INCIDENT/INJURY/SPILL INVESTIGATION REPORTS
Click HERE for
Injury Case Management Procedures
- How To Manage Different Types of Injuries -
Incident/Injury Reporting Steps To Be Completed By the Manager / Supervisor:
NOTE: Managers/Supervisors are responsible for completing a Root Cause Analysis (click HERE for form). The safety department is available, upon request, to facilitate the RCA Investigation.
State Workers' Compensation Report
Fill out the appropriate Workers' Comp Form below:
Employee Incident Accountability Form
The supervisor/manager should assist the employee in filling out this form and both agree on corrective action needed to prevent recurrence.
Doctor Return To Work Slips
Make sure EACH & EVERY TIME employee goes to doctor (should be the company physician) that he/she returns with a Return To Work Slip.
NOTE: The employee may be referred to a specialist by the company physician.
Fax or email a copy of ALL reports and Return To Work Slips to the corporate safety director ASAP.
NOTE: ALL reports and medical records (including originals) should be forwarded to corporate headquarters in Gretna, LA. Locations SHOULD NOT copy nor keep any of these CONFIDENTIAL records at the local level.
IN THE EVENT OF A SPILL/RELEASE COMPLETE THIS FORM.
EMAIL: GREG SAVOY CELL PHONE: (504) 400.1058 7/24/365
FAX: (504) 374-9590
HONOR THE PAST ~ COMMIT TO THE PRESENT ~ CREATE THE FUTURE