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Step #1: Get Medical Attention
Employees should obtain medical treatment at OHF for non-emergencies that occur during normal business hours, or at RRUCLAMC for emergencies and/or off-hours treatment. See below for additional information:
- Occupational Health Facility (OHF): Hours: M – F between 7:30 a.m. – 4:30 p.m.; Location: 10833 Le Conte Avenue, CHS 67-120 (This is on the 6th floor, 7th corridor, Room 120. Enter through the School of Dentistry on Tiverton Drive and proceed to the “O” elevator to the 6th floor.); Phone: 310-825-6771
- Ronald Reagan UCLA Medical Center (RRUCLAMC): Hours: 24 hours a day, 7 days a week emergency room (ER); Location: 757 Westwood Plaza (ER entrance on Gayley Avenue); Phone: 310-267-8400
- Off-Campus Injuries: If injury occurs off the UCLA campus, use the nearest designated facility for your organization. Your HR department can direct you to the appropriate facility
- Students (not student workers): Go to the Arthur Ashe Student Center or to the RRUCLAMC for emergencies or off-hours treatment
Step #2: Complete Necessary Forms
- UCLA Incident Report & Referral for Medical Treatment Form
- Required as a record that an injury or illness was reported
- Take the completed form to OHF
- Your medical provider will describe your received treatment and any work restrictions or future appointments
- Be sure to return the form to your supervisor after treatment
- Workers' Compensation Claim Form (DWC 1) & Notice of Potential Eligibility
- Use if treatment beyond first aid is required
- Must be provided by a supervisor within one day of the report of injury or illness
- Also supply the pamphlet When an Injury Occurs (see Related Information) which answers questions and provides telephone numbers
Step #3: Report the Injury to EH&S and IRM
- Contact EH&S Hotline within 8 hours for SERIOUS injuries
- Report serious injuries within 8 hours to the EH&S Hotline: 310-825-9797 (The EH&S Hotline is monitored 24 hours a day, 7 days a week)
- Provide the necessary information when reporting a serious injury:
- Employee name, title and department
- Supervisor name and phone
- Your name, title, department and contact information
- Date, time and location of incident
- Description of what happened
- Whether or not employee got medical treatment and, if so, where
- If serious injuries are not reported within 8 hours, departments can be fined $5,000.00 by Cal/OSHA
- Serious injuries are listed on the Serious Injury Poster (see Related Information)
- Contact Insurance and Risk Management (IRM) within 24 hours for ALL injuries
- Report all injuries (serious and non-serious) to IRM within 24 hours
- Phone: 877-682-7778; Fax: 310-794-6957; Email: wcreports@irm.ucla.edu
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