dept-logo.jpg

Employee accidents must be reported immediately. 

No matter the location of the accident, University Police must be contacted (318-357-5431) to report the accident.

 

Accidents

              REPORTS: (updated 3-14-2017)

                   DA-2000-Employee Accident Report and Supplemental Report     Instructions

                   Witness Statement

                   Slip, Trip and Fall Supplement

                   DA-3000 - Student or Visitor Incident/Accident Report                Instructions

 

All employee accidents shall be reported to University Police immediately.  318-357-5431

This is so the the accident and the details of the accidnet can be documented in a timely manner.

ALL EMPLOYEES WILL BE DRUG TESTED AFTER EACH ACCIDENT AS REQUIRED BY THE OFFICE OF RISK MANAGEMENT.  If not reported immediately, the employee will be drug tested on the date that the accident/incident is reported.

                                                Post Accident Drug Testing

Procedures to follow when you have an accident:

When an incident/accident takes place, the following must happen:

Report all types of Accidents to University Police at 318-357-5431, no matter the location of the accident.

Accidents on any campus:

1.      Emergencies (life or limb threatening) have the priority for immediate medical care.  Call the University Police Department at 318-357-5431 or DIAL 911. 

2.      Student Health Services WILL NOT TREAT EMPLOYEES, STUDENTS OR VISITORS for accidents, on-the-job injuries or worker’s compensation cases.

3.      Student Health Services will ONLY treat students if the student goes to the Health Services Office. 

4.   Student Health Services DOES NOT RESPOND to emergencies on any campus.

5.      Use the DA-3000 (students, visitors, volunteers incident/accident form), or the DA-2000 (faculty, staff incident/accident form) to report all facts pertaining to the accident.  This must be completed as quickly as possible.

Vehicle Accidents:  (see the Vehicle Accident and Investigation Policy)

1.      Automobile accidents that occur while on approved University business MUST BE REPORTED IMMEDIATELY.  Ensure that the police are contacted and that the police make a report.  The police report will contain contact information for any other vehicles involved and this information will be needed later in the accident process. 

2.      Accidents will be documented on a DA-2041 (vehicle accident report form) which can be located in all state vehicles.  The form is also on the EHS website.

3.      Employees must be drug screened immediately following a vehicle accident.

On-the Job Accidents-Employees:

1.      Emergencies (life or limb threatening) have the priority for immediate medical care.  Call the University Police Department at 318-357-5431 or DIAL 911. 

2.      Employees that are injured on the job will have an immediate drug screen.  Contact EHS at 357-4424 for paperwork.

3.      Student Health Services WILL NOT TREAT EMPLOYEES for accidents, on-the-job injuries or worker’s compensation cases.

4.      Contact your Supervisor and complete the DA-2000 employee accident/incident report and the supplemental page.  It must be turned in to the EHS Office immediately, so that the claim can be processed efficiently.  A DA-2000 must be completed even if the accident does not result in medical attention.

5.      If an employee does need to seek medical attention, he/she can choose the facility/doctor of his/her choice.  Health care facilities will need information regarding the worker’s compensation claim, and the DA-2000 assists in providing that information.

6.      Important Notes to Remember:

a.      If an employee is seen by an urgent care/emergency room facility and required further treatment, it is important that the employee follow up with their worker’s compensation claim adjustor, so that all further appointments can be approved.

b.      If the employee did not return to work following the accident, he/she is REQUIRED to submit a “Return to Work Status Report”, from the attending physician.  Any limitations or exclusions would be helpful if listed on that work status report.

c.       The first seven (7) days of missed work are considered the “waiting week” and are not eligible for indemnity benefits unless the employee has missed 14 or more days as a result of the injury.  Otherwise, indemnity benefits will start on the 8th day, including the weekend, at 66.666 percent of wages or salary.

d.      When the employee is approved to return to work, he/she is REQUIRED to submit a “Return to Work Status Report” and a "Physician's Modified Work Information Sheet" from the attending physician.  It must list any exclusions or limitations on the work status report.

Contact the EHS Office at 318-357-4424 or by e-mail with any questions.