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Accident Reports

Accident Report Forms:
Forms for students and non-employees must be completed by the attendant staff member or responsible staff member and filed as soon as possible with the Health Office, but no later than the next duty day. The report should include:

A. Name of the injured or ill person.
B. Date.
C. What happened.

D. Nature of injury or sudden illness.
E. How the person was cared for.
F. What referral, if any, was made.

All employees injured while on duty must complete the Employee Accident Report available in the division offices or Vice President of Administration's (VPA) office and send it to the VPA's office within 24 hours after the accident. If the injured person is unable to complete the form, an LRCCD employee may compete it. In addition, the employee's supervisor must complete the required supervisory form and turn it in to the Vice President of Administration no later than the next duty day following the injury.

Note: The Employee Accident Report activates the Worker's Compensation process and may require OSHA reporting.

 

Sacramento City College
3835 Freeport Boulevard
Sacramento, California   95822
(916) 558-2111
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