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Injury and Accident Reporting

Timely reporting of employee injuries and accidents is vital to maintaining the health and safety of our employees. As such, we would like to remind everyone that injuries/accidents must be reported immediately. Below are the neccessary forms for reporting injuries/accident. If you have questions, please contact us at x2401.

 

Supervisor's Accident Investigation Report Form (Form 620):
http://www-admn.csun.edu/ehsr/ehs/forms/supervisor_accident_rpt.pdf

Supervisor's Accident Investigation Report Form Instructions:
http://www-admn.csun.edu/ehsr/risk/forms/supervisor_guide.htm

DWC-1 (Worker's Compensation) Form:
http://www.calstate.edu/risk_management/wc/documents/dwcform1.pdf