is no longer suspected.
意外索偿表格
完整的 这种形式 和 WWU Accident/Near Miss Report 并提供给 风险 & 安全官 for authorization prior to submitting to g管理员 along with any invoices and Explanation of Benefits (EOBs) you have received.
- Excess 学生事故 Insurance Flyer
- For more information about Excess 学生事故 insurance, visit tzmuyg.com/insurance.