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UVU EMPLOYEE INJURY REPORT FORM

UVU EMPLOYEE INJURY REPORT FORM 2026

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The document is a UVU Employee Injury Report Form that employees must complete to report work-related injuries, illnesses, or near misses. It requires detailed employee information, injury specifics, and treatment details. The form must be submitted to Human Resources within 24 hours of the incident.

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Click ‘Get Form’ to open the UVU EMPLOYEE INJURY REPORT FORM in the editor.
Begin by filling out the EMPLOYEE INFORMATION section. Enter your name, work phone number, UVID, and best contact number. Don’t forget to include your date of birth, sex, age, address, job title, area/department, supervisor's name, marital status, work status (full-time or part-time), and normal shift hours.
In the INJURY INFORMATION section, provide details about the injury. Specify the date and time of the injury and when you began work. Clearly describe where the injury occurred and what equipment or materials were involved.
Indicate whether safety equipment was provided and if it was used. List any witnesses to the injury along with their contact information.
Complete the medical treatment section by indicating if you saw a doctor for your injury and providing their details if applicable. Finally, sign and date the form before submission.

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2016	4.8 Satisfied (105 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I get my employees to report incidents?

How to implement an effective incident reporting system Establish a clear reporting procedure. Encourage reporting. Train employees on incident reporting. Ensure confidentiality and anonymity. Conduct thorough investigations. Implement corrective actions. Review and analyze incident data. Communicate and follow up.

How do I get my employees to report injuries?

Encourage Workers to Report Safety. and Health Concerns. To-Do. ☐ Set up a clear reporting process. Set up a system for reporting injuries, illnesses, incidents, and. An Unreported Incident Leads to Serious Injury. Reporting Safety and Health Concerns (1WP2) Remove Barriers to Reporting. Safety and Health Reporting Form.

What are the OSHA requirements for injury reporting?

As required by Title 8 regulations, section 342, you must include the following information in your phone call, if available: Time and date of accident/event. Employers name, address and telephone number. Name and job title of the person reporting the accident. Address of accident/event site.

Why do employees not report injuries?

The main reason why employees avoid filing a workers compensation claim is the fear that their employer may retaliate by firing them or demoting them. Sometimes, management disapproval may come with indirect reprisals like lack of pay rise and promotion and only getting the less-desirable work shifts.

How do I fill out a work injury report?

What to include in a work incident report The date and time of the incident. The name of the witness or author of the report. A detailed description of the events. The names of the affected parties. Other witness statements or important information. The result of the incident.

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