Program Participant / Volunteer Injury Reporting (Non-Employee)
This information is related to incident/injury reporting for non-employees (e.g. volunteers, visitors, participants, etc.)
IMPORTANT: In the event of an injury, the injured individual should obtain first aid as needed and notify the immediate supervisor of the incident as soon as practicable.
The “Program Participant Incident/Injury Report” should be completed for every incident/injury of a non-employee (volunteer, visitor, participant, etc.), preferably within 24 hours of the incident/injury. In addition, please complete Section 3: Contributing Factors or Conditions on the “Employee Accident Form.” Even though the individual is not an employee, the information in Section 3 is important for the risk management department to conduct a root cause analysis.
Submit a copy of the completed forms to The Department of Risk Management and Insurance: email@example.com and your CFAES safety contact. (listed below)
If you have additional questions related to an incident, please contact:
Terry Rodeman – Insurance Administrator at 614-247-8840 or firstname.lastname@example.org
Reminder: If the incident involves a University employee, please use the Ohio State Employee Accident Report and report the incident to:
Traci Laub – Workers Compensation and Disability Claim Manager at 614-688-3627 or email@example.com
Program Participant Incident/Injury Report
Section 3 Accident Analysis Report
For further information, feel free to contact the appropriate office listed below.
Columbus Campus, OSU Research Farms and OSU Extension
CFAES Safety and Health Coordinator
260A Agricultural Engineering Building
590 Woody Hayes Drive
Columbus, OH 43210-1064
Wooster Campus and Research Stations
Environmental Health and Safety
OARDC, Wooster, OH 44691
Reviewed / Updated: 10/12/20 K. McGuire