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Accident reporting job aid

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For employees and supervisors at Williams College, a step by step guide on how to report on accidents.

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Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 Benefits Office Office of Human Resources Accident Reporting for Workers Compensation
Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 Accident Reporting Process Accident Happens Employee Completes Accident Report Form Supervisor & Employee Complete Accident Investigation Form
Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 1. Completed by Empoyee 2. Include Detailed Description of Accident 3. Submit to Benefits Office If and when medical treatment is necessary, form will be used to initiate Workers Compensation claim. Accident Report Form
Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 1. Ideally, supervisor & employee complete together 2. If employee is on medical leave, supervisor may complete independently 3. Include as much detail as possible 4. Submit to Manager of Safety & Environmental Compliance Supervisor/Employee Accident Investigation Report
Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 Be Specific in Accident Descriptions Nature of Injury: I tripped and fell. Nature of Injury: While carrying a vacuum I tripped over the cord and fell to the floor causing abrasions on my left elbow, hip and knee.
Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 Contact: Kris Maloney, Benefits Administrator, 413-597-4478, kmaloney@williams.edu or Megan Bates, Benefits Specialist, 413-597-4355, mab7@williams.edu Questions?

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Accident reporting job aid

  • 1. Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 Benefits Office Office of Human Resources Accident Reporting for Workers Compensation
  • 2. Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 Accident Reporting Process Accident Happens Employee Completes Accident Report Form Supervisor & Employee Complete Accident Investigation Form
  • 3. Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 1. Completed by Empoyee 2. Include Detailed Description of Accident 3. Submit to Benefits Office If and when medical treatment is necessary, form will be used to initiate Workers Compensation claim. Accident Report Form
  • 4. Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 1. Ideally, supervisor & employee complete together 2. If employee is on medical leave, supervisor may complete independently 3. Include as much detail as possible 4. Submit to Manager of Safety & Environmental Compliance Supervisor/Employee Accident Investigation Report
  • 5. Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 Be Specific in Accident Descriptions Nature of Injury: I tripped and fell. Nature of Injury: While carrying a vacuum I tripped over the cord and fell to the floor causing abrasions on my left elbow, hip and knee.
  • 6. Go to the top master slide in slidemaster view to change this text. Kevin R.Thomas, Manager,Training & Development 揃 Office of Human Resources 揃 kevin.r.thomas@williams.edu 揃 413-597-3542 Contact: Kris Maloney, Benefits Administrator, 413-597-4478, kmaloney@williams.edu or Megan Bates, Benefits Specialist, 413-597-4355, mab7@williams.edu Questions?