• Investigate the accident.
• Provide photos of the accident scene, and the equipment or surface (for slips, trips, and falls) if possible.
• Obtain details of the accident.
• Supervisor's Injury/Illness/Incident Report to:
  • Complete the C-1 form and forward it to Risk Management and Safety via UNLV Secure File Transfer or fax (702-895-5227).
• • CSN, NSC, and external email users without a “@unlv.edu” email can register for an account.
    • Click “Log In to Secure File Transfer” box and follow the instructions.
  • After you log in to the UNLV Secure File Transfer website, email the documents to rmic-group@unlv.edu Add the injured worker’s name in the “Message” box.
  • It is important that you securely email any document containing HIPAA and PII information, including the C-1.
• If there are witnesses, complete a Workers Compensation Witness Report form and email it to rmic-group@unlv.edu. Include the injured employee and witness names in the email.
• Correct the unsafe work condition as soon as possible.
• If the employee seeks medical treatment, follow the guidelines listed on this page according to the severity of the injury.
• Provide modified duty according to the doctor’s orders.
• Immediately inform Risk Management & Safety within one working day if an employee loses time from work due to a workers' compensation claim.
• Contact the employee at least once every two weeks if the employee is placed off of work by the treating physician. Get an update on the employee's medical progress.
• Employees may be eligible for benefits under the Family Medical Leave Act (FMLA). Contact your campus' Employee Relations or Human Resources office for details.

If an accident occurs that results in a fatality:

• Call 911
• Immediately contact Risk Management and Safety and your campus Safety Office.
• RMS has a deadline to report these incidents to OSHA.
• Supervisor's Injury/Illness/Incident Report to:
  • Complete the C-1 form and forward it to Risk Management and Safety via UNLV Secure File Transfer or fax (702-895-5227).
• • CSN, NSC, and external email users without a “@unlv.edu” email can register for an account.
    • Click “Log In to Secure File Transfer” box and follow the instructions.
    • After you log in to the UNLV Secure File Transfer website, email the documents to rmic-group@unlv.edu Add the worker’ name in the “Message” box.
• It is important that you securely email any document containing HIPAA and PII information, including the C-1.
• If there are witnesses, complete a Workers Compensation Witness Report form and email it to rmic-group@unlv.edu. Include the injured employee and witness names in the email.

If an employee is injured or ill from a work-related incident, and the employee or supervisor believes the injury or illness requires immediate medical attention:

• Call 911 and seek further medical assistance.
• Immediately contact Risk Management and Safety if the injury results in an in-patient hospitalization, amputation, or eye loss.
• RMS has a deadline to report these incidents to OSHA.
• The employee must inform the treating physician that the injury or illness happened at work. A C-4 form must be completed by the treating physician for a Workers’ Compensation claim to initiate.
• Supervisor's Injury/Illness/Incident Report to:
  • Complete the C-1 form and forward it to Risk Management and Safety via UNLV Secure File Transfer or fax (702-895-5227).
• • CSN, NSC, and external email users without a “@unlv.edu” email can register for an account.
    • Click “Log In to Secure File Transfer” box and follow the instructions.
  • After you log in to the UNLV Secure File Transfer website, email the documents to rmic-group@unlv.edu. Add the worker’s name in the “Message” box.
  • It is important that you securely email any document containing HIPAA and PII information, including the C-1.
• If there are witnesses, complete a Workers Compensation Witness Report form and email it to rmic-group@unlv.edu. Include the injured employee and witness names in the email.

If the employee needs medical treatment, and it is not a medical emergency, the employee can seek treatment at one of the approved medical providers.

• The employee must inform the treating physician that the injury or illness happened at work. A C-4 form must be completed by the treating physician for a Workers’ Compensation claim to initiate.
• Supervisor's Injury/Illness/Incident Report to:
  • Complete the C-1 form and forward it to Risk Management and Safety via UNLV Secure File Transfer or fax (702-895-5227).
• • CSN, NSC, and external email users without a “@unlv.edu” email can register for an account.
    • Click “Log In to Secure File Transfer” box and follow the instructions.
  • After you log in to the UNLV Secure File Transfer website, email the documents to rmic-group@unlv.edu Add the worker’s name in the “Message” box.
  • It is important that you securely email any document containing HIPAA and PII information, including the C-1.
• If there are witnesses, complete a Workers Compensation Witness Report form and email it to rmic-group@unlv.edu. Include the injured employee and witness names in the email.

• If the injury is minor and only requires first aid, provide first aid.
• The employee has a right to seek medical treatment.
• If the employee declines medical treatment, and the supervisor feels that medical treatment is necessary beyond first aid, the supervisor may direct the employee to seek medical treatment at an approved workers’ compensation clinic.
• Supervisor's Injury/Illness/Incident Report to:
  • Complete the C-1 form and forward it to Risk Management and Safety via UNLV Secure File Transfer or fax (702-895-5227).
• • CSN, NSC, and external email users without a “@unlv.edu” email can register for an account.
    • Click “Log In to Secure File Transfer” box and follow the instructions.
  • After you log in to the UNLV Secure File Transfer website, email the documents to rmic-group@unlv.edu Add the worker’s name in the “Message” box.
  • It is important that you securely email any document containing HIPAA and PII information, including the C-1.
• If there are witnesses, complete a Workers Compensation Witness Report form and email it to rmic-group@unlv.edu. Include the injured employee and witness names in the email.