CSN Incident Reporting

 

Criminal Activity

  • To report criminal activity, contact University Police Services.
  • To report a crime in progress:
    • Call dispatch at 702-895-3669 from any landline or cellphone or x7911 from any campus telephone.
    • For non-emergent crime reports, call 702-895-3668 from any landline or cellphone or x7311 from any campus telephone.

Facility Issues

  • To report an unsafe building condition, problems with the building infrastructure, or property damage, call x4888 or submit a facilities work request from the iServiceDesk.

Student Injury, Illness or Exposure (On-Campus or Off-Campus at Clinical or Field Site)

  • If the injury or illness is life threatening, contact University Police Services if on campus (702-895-3669 or x7911) or go to the nearest emergency room. 
  • Students with less serious injuries should refer to their medical provider for further evaluation and treatment. 
  • If the injury is minor and only requires first aid treatment, seek assistance from faculty or staff to obtain supplies from the nearest first aid kit. 
  • Faculty or Staff aware of a student injury or exposure should fill out an Incident Report Form and forward to EnvironmentalHealth.andSafety @CSN.EDU.
  • Student exposure to another person’s blood or body fluids as part of their clinical activities should be reported by the site supervisor or instructor. In addition to the Incident Report, a Report of Exposure to Bloodborne Pathogens  should be filled out and forwarded to EnvironmentalHealth.andSafety @CSN.EDU. For more information, please refer to the EH&S Bloodborne Pathogens Exposure Control Plan.
  • A student’s faculty member or department is responsible for notifying EH&S, 702-651-7445 immediately if there is a student hospitalization or fatality so the appropriate actions can be taken.
  • Student employees injured while working should follow the employee workplace injury process.

Employee Workplace Injury, Illness, or Exposure

  • All employee injuries, even minor ones should be reported. 
  • The CSN Workers’ Compensation Program is administered by the NSHE Business Center South – UNLV Risk Management & Safety. For questions/inquiries contact Michele Washington, michele.washington@unlv.edu, 702-895-5404 or visit the Workers’ Compensation Program website.
  • The employee’s supervisor or department is responsible for notifying EH&S, 702-651-7445, and UNLV Risk Management and Safety, 702-895-5404 immediately if there is an employee hospitalization or fatality so the appropriate actions can be taken.

* See buttons below for injury report process

Employee Responsibilities 

  1. Seek appropriate medical care. 
    • For emergency care, contact University Police Services (702-895-3669 or x7911) or go to the nearest emergency room. 
    • For non-emergency care, go to an approved workers’ compensation provider.
    • If the injury is minor and only requires first aid treatment, obtain supplies from the nearest first aid kit.
  2. Report the injury.
    • Contact your supervisor immediately and report the injury, exposure, or occupational illness.
    • Complete the C-1 Notice of Injury Form and send to your supervisor for signature.
  3. If treatment is received, file a Workers’ Compensation Claim.
    • Completion of the C-1 Notice of Injury Form is the start of the claims process.
    • During your initial medical evaluation, alert the staff that your injury/illness is work related.
    • Employees will complete a C-4 form with the medical provider. The medical provider will submit the C-4 to the UNLV Risk Management and Safety Office. 
  4. If applicable, follow-up on medical care and modified duty. 
    • Notify your supervisor in advance of any physician or therapy appointments.
    • Work within your restrictions if you are on modified duty.
    • Contact your supervisor at least once every two weeks if you are off work.

Supervisor Responsibilities 

  1. Assist the employee in obtaining the appropriate medical treatment.
    • For emergencies, contact University Police Services (702-895-3669 or x7911) or go to the nearest emergency room. 
    • For non-emergency care, refer the employee to an approved workers’ compensation provider.
    • If the injury is minor and only requires first aid treatment, provide first aid.
  2. Investigate and report the injury/illness. 
    • Review the C-1 Notice of Injury Form with the employee and sign it. 
    • Investigate the incident and complete the Supervisor’s Investigation Report.
    • Forward both forms UNLV Risk Management and Safety, Claims Administration Coordinator, Michele Washington at michele.washington @unlv.edu or fax 702-895-5227.
    • Employee injuries involving exposure to another person’s blood or body fluids requires an additional Report of Exposure to Bloodborne Pathogens form. Forward this report to EnvironmentalHealth.andSafety @CSN.EDU.  For more information, please refer to the EH&S Bloodborne Pathogens Exposure Control Plan. 
    • Correct the unsafe work condition when possible.
  3. If applicable, follow-up on employee’s medical care and modified duty.
    • Provide modified duty as appropriate.
    • Contact the employee at least once every two weeks if the employee is off work to determine employee’s medical progress. 
       

Visitor Injury, Illness or Exposure (Members of the Public, Guests, Contractors, Vendors)

  • If the injury or illness is life threatening, contact University Police Services (702-895-3669 or x7911) or go to the nearest emergency room. 
  • Visitors with less serious injuries should be referred to their medical provider for further evaluation and treatment. 
  • Faculty or Staff aware of a visitor injury or exposure should fill out an Incident Report Form and forward to EnvironmentalHealth.andSafety @CSN.EDU.