Environment, Health and Safety Manual – Chapter 03.02: Injury, Illness, and Near Miss – Reporting Incidents, Personal Injuries, and Near Misses

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Environment, Health and Safety Manual – Chapter 03.02: Injury, Illness, and Near Miss – Reporting Incidents, Personal Injuries, and Near Misses

Incidents

Incidents resulting in personal injuries to students, staff, faculty, and visitors while on University property, or in the course of University employment or activity, are to be reported to the University Department of Environment, Health and Safety. EHS will investigate for potentially unsafe conditions and initiate corrective action as appropriate. Campus Police are to notify the Department of Environment, Health and Safety of incidents to which they respond.

Lost Work Time

Incidents resulting in lost work-time are to be reported to the Department of Environment, Health and Safety (919-962-5507) as soon as practicable, during regular work hours (8:00 a.m. – 5:00 p.m.).

Death or Hospitalization

Any incident on the UNC Campus resulting in death or hospitalization is to be reported immediately to the Director of Environment, Health and Safety during normal business hours (919-962-5507) and Public Safety after business hours (911).

Potentially Hazardous Condition

Any potentially hazardous condition is to be reported immediately to the Department of Environment, Health and Safety for investigation, regardless of whether it has resulted in injury. This includes “near misses”, i.e., incidents in which injury was narrowly avoided and for which action is needed to prevent and correct unsafe conditions or actions.

Notification of Personal Injuries: Employee

Injuries which result in hospitalization, lost work-time, or which require medical treatment beyond first aid, will be investigated by the Department of Environment, Health and Safety for the purpose of analyzing the circumstances surrounding the injury, the possible need for corrective action, and whether it is compensable under the North Carolina Workers’ Compensation Act.

Employee’s Responsibility

The employee is responsible for notifying his or her supervisor immediately of any job-related injury or illness. If the employee is not able to do so, a fellow employee should notify the supervisor as soon as practicable.

Supervisor’s Responsibility

The supervisor is responsible for ensuring that the employee receives prompt treatment of the injury by obtaining first aid or medical treatment. If the treatment requires more than first aid, the supervisor or another person must accompany the injured to the appropriate medical facility for treatment. Injured employees are not to be sent unescorted to seek medical attention. The supervisor is also to notify the Environment, Health and Safety Office by telephone for follow-up.

Reports

The employee completes the form, Employee’s Incident Report Form (see attached file), and submits it to his/her supervisor or Human Resource Facilitator for transmittal to the Department of Environment, Health and Safety.

The supervisor completes the Industrial Commission Form 19 (see attached file), Employer’s Report of Injury to Employee (see attached file), and forwards it to the Department of Environment, Health and Safety within 24 work hours of knowledge of the incident.

Note: Industrial Commission regulations require that the notification form be filed with the Industrial Commission within five days after the occurrence and knowledge of an injury; however, OSHA regulations require that injuries requiring medical treatment be recorded by the Department of Environment, Health and Safety within 48 hours. Therefore, it is imperative that injuries be reported to the Department of Environment, Health and Safety as soon as possible.

The supervisor must also complete the Supervisor’s Incident Investigation Form (see attached file), to be submitted to the Department of Environment, Health and Safety along with Form 19.

Contact Information

Policy Contact

Environment, Health and Safety
1120 Estes Drive
Campus Box #1650
Chapel Hill, NC 27599-1650
Phone: 919-962-5507

Back to Chapter 03.01 – University Employee Occupational Health Clinic

Proceed to Chapter 03.03 – Incident Investigation of Injuries, Illnesses, and Near Misses