In the event of an accident or injury, the highest priority must always be caring for the individual. Immediately report any work-related injury or illness to your supervisor.

• If the injury is serious, call 911 or contact the University Police Department at 924-2222 and follow their instructions.

• If you can move safely, go to the SJSU Student Health Center for First Aid or call (408) 924-6122 for appointments and questions.

• The Employee Injury Care Student Health Center Procedures (PDF) provides general procedures for employee work-related injury care at the Student Health Center (SHC).

• If the injury requires any medical care beyond First Aid, or if the injury occurs while SHC is closed, please get to one of the approved Occupational Medicine Facilities:

Alliance Occupational Medicine    Monday – Friday 7:00 am – 7:00 pm Locations: 1901 Monterey Rd.#10,   San Jose, CA (408)477-8080   315 S. Abbott Avenue, Milpitas, CA  (408)790-2900   2737 Walsh Avenue, Santa Clara, CA (408) 228-8400

U.S. Healthworks - San Jose  Monday – Friday 7:00 am – 7:00 pm Locations: 1893 Monterey Rd, #200, San Jose, CA (408) 288-3800   988 Walsh Avenue, Santa Clara, CA (408) 988-6868    Other Locations

O’Connor Hospital Emergency Room After Hours and Weekends 2105 Forest Ave, San Jose, Ca (408) 947-2500

 

The supervisor/appropriate administrator completes the following two forms. Within 24 hours, fax the forms to HR at (408) 924-2144. Send originals in campus mail to HR/Safety mailstop 0046.

• Employer's Report of Occupational Injury or Illness (PDF): Write a description of the accident using the employee's own account of the incident and submit to University Risk & Compliance.

• Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility (PDF) Provide the injured employee with this form. When the employee completes and returns this form to you, forward it on to University Risk & Compliance.

• Illness & Injury Prevention Program: Investigate the accident and address the problem to prevent future injuries.