Revised on
09/27/19 12:34pm

Injury Reporting Procedure

Contact information

WORKERS’ COMPENSATION INJURY/INCIDENT REPORTING:

Work-related injuries or illnesses must be immediately reported to Workers' Compensation and the employee should follow the following protocol:

After Hours or Emergency

  • If life-threatening, call 9-1-1
  • If UC Davis Occupational Health is closed and you have a work related injury go to
    Davis Urgent Care: (530) 759-9110
    4515 Fermi Place, Suite 105, Davis CA 95618
    Hours: 9am-9pm; 365 days a year
    For directions, please click here
  • If Davis Urgent Care is closed, go to Sutter Davis Hospital Emergency Room (530) 757-5111

Supervisor (or next responsible person) must accompany the employee to the ER. Supervisors, make sure your employee(s) let you know of extended hospitalization and Return to Work restrictions. Complete the Employer's First Report (EFR) from the UC Safety Tools, as soon as practicable.

LOG IN TO EFR

 

For serious injury/illness or death

Inpatient hospitalization, amputation, loss of an eye or serious permanent disfigurement 

  • During normal business hours immediately contact EH&S at (530) 752-1493 to report any serious injury/illness or death of an employee.
  • Outside of normal business hours immediately call the UC Police/Fire Dispatch Center at (530) 752-1230. They will contact an EH&S representative.

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, but does not include any injury or illness, or death caused by an accident on a public street or highway, unless the accident occurred in a construction zone.

Non-emergency, during regular work hours Mon-Fri (8 a.m.– 5 p.m.):

1. Call Occupational Health Services at 530-752-6051 to schedule an appointment for the employee.

  • The clinic is located in the Cowell Building Map

2. Complete the EFR. Print a copy and bring it with you to the clinic.

Outside of normal business hours, non-emergency:

  1. If medical treatment is necessary and UC Davis Occupational Health is closed go to
    • Davis Urgent Care: (530) 759-9110
      4515 Fermi Place, Suite 105, Davis CA 95618
      Hours: 9am-9pm; 365 days a year
      For directions, please click here
    • If Davis Urgent Care is closed, go to Sutter Davis Hospital Emergency Room (530) 757-5111
  2. Call 877-682-7778 to report the work-related injury/illness and file a WC claim.
  3. UC Davis WC will be notified by Sedgwick/CMS.
  4. Complete the Employer's First Report as soon as practicable. 

Incident not requiring medical treatment:

To record an incident not requiring medical treatment provided by a licensed physician; complete the Employer's First Report.

Reporting injuries over the phone:

You have the option to report your work related injuries directly to the University's third party insurance carrier, Sedgwick, when access to the Employer's First Report is not readily available. Before reporting, make sure your supervisor is informed of your injury. To report a claim, call 1-877-682-7778.

For Claim Reporting Questions:

Ibiyemi O Olowoyeye: ioolowoyeye@ucdavis.edu 530-754-0305

For Workers' Compensation Related Questions:

Kim Sieg: klsieg@ucdavis.edu 530-752-7243