What to Do if a Work-Related Injury, Illness, or Exposure Occurs
October 14, 2013 8:21:52 AM PDT
Report a work-related injury, illness, or hazardous material exposure.
- Are you in the right place? This page is for campus-funded employees. Medical Center employees, please contact (619) 543-7877 for instructions.
Attention all supervisors
Supervisors must immediately report all work-related deaths, catastrophes, and serious* injury or illness to UCSD Workers’ Compensation Office:
- During office hours, call (858) 534-2454.
- After office hours, contact the UCSD Police at (858) 534-4357.
The UCSD Workers’ Compensation Office is required to report serious injury or illness to Cal/OSHA within 8 hours from the time of the incident. Reporting delays can result in Cal/OSHA fines to your department.
* A serious injury or illness is one that requires inpatient hospitalization, or in which an employee suffers a loss of any member of the body or suffers any serious degree of permanent disfigurement.
Chemistry/Biochemistry incidents only – special reporting instructions:
- Report serious incidents immediately: Call 9-1-1
- Secure access to the incident scene and preserve all evidence for no less than 24 hours.
- Report the incident immediately by telephone (phone numbers here) to Environment, Health & Safety.
- Follow procedures below to report the incident to the UCSD Workers' Compensation Office.
All employees, follow the steps below when an incident occurs:
- Employees: Notify your supervisor immediately if you experience a work-related injury, exposure, or illness.
- Employees and supervisors: Follow the steps below to report the incident to the UCSD Workers' Compensation Office.
This form is for use by campus-funded employees. Medical Center employees, please contact (619) 543-7877 for instructions.
Use one of the options below to report the incident:
- Option 1:
- Use the online Workers' Compensation reporting form:
- Note: The supervisor must complete both pages if an injured employee is unable to complete the Employee Report.
- Option 2:
- Call the 1-800 Reporting Line: 877-6UC-RPRT (877-682-7778) to report the incident,
- Supervisors: complete the Supervisor Report page of the online Workers' Compensation Occupational Incident Report form.
Important – Completing an Occupational Incident Report form does not file a claim for workers’ compensation benefits. See step 4.
Seek treatment at a UCSD Center for Occupational & Environmental Medicine (COEM) clinic, unless emergency care is required or it is after COEM business hours.
For emergency medical care or after business hours, go directly to the emergency room at Thornton Hospital or UCSD Medical Center at Hillcrest.
Use the COEM clinic convenient to your work location: main campus or Hillcrest.
- COEM – Campus location
8899 University Center Lane, Suite 160
San Diego, CA 92122 (PDF map)
Note: The Nobel Shuttle comes within about 2 blocks from the clinic - corner of Lebon and Nobel.
(858) 657-1600 (Call for an appointment, please)
Monday–Friday, 8 a.m. – 4:30 p.m.
- COEM – Hillcrest location
330 Lewis Street, Suite 100
San Diego, CA 92103 (map)
(619) 471-9210 (Call for appointment, if possible)
Monday–Friday, 8 a.m. – 4:30 p.m.
Important – Submitting the Occupational Incident Report form in step 1 does not file a claim for workers’ compensation benefits.
After receiving your Occupational Incident Report form, the UCSD Workers’ Compensation Office will monitor your medical treatment to determine if level of care exceeds first aid treatment.
First aid treatment may be appropriate treatment and is not considered a workers’ compensation benefit, although first aid costs will be paid by your employer.
If medical treatment exceeds first aid treatment at the initial or subsequent medical visits, the UCSD Workers’ Compensation Office will send you a State of California Workers’ Compensation Claim Form (DWC-1).
How to file a claim:
- Complete and sign the Employee portion of the DWC-1 form.
- Describe your injury or illness completely. Include every affected part of your body.
- Make a copy of the form for your records.
- For expediency, fax a copy of the form to the UCSD Workers’ Compensation Office: (858) 246-0973.
- Mail the original form to Mail Code 0925. By returning the DWC-1 form, you are actually filing a claim for workers’ compensation benefits.
For details on procedures relating to workers' compensation claims, benefits, and responsibilities, check the following guides for:
For more information, campus-funded employees, call (858) 822-2979 or 534-4785 and UCSD Medical Center-funded employees, call (619) 543-7877.