WORKPLACE INJURY
Medical emergency
Call 911
Notify supervisor. Fill out the Supervisor Report of Injury
Fill out the Employee Report of Injury
Fill out the Witness Report of Injury
Notify the Risk Manager x1917 of release conditions
Medical attention required
Refer to occupational health clinic and give the Employer Authorization Form
Notify supervisor. Fill out the Supervisor Report of Injury
Fill out the Employee Report of Injury
Fill out the Witness Report of Injury
Notify the Risk Manager x1917 of release conditions
No Medical attention required
Fill out the Supervisor Report of Injury
Fill out the Employee Injury Report
Fill out the Witness Report of Injury
Notify the Risk Manager x1917 of release conditions
AFTER HOURS MBI TRIAGE PROCESS! Click Here for more information.
Need a ride to MBI? Click here for LYFT/MBI transportation services!
Additional Documents:
Employer Authorization Form (employees must have this completed and signed when going to an MBI Medical Center for a work related injury)
TOM Employee Exposure Form (chemical substance)
For incidents involving exposure to bodily fluids fill out the Significant Exposure to Bodily Fluids Form and contact HR for protocol.
To report hazards, unsafe conditions, near misses, concerns or suggestions please complete this Reporting Form.
TOWN VEHICLE/PROPERTY INVOLVED
For injuries/incidents involving a Town vehicle or property, refer to the Claims Management Administrative Directive and follow the protocol. CDL drivers should also refer to Chapter 7 of the Town's Personnel Policies and Procedures Manual for additional accident-related protocols.
