WORKPLACE INJURY

Medical emergency

  1. Call 911
  2. Notify supervisor. Fill out the Supervisor Report of Injury
  3. Fill out the Employee Injury Report
  4. Fill out the Witness Incident Report(s)
  5. Notify HR at ext. 1925/1903 of release conditions

Medical attention required

  1. Refer to occupational health clinic and give the Treatment Authorization Form
  2. Notify supervisor. Fill out the Supervisor Report of Injury
  3. Fill out the Employee Injury Report
  4. Fill out the Witness Incident Report(s)
  5. Notify HR at ext. 1925/1903 of release conditions

No Medical attention required

  1. Fill out the Supervisor Report of Injury
  2. Fill out the Employee Injury Report
  3. Fill out the Witness Incident Report(s)
  4. Notify HR at ext. 1925/1903
 

Additional Documents:

Treatment Authorization Form (for employee to take to US HealthWorks)

Injury Reporting Checklist 

US HealthWorks Locations

TOM Employee Exposure Form (chemical substance)

For incidents involving exposure to bodily fluids fill out the Significant Exposure to Bodily Fluids Form and contact HR for protocol.

Please review the Town of Marana's Safety & Loss Prevention Program and Exposure Control Plan for more information.

TOWN VEHICLE/PROPERTY INVOLVED 

For injuries/incidents involving a Town vehicle or property, refer to the Claims Management Administrative Directive and follow the protocol. CDL drivers should also refer to Chapter 7 of the Town's Personnel Policies and Procedures Manual for additional accident-related protocols.