Incident Report

Report a workplace injury or illness

Report all workplace injuries to your Supervisor immediately and seek medical treatment if needed. Timing is everything: WSU policy requires that all (major and minor) injuries be reported within twenty-four hours. Prompt reporting eliminates delays in benefits to employees.  For injuries that occur over the weekend or after regular business hours (Monday through Friday, 8 am to 5 pm), reports should be completed and sent to our office the next regular working day after the accident.  Major incidents resulting in serious injury (e.g. fracture or amputation), in patient hospitalization or death are to be reported immediately. (See SPPM 2.24.1

Reportable incidents consist of:

Injury: Any wound or damage to the body resulting from an instantaneous event. Examples include; cuts, bruises, contusions, chipped teeth, amputations, insect bites, electrocutions, burns sprains, and sprain injuries to muscles, joints, and connective tissues resulting from a slip, trip, or fall.

Illness: A condition resulting from chronic exposure to the work and/or academic environment.  Examples include: musculoskeletal disorders (e.g. tendinitis, carpal tunnel syndrome), skin disorders, respiratory conditions, and noise-induced hearing loss

Supervisor completes:

  1. Online Incident Report

AND IF

  • The employee receives medical treatment.
  • The employee is unable to work the next full or subsequent shift(s) as a result of the injury or illness
  • Events and conditions involving a near miss or minor accident indicate that most likely injury or illness would have been serious.

2. Supervisor’s Accident Investigation Report

Employee/Witness completes:

  1. Witness/Injured Person Statement (optional)
Washington State University