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Safety Page > Injuries and Incidents > Injury/Incident Reporting

Injury/Incident Reporting

SERIOUS injuries must be reported within 8 hours of the incident (Cal/OSHA)
Cal/OSHA defines “serious injury or illness” as any injury or illness occurring in a place of employment, or in connection with any employment, that requires inpatient hospitalization for other than medical observation or diagnostic testing, or in which an employee suffers an amputation, the loss of an eye, or any serious degree of permanent disfigurement.
All other injuries/incidents must be reported within 24 hours of the time of the incident
Keep copies of all reports!!

For Shriners Employees (receives a regular paycheck from Shriners Hospitals for Children)

For all injuries and incidents/spills
  • The injury should be reported to:
    • The Principal Investigator
    • Shriners Research Administration
  • Fill out the Shriners report form (PDF). This form should be either emailed or handed in to Shriners Research Administration
  • Fill out the incident report (Appendix A: Hazard Alert/Correction Report) in the Lab Safety Plan

NOTE: You may be eligible for Workers’ Compensation but the injury must be reported within 24 hours to the Workers’ Compensation representative.

For UCD Employees (receives a regular paycheck from the University of California Davis)

For injuries
  • The injury should be reported to:
    • The Principal Investigator. The PI should then contact the UCD-affiliated department and UCD Safety Services (530-752-1493) as soon as possible.
    • Shriners Research Administration
  • Online reporting: UCD Injury Reporting Procedure (Employer’s First Report form or EFR)

NOTE: If using a UCDHS computer, it may contain pre-loaded links on the desktop to the Employee Exposure or RL Incident Reporting systems. Do NOT use these reporting links – they are for incidents within the UCD Medical Center hospital.)

NOTE: Work-related injuries or illnesses must be reported to Workers’ Compensation within 24 hours at 916-734-3362. UCD paid employees must also complete the workers compensation claim form DWC1 and scan and email to Workers Compensation at: hs-workerscompergo@ou.ad3.ucdavis.edu.

UCD Guidelines on Serious Injury Reporting
Occupational Safety 916-734-2740
24-hour Claim Line 916-734-8789
Risk Management 916-734-3883

For ALL incidents/spills (with or without injuries)

For Students, Visitors, Volunteers (does not receive a paycheck from Shriners or UCD)

For injuries or incidents/spills
  • The injury should be reported to:
    • The Principal Investigator
    • Shriners Research Administration
  • Fill out the Shriners report form (PDF). This form should be either emailed or handed in to Shriners Research Administration
  • Fill out the incident report (Appendix A: Hazard Alert/Correction Report) in the Lab Safety Plan