Accident/Near Miss Reporting
Accident/Near-Miss/Incident Reporting
All injuries or near misses, no matter how slight, need to be reported immediately. (Paper or PDF versions are available upon request)
Accident Reporting
For injuries sustained while participating on one of our intercollegiate athletic teams (see list below), speak with the Athletic Trainer to complete the proper form within 72 hours of the accident.
- Basketball (Men's & Women's)
- Golf (Men's & Women's)
- Cross Country (Men's & Women's)
- Soccer (Men's)
- Volleyball (Women's)
For injuries sustained while participating in a sports activity that is not included in the list above, please complete the WWU Accident/Near Miss Report.
Emergency Procedure
- Call 911, if needed
- Call Campus Security, 509-527-2222
Non-emergency Procedure
- Notify the Risk & Safety Officer by completing a WWU Accident/Near Miss Report form.
- Contact the Risk & Safety Officer before seeking medical treatment for work-related injuries
Walla Walla University’s workers’ compensation is insured through the Department of Labor & Industries’ workers’ compensation program. If you are injured on the job or develop an occupational disease, you are entitled to workers’ compensation benefits. Your claim will be handled by the benefits paid by Walla Walla University
Emergency Procedure:
- Call 911, if needed
- Call Campus Security 509-527-2222
- When receiving care, DO NOT provide personal insurance information. Tell the provider you were injured at work, they will assist you in filing a workers' compensation claim.
- You can also file a claim form online at www.lni.wa.gov/ORLI/ECS/FileFast.asp or by phone at 1-877-561-FILE (3453).
- Contact the Risk & Safety Officer to complete an WWU Accident/Near Miss Report.
Non-emergency:
- Notify the Risk & Safety Officer within 24 hours by completing a WWU Accident/Near Miss Report form.
- The Department Head or Supervisor will be contacted by the Risk & Safety Officer to inspect the site of the accident and complete the Accident/Near Miss Investigation Report within 72 hours of the reported accident or near miss.
- It is important that all parts of the forms be completed for insurance and regulatory reporting accuracy.
- Contact Risk & Safety Officer and seek medical care.
Worker's Compensation Billing Information:
Walla Walla University
Washington State Department of L&I
PO Box 44140
Olympia, WA 98504
All incidents on the College Place Campus should be reported directly to Campus Security by calling 509-527-2222.
For incidents occurring on the Billings, Missoula, Portland, or Rosario campuses you may elect to complete an incident report and email it to courtney.bryant@lsxythnjy.com instead of calling. For any incident that require a response from the Emergency Response Team, call Campus Security, 509-527-2222.
Any student that exhibits signs, symptoms, or behaviors consistent with concussion (headache, nausea, vomiting, cognitive impairment, lose of consciousness, etc.):
-
Must be removed from learning activity, physical activity, or competition for evaluation.
- Must be evaluated by a health care professional with concussion experience.
- May only return to activity based on the recommendation of a health care professional if they determine that a concussion is no longer suspected.
Accident Claim Forms
Complete this form with the Athletic Trainer within 72 hours. Covered athletics are listed below:
- Basketball (Men's & Women's)
- Golf (Men's & Women's)
- Cross Country (Men's & Women's)
- Soccer (Men's)
- Volleyball (Women's)
If you sustained an injury while participating in a sports activity not listed above, you need to complete the Student Accident claim form.
Complete this form and the WWU Accident/Near Miss Report and provide to the Risk & Safety Officer for authorization prior to submitting to A-G Administrators along with any invoices and Explanation of Benefits (EOBs) you have received.
- Excess Student Accident Insurance Flyer
- For more information about Excess Student Accident insurance, visit lsxythnjy.com/insurance.