Injury/Near Miss (INM) Reporting

Process

• Work Related Injury / Near Miss Form
• 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 Responsibilities and Procedures – Work Related Injury or Illness – Absence from Work

Manager/Supervisor Responsibilities

• Memo: WCB Coding
• Request for Leave of Absence Online Form
• Return from Leave of Absence – Employee Status Form

Regional Forms

• Serious Incident Investigation Form

• Serious Incident Reporting – Investigation Interview Guideline
• Modified Duty Forms

Training Resources

• Injury Near Miss Process – Creating a Corrective Action for an Injury / Near Miss

Other Reporting

• Patient Safety Event Reporting

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