Accidents resulting in personal injuries to students, staff, and faculty, in the course of University employment, are to be reported to the University Environmental Health and Safety Office.
Accidents resulting in death or hospitalization are to be reported immediately to the Director of the Environmental Health and Safety Office. Accidents resulting in lost worktime are to be reported to the Environmental Health and Safety Office within 24 hours.
All personal injury accidents including those that require no medical treatment should be reported in order that corrective action may be taken to minimize the probability of reoccurrences.
Reporting Personal Injuries
Any injury resulting in medical treatment in excess of first aid, such as lost worktime or hospitalization, will be investigated by the Environmental Health and Safety Office for purpose of determining the circumstances surrounding the injury, the possible need for corrective action, and the compensability of a reported injury under the terms of the North Carolina Workers' Compensation Act.
It is the employee's responsibility to notify his or her supervisor immediately of any job-related injury or illness. If the employee is not able to do so, someone acting on his/her behalf should notify the supervisor as soon as possible. Accidents or injuries must be reported within 30 days and claim filed within one year or Workers' Compensation benefits will be denied.
It is the supervisor's responsibility to insure that the employee receives prompt treatment of the injury by obtaining first aid or assistance to medical treatment. If the treatment requires more than first aid, the supervisor or another person should accompany the injured enroute to treatment, i.e., injured employees should not be sent unescorted to seek medical attention.
It is also the supervisor's responsibility to see that all accidents requiring, at minimum, first aid treatment are reported to the Environmental Health and Safety Office on the North Carolina Industrial Commission (NCIC) Form 19, and the Supervisor's Accident Report Form and Employee Authorization for Release of Medical Information. For administrative purposes, an employee such as the departmental personnel/payroll representative may be designated to complete the NCIC Form 19, but overall responsibility including completing the Supervisor's Accident Report Form remains with the supervisor. (See EHS Appendices: North Carolina Industrial Commission Form 19 and Supervisor's Accident Report Form.)
Workers' Compensation Employee Statement and Leave Option Form is to be filled out whenever the injured employee is expected to be out of work for more than seven calendar days regardless of whether or not he/she plans to apply for Workers' Compensation weekly pay benefits. The form is to be completed by the employee and sent to the Environmental Health and Safety Office as soon as practical after the injury/illness. (See EHS Policy: Workers' Compensation Benefits.)
Property Damage - Fire
Fires resulting in property damage are to be reported to the Environmental Health and Safety Office for investigation for possible corrective action . (See EHS Policy: Reporting Fires.)
Automobile accidents involving State vehicles on campus are to be reported to the Public Safety Office and the Environmental Health and Safety Office regardless of whether personal injuries are sustained. Off campus accidents are to be reported to the local police and highway patrol and the Environmental Health and Safety Office.
EHS Policy: Reporting Fires
EHS Policy: Workers' Compensation Benefits
EHS Policy: Workers' Compensation Leave Option