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(Necessary Form)
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[[Human Resources|600 Human Resources]]
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Policy 603.6
: [[Benefits|604 Benefits]]
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:: [[Filing the Supervisor's Accident Report Form|604.6 Filing the Supervisor's Accident Report Form]]
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== Introduction ==
 
== Introduction ==
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== Definitions  ==
 
== Definitions  ==
 
=== Definition phrase or word ===
 
  
 
== Policy and Procedure Statements  ==
 
== Policy and Procedure Statements  ==
All accidents and injuries, no matter how slight, must be reported immediately to the injured employee's supervisor. As soon as possible after the accident, the supervisor should conduct a thorough investigation of all the details to determine the cause of the accident and what could have been done to prevent it.
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=== Filing Accident Report ===
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==== All Accidents Reported ====
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4.1.1.1 All accidents and injuries, no matter how slight, must be reported immediately to the injured employee's supervisor. As soon as possible after the accident, the supervisor should conduct a thorough investigation of all the details to determine the cause of the accident and what could have been done to prevent it.
  
Necessary Form - Supervisors are required to complete a [[Supervisor's Accident Report Form]], on any accident occurring under their supervision.
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==== Necessary Form ====
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4.1.2.1 Supervisors are required to complete a [https://hr.appstate.edu/sites/hr.appstate.edu/files/wc_supervisor_documentation.pdf Supervisor's Accident Report Form], on any accident occurring under their supervision.
  
PREPARE SUPERVISOR'S ACCIDENT REPORT FORM
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=== Preparing Supervisor's Accident Report Form ===
  
Procedure Steps -
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4.2.1 Procedure Steps -
 
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#Complete the Accident Form, being as specific as possible.
* Complete the Accident Form, being as specific as possible.
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#Answer all questions as completely and detailed as possible. What you put here may prevent the recurrence of a similar accident.
* Answer all questions as completely and detailed as possible. What you put here may prevent the recurrence of a similar accident.
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#Sign and date the form.
* Sign and date the form.
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#Forward one copy of the completed report to the University Office of Safety and Workers' Compensation.
* Forward one copy of the completed report to the University Office of Safety and Workers' Compensation.
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=== Example policy 1 ===
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=== Example policy 2 ===
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== Additional References ==
 
== Additional References ==
Human Resource Services, [[Policy Statement 13]], Employee Safety
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[http://policy.appstate.edu/Employee_Safety Human Resource Services, Policy Statement 602.15, Employee Safety]
  
 
== Authority ==
 
== Authority ==
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== Contact Information ==
 
== Contact Information ==
  
== Effective Date ==
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== Original Effective Date ==
  
 
== Revision Dates ==
 
== Revision Dates ==
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[[Category:Contents]]
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[[Category:Human Resources]]
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[[Category:Benefits]]

Revision as of 13:02, 25 March 2019

Policy 603.6

1 Introduction

2 Scope

3 Definitions

4 Policy and Procedure Statements

4.1 Filing Accident Report

4.1.1 All Accidents Reported

4.1.1.1 All accidents and injuries, no matter how slight, must be reported immediately to the injured employee's supervisor. As soon as possible after the accident, the supervisor should conduct a thorough investigation of all the details to determine the cause of the accident and what could have been done to prevent it.

4.1.2 Necessary Form

4.1.2.1 Supervisors are required to complete a Supervisor's Accident Report Form, on any accident occurring under their supervision.

4.2 Preparing Supervisor's Accident Report Form

4.2.1 Procedure Steps -

  1. Complete the Accident Form, being as specific as possible.
  2. Answer all questions as completely and detailed as possible. What you put here may prevent the recurrence of a similar accident.
  3. Sign and date the form.
  4. Forward one copy of the completed report to the University Office of Safety and Workers' Compensation.

5 Additional References

Human Resource Services, Policy Statement 602.15, Employee Safety

6 Authority

7 Contact Information

8 Original Effective Date

9 Revision Dates