REPORT An Injury

The First Report of Injury (FROI) form is available through DocuSign and must be completed whenever a work-related injury occurs.

• Who completes the form: Ideally, the injured employee’s supervisor completes the FROI, with the employee present if possible.
• Information required: The form will request the injured employee’s name and email, along with their supervisor’s name and email. Including the supervisor’s email ensures the injury is communicated to the appropriate individuals in your department who can help investigate and address the cause.
• Employee responsibility: Employees are responsible for reporting injuries to their supervisor.
• Supervisor responsibility: The supervisor should complete the FROI. If the employee is unavailable, the supervisor (or a designated person) should complete the report as accurately as possible, using details from the employee or any witnesses.

Injured students who are not employed by the university can use the following links to find information on how to report an injury and where to receive treatment.       

When an injured employees requires medical treatment, they should be sent to an approved medical facility as soon as possible. A list of approved medical facilities can be accessed online. Transportation to an approved medical facility can be done with or without an ambulance depending on the severity of injury. More information is available on when to use an ambulance for transportation.

If you are unsure about the severity of an injury, call 911.

OSHA acknowledges the importance of root cause analysis as the preferred investigation style for all near misses, incidents and injuries. Root cause analysis directs the investigator to the core issue or the highest-level cause of an injury or illness. Without identifying and eliminating the root cause of an injury or illness, there is the potential for the injury or illness to occur again.

After the submission of a FROI, the supervisor listed on the form will receive an email requesting them to fill out the remaining incident investigation pages of the form. Also known as the Team Incident Investigations (TII), the remaining pages must be completed within three business days. This should provide enough time for the supervisor to gather their team and get an accurate description of the incident from the injured employee and any witnesses.

Investigation teams should include the following personnel based on the following type of injuries:

• Required for all Incidents:
  • Involved employee(s)’ direct supervisor (lead investigator)
  • Involved employee(s), or witness, if not available
• Optional for all Incidents:
  • Department head or director
  • Area general manager or PI
  • Crew chief
  • EHS
  • Safety Committee representative
  • Engineer
  • Any additional persons that might contribute to the investigation (e.g., Welding Shop for potential fabrication needs)