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Division of Business Affairs
Facilities Management and Environmental Health & Safety (EHS)



Employee Incident/Accident Investigation Form - DA2000 

Visitor Incident/Accident Investigation Form - DA3000



Any ULM employee who experiences or witnesses an accident involving personal injury should first determine if the injured person (employee or other) requires assistance.

  1. If the injured person is ambulatory, assist them in reporting directly to the Student Health Center at 1140 University Avenue.
  1. If the injury prevents movement, provide cover or other comfort as appropriate. DO NOT ATTEMPT TO MOVE THE INJURED PERSON. Contact the University Police by dialing 318-342-5350 or 911 and give them the details. 
  1. All employees must report any injury to their supervisor as soon as practical, at least by the end of the shift during which the injury occurred. Report the mishap to the appropriate official:
  1. Traffic accidents and non-work-related accidents should be reported to University Police.
  1. Work-related accidents or near-misses/incidents should be reported to the supervisor of the employee(s) involved in the incident.
  1. All accidents (including visitors) should be reported to the Environmental Health and Safety Office at extension 5177 and University Police.





First aid kits are available in academic buildings for minors scrapes and cuts.

Minor injuries should also be treated at the Student Health Center when necessary.

In the event of medical treatment of an employee, the immediate supervisor will ensure the completion of an  INCIDENT/ACCIDENT INVESTIGATION FORM DA2000 and will forward a copy via the Department Head to the Human Resources Office. 

With the exception of an emergency situation, off campus treatment may be at the expense of the employee and not subject for compensation payment.

In case of a serious injury where the victim should not be moved except by trained emergency medical personnel, the University Police Dispatcher should be notified by calling 342-5350 or 1-911 and given the details. 

The employee will provide his supervisor with the injury diagnosis and return to work will be by authorization from the attending physician.

Note: ULM does support a back-to-work program so that the injured can return to light duty work if they are not able to return to regular duties.