POLICY
FORMS
REPORTING
100
When To Report An Injury

Report ALL injuries or even POTENTIAL injuries to immediate supervisor at the time of injury

100

Employee Incident Forms Are Found Here

Nurses Stations, Break Room, Front Desk
100

Payroll & Benefits Manager Phone Number To Call Upon An Injury

970-688-6766

200

What Form Must Be Completed Upon Injury

Employee Incident Form 

200

What Letter Is Given To Employee Upon Injury

Medical Provider Letter

200

Most Common Injury Reported

Lower Back Pain Due To Improper Lifting
300

Must Be Completed By Supervisor Within 24hrs of Injury

Employee Incident Root Cause Analysis Form. 

300

Root Causes Analysis Form is Completed By Which Two People

Injured Employee & Direct Supervisor

300

How Many Injuries Have Been Reported This Year

12

400

Injuries Are Reviewed By Which Committee

Safety Committee

400

Route To Get To Injury Folder On Shared Drive

008CastlePeak> Human Resources>6. Injury Reporting
400

Phone Number To Call To Report Injury Online

1-844-847-8708