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Risk Management - Injury & Incident Reporting - Employee Injuries/Incidents

All work-related injuries and illnesses must be reported immediately via a Worker's compensation Claim. Employees must complete and submit the "Employee Work Injury and Illness Report" to their supervisor within 24 hours of the occurrence of the injury or illness. Supervisors must complete and submit the "Supervisor Incident Analysis and Prevention Report" to Extension HR within 1 work day of learning of an employee's work-related injury or illness.

Report an Employee Injury/Incident
 

Overview

Employee Instructions

All work-related injuries and illnesses must be reported immediately.
  1. Go to the Worker's Compensation Website
  2. Complete the instructions under "How do I Report a Worker's Compensation Claim".
  3. Complete and submit the Employee Work Injury and Illness Report and submit to supervisor within 24 hours of the occurrence of the injury or illness.
Submissions are time-sensitive.

Please review the Worker's Compensation Resources for Employees for more information. 

Supervisor Instructions

Supervisors must complete and submit the Supervisor Incident Analysis and Prevention Report to hr@extension.wisc.edu within 1 work day (8 business hours) of learning of an employee's work-related injury or illness.

They should also submit the Employee Work Injury and Illness Report that was provided to them by the employee. 

Please review the Supervisor Responsibilities in the Worker's Compensation claims process for more information.

UW-Madison Resources

For employee injuries occurring within scope of employment, see UW-Madison Worker’s Compensation site for information and instructions on reporting.

Get Help

Questions? Contact hr@extension.wisc.edu




Keywords:Risk Management Injury Incident Reporting Employee Workers Compensation Program Work-Related   Doc ID:99821
Owner:Nathaniel S.Group:Extension Employee Handbook
Created:2020-03-31 14:28 CSTUpdated:2021-06-01 14:26 CST
Sites:Extension Employee Handbook
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