Penn State - Safety
Policy SY04 EMPLOYEE ACCIDENTS - REPORTING AND INVESTIGATION
Policy Steward: Director of Environmental Health and Safety
This policy provides procedures for reporting accidents resulting from
work-related injuries, and in the investigation of all such accidents,
including corrective measures to prevent recurrences.
The University covers its employees with Worker's Compensation Insurance
as a protection for injuries or illness compensable under the Pennsylvania
Worker's Compensation Act.
REPORTING THE ACCIDENT:
The following are a few general items to be remembered when an employee
- An accident report should be filed each time anyone is hurt, no
matter how minor the injury may seem. Complete an "Employer's Report of
Occupational Injury or Disease" form.
- The accident should be reported whether the employee is full-time,
part-time, casual or a student employee.
- If the employee is injured on the University Park Campus, the report
should be submitted to the College or Department Safety Officer, who
is to send the report to the Office of Human Resources/Workers' Compensation,
James M. Elliott Building,
within forty-eight hours of the accident.
- If the employee is injured elsewhere, the report should be in the
Office of Human Resources/Workers' Compensation as soon as possible.
ACCIDENT REPORT FORMS:
All injuries are reported on the Pennsylvania Department of Labor and Industry form referred to as “The Employer’s Report of Occupational Injury or Disease” form, a web-based electronic form
accessed through the OHR-Workers' Compensation website at https://sedgwickcms.claimcapture.com.
NOTE: This procedure should not be confused with emergency
requests for aid and/or assistance to persons other than employees.
UNIVERSITY'S GROUP HEALTH INSURANCE:
If the injury is covered by Worker's Compensation Insurance, benefits
are not provided by the University's group health insurance. If the claim for
Worker's Compensation is denied, the injured employee should then submit a
claim under the University's group health insurance if he/she has incurred
covered medical expenses.
ABSENCE FOR INJURY FOR CLASSIFICATIONS OTHER THAN
For the determination of pay arrangements for time absent from work as
a result of an injury or illness compensable under the Worker's Compensation
Act, the Occupational Disease Act, or similar legislation, see
HR34, Employment Conditions for Staff
Employees, or the applicable labor agreement for employees represented by a
INVESTIGATION OF ACCIDENT:
All accidents resulting in injury, regardless of severity, are to be
investigated. Personnel conducting the investigation include the Safety Officer
and the supervisor of the injured employee.
The Safety Officer is responsible to see that:
- Every accident occurring within his/her jurisdiction is investigated.
- Adequate information is obtained to determine the cause.
- Corrective measures are taken to prevent a recurrence.
The supervisor of the injured employee is responsible for:
- The immediate reporting and completion of the Employer's Report of
Occupational Injury or Disease form
- The installation of safety procedures to prevent similar accidents.
The Director of Environmental Health and Safety may conduct personal
investigations, or be available for consultation by request of the appropriate
For questions, additional detail, or to request changes to this policy, please contact the Director of Environmental Health and Safety.
Effective Date: August 21, 2002
Date Approved: August 19,
Date Published: August 20, 2002 (Editorial changes- February 27, 2014)
Most Recent Changes:
- February 27, 2014 - Editorial changes. Addition of policy steward information, in the event that there are questions or requests for changes to the policy.
Revision History (and effective dates):
- December 6, 2012 - In the ACCIDENT REPORT FORMS section, revised the link to The Employer’s Report of Occupational Injury or Disease Form.
- February 5, 2008 - Editorial change, address change for Office of Human
- May 6, 2005 - Editorial changes to eliminate "General Forms Usage Guide" and
- August 21, 2002 - Responsibility for processing accident reports
changed from Risk Management to the Office of Human Resources/Workers'
- August 2, 2001 -
- Risk Management Office location updated.
- "Employer's Report of Occupational Injury or Disease" form should
be submitted to the Risk Management Office as soon as possible.
- Changed section ABSENCE FOR INJURY FOR CLASSIFICATIONS OTHER THAN
- Removed section COMPENSATION CHECKS RECEIVED WHILE ON FULL
- August 1, 1990 - Revised process under INVESTIGATION OF ACCIDENT
section, and deleted the section DETERMINING THE CAUSE OF ACCIDENT.
- April 17, 1985 - Under ABSENCE FOR INJURY FOR CLASSIFICATIONS OTHER
THAN ACADEMIC section, changed title of booklets.
- September 13, 1984 -
- "Insurance Office" changed to "Risk Management Office."
- Deleted the sections TWO-PARTY AND THIRD-PARTY ACCIDENTS
DESCRIBED and ADDITIONAL INFORMATION NEEDED WHEN ACCIDENT INVOLVES A THIRD
- Changed section ABSENCE FOR INJURY FOR A CLERICAL OR TECHNICAL
SERVICE EMPLOYEE to ABSENCE FOR INJURY FOR CLASSIFICATIONS OTHER THAN
- Other departmental name changes.
- March 22, 1978 - New policy.