Workplace Illness and Injuries/Accidents

University of Michigan
Office of Human Resources

1020 Administration Building
Dearborn, MI 48128-2406

Phone: 313-593-5190
FAX: 313-593-3568

Email: humanresourcesdearborn@umich.edu

 

For assistance to report incidents involving workplace illness and injuries/accidents and receive authorization for treatment, please contact: Kelly Carron (313-593-5192).

 

FOR INCIDENTS INVOLVING EMPLOYEES:

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How to Report Incidents Involving Workplace Illness and Injuries/Accidents
and Receive Authorization for Treatment for Employees:

The basic steps for employees to report incidents and receive treatment
authorization are:

 

  1. Notify your supervisor immediately after a work-related illness/injury occurs.
  2. Contact Public Safety at x 3-5333 or x 911 if medical treatment is needed.
  3. Your supervisor will report the incident to Human Resources (or Public Safety after business hours) and receive authorization to send you to Midwest Health Center, P.C./Metropolitan Airport Office Center-Romulus (map/information), the University's designated treatment facility for work-related injuries for medical treatment. (After hours and weekend treatment is provided by the Midwest Health Center, P.C. facility (map/information) located in Dearborn, Michigan.)

 

The basic steps for supervisors to report employee incidents and receive
treatment authorization are:

 

  1. The employee's supervisor must immediately contact either Human Resources at x 3-5190 or Public Safety at x 3-5333 or x 911 to report the incident. Human Resources (or Public Safety after business hours) will send an authorization form to Midwest Health Center, P.C./Metropolitan Airport Office Center-Romulus (map/information), the University's designated treatment facility for work-related injuries for medical treatment. (After hours and weekend treatment is provided by the Midwest Health Center, P.C. facility (map/information) located in Dearborn, Michigan.)
  2. The supervisor must complete the Work~Connections Illness or Injury Report Form and mail or fax it to Human Resources (at 1020 AB, Fax: x 3-3568). Do not send the form directly to Ann Arbor Work~Connections.

 

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FOR INCIDENTS INVOLVING NON-EMPLOYEES:

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How to Report Incidents Involving Workplace Illness and Injuries/Accidents
and Receive Authorization for Treatment for Non-Employees:

Contact the Public Safety office from any University telephone
at x 3-5333 or x 911 or from any non-University telephone at 313-593-5333. An
Injury Report for Non-Employees form should be completed. These forms are available in the offices of Public Safety and Human Resources.  The original should be sent to Kelly Carron in Human Resources, 1020 Administration Building.