Report an Injury
Injury Reporting Requirement
In case of an emergency call 911 
All injuries, regardless of how slight must be reported to your supervisor immediately, but no longer than 24 hours after the injury.
Notification and Response
Employee:
- Notify your supervisor immediately of any injury or near-miss incident.
Supervisor:
- Ensure prompt medical treatment for the injured employee as necessary.
- Provide transportation for the injured employee as necessary. Approved treatment facilities
- Eliminate any obvious hazards.
- Secure the area as necessary
- Complete and submit a First Report of Injury within 24 hours after the injury.
- In case of a fatality, hospitalization, amputation or loss of an eye notify REM immediately at klevans@purdue.edu
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For questions regarding this form contact Kristi Evans klevans@purdue.edu 765-494-1431
Campus Safety Contacts
If you see something, say something.
Purdue Police
Phone: (765) 494-8221
Purdue Fire
Phone: (765) 494-6919
Sign up for Emergency Text Messages
Carol Shelby, Senior Director
Phone:(765) 494-7504
Email:
cshelby@purdue.edu
