Injury/Near Miss (INM) Reporting
Process
- Operational Procedure – Report and Investigation of Incidents, Work Related Injuries, Illnesses and Near Misses (Injury/Near Miss Form Process
- Paper Process Standard Operating Procedure (SOP) – (includes directions for managers and workers)
- Call- In Process Standard Operating Procedure (SOP) – (includes directions for managers and workers)
- Injury/Near Miss (INM Reporting) Poster
Employee Responsibilities: If you have sustained a work-related injury or near miss, please see the appropriate submittal method for your applicable site (as directed below):
Employee of: | Submit Injury Near Miss Form to: |
Cadham Labs Concordia Hospital / Concordia Place Mental Health and Addictions Services Pan Am Clinic Regional Distribution Facility Selkirk Mental Health Centre Shared Health Services (Within Winnipeg) WRHA Community / Corporate | Call-In Process Call the Injury Near Miss Intake Line at (204) 940-8482 They will take your report over the phone |
Health Sciences Centre Churchill Health Centre Golden West Centennial Lodge Middlechurch Home of Winnipeg River Park Gardens | Paper Process Complete INM Form and submit by Email: [email protected] |
Deer Lodge Centre | Paper Process Complete INM Form and submit by Email: [email protected] Fax: (204) 831-2918 |
Grace General Hospital | Paper Process Complete INM Form and submit by Email: [email protected] Fax: (204) 943-0237 |
Seven Oaks General Hospital | Paper Process Complete INM Form and submit by Email: [email protected] Fax: (204) 694-0479 |
Victoria Hospital | Paper Process Complete INM Form and submit by Email: [email protected] Fax: (204) 477-3449 |
Manager/Supervisor Responsibilities
- Manager/Supervisor Responsibilities and Procedures – Work Related Injury or Illness – Absence from Work
- Memo: WCB Coding
- Request for Leave of Absence Online Form
- Return from Leave of Absence – Employee Status Form
Regional Forms
Training Resources
Other Reporting