Return to Work

• Send injured employee to approved medical facility as soon as possible. If necessary, assign transportation to the appropriate approved medical facility.
• Eliminate any obvious hazards and secure the area as necessary.
• In case of a fatality, hospitalization, amputation or loss of an eye notify one of the following individuals immediately:
  • Kristi Turcich
    • Email: klevans@purdue.edu
    • Phone: 765-494-1431
  • Cindy Guy
    • Email: guy3@purdue.edu
    • Phone: 765-494-7388

Complete and submit a First Report of Injury (FROI) Form (DocuSign) within 24 hours.

• To find the department number, from “Employee Launchpad” go to the “Org Chart” tile and type in the employee’s name. Click on the employee’s tile and a window will appear. Click on the employee’s name in that window, and the department number will be next to the department name.  

Complete investigation attached to First Report of Injury (FROI) Form (DocuSign).

• In some situations, Environmental Health and Safety (EHS), Worker’s Compensation Administrator and JWF Specialty claims adjuster may request a more detailed investigation; this investigation may include members from EHS and your department.

If requested, complete:

• Witness Report Form
• Medical Release Form

If seriously injured, do not wait to seek medical attention.

• Approved medical facilities
  • Purdue has chosen to use occupational medicine providers for worker’s compensation because this medical specialty focuses specifically on work-related injuries. The occupational health clinics understand worker’s compensation and the paperwork needed for processing claims. If you need to see a specialist, the occupational health clinic will refer you.

Note: Under the guidelines set by the state of Indiana, the employer has the right to choose the attending physician for treatment of on-the-job injuries.

• Notify supervisor of injury.
• Work with supervisor to complete and submit First Report of Injury (FROI) Form as soon as possible, but not greater than 24 hours following injury.
• Work with your supervisor, Human Resources, EHS and JWF Specialty claims adjuster to provide additional documentation.

If requested, complete:

• Medical Release Form

Claim Investigation

• There may be a need to investigate the details of your injury or illness to determine if it falls within the Worker’s Compensation Act.
• Communication with the JWF Specialty claims adjuster is vital to this process.

Incident Investigation

• Work with your supervisor to complete incident investigation.
• Help identify solutions to prevent reoccurrence.