Workplace Injuries
Our goal is to have an injury-free workplace. That is why we are committed to creating a safe work environment at all of our locations and with all of our facilities. We implore all employees to put safety first in their work. It also means taking the necessary safety precautions at all times to prevent injuries. Shasta College employees should work safely to protect themselves from injuries, but if you do get injured, here's what you should do:
Emergency
In an emergency call 911 immediately from any campus phone. Emergency injuries and illnesses include but are not limited to:
- Excessive bleeding and broken bones
- Chest pain
- Unconsciousness
- Life threatening injuries
If the supervisor has been able to be notified, the supervisor should notify Human Resources immediately of the emergency. After you are stabilized contact the Human Resources Office for required paperwork.
Non-Emergency
- CALL COMPANY NURSE: Call the Company Nurse Hot Line (PDF) at 1-877-518-6702, Search Code NSI03, to report ALL injuries. If you are unable to do so, your supervisor should call on your behalf. ALL injuries should be reported, however minor they may seem and even if no follow-up treatment or care is needed. Calling the Company Nurse hotline does not file a workers' compensation claim, it simply reports the injury for tracking and safety follow-up purposes. If Company Nurse does not refer you to treatment, there is nothing else that you need to do.
- NOTIFY SUPERVISOR: If your supervisor is available, notify them immediately. Your supervisor is required to submit the Supervisor Accident Report (PDF) to Human Resources.
- SEEK TREATMENT: If the Company Nurse hotline refers you to treatment, they will typically refer you to Agile Occupational Medicine unless you have a predesignation of physician on file in Human Resources. Directions to Agile from the main campus can be found here: Directions to Agile (PDF)
- CONTACT HR IF REFERRED FOR TREATMENT: If the Company Nurse hotline refers you for treatment, contact Human Resources after obtaining your treatment for additional required paperwork.
Workplace Injury Forms
- Company Nurse Injury Hotline Flyer (PDF)
- Directions to ROMC (PDF)
- Notice of Potential Eligibility (Employee Copy) (PDF)
- Predesignation of Physician (PDF)
- Report of Accident (Employee to Complete) - Updated March 10, 2022 (PDF)
- Supervisor Accident Report Follow-up (Supervisor to Complete) - Updated March 10, 2022 - Fillable (PDF)
- Workers' Compensation Memo (Employee to Complete) - May 10, 2019 (PDF)
- Workers' Compensation Claim Form - DWC 1 (Employee and Human Resources to Complete) - Updated May 10, 2019 (PDF)
For more information on Workplace Injuries, please contact Amy Westlund, Director of Human Resources, in Human Resources in person at the Shasta College Main Campus Room 120, by phone at (530) 242-7648 or by email at awestlund@shastacollege.edu.