- Lewiston-Porter Central School District
- Accident Reporting for Personnel
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Accident Reporting for All District Personnel
If you are injured in the performance of your duties, the following procedures are provided for your protection:
1. The injury, however slight, should be reported to your direct supervisor immediately.
2. All work-related accidents/injuries require evaluation at the time of accident by the school nurse. If an accident/injury occurs outside the nurse’s normal working hours, please report to your direct supervisor and follow up with the school nurse the following day.
3. You will be asked to complete the Personnel Accident Reporting Form detailing the injury. The school nurse will sign off on the form and forward it to your supervisor.
Note: Personnel Accident Reporting Forms and step-by-step instructions are available by clicking on the link above, in the health suite of each building and, for Buildings and Grounds personnel, in the Custodian’s office of each building.
4. Your supervisor (Building Administrator (instructional and non-instructional staff) or Director of Facilities (buildings & grounds staff) will sign off on the form and forward it to Jodee Riordan in the Office of Personnel and Human Resources. This must be received by HR/Personnel within forty-eight (48) hours of the accident, so that a compensation report may be filed with our insurance carrier in the required time period.
5. If medical attention is necessary, please inform the physician and/or the hospital that you are an employee of Lewiston-Porter Central School District, and that our compensation carrier is:
Utica National Insurance, PO Box 6584, Scranton, PA 18505.
All bills should be forwarded to:
Lewiston-Porter Central School District4061 Creek RoadYoungstown, NY 14174Attn: Personnel OfficeIf, after the initial filing of the accident report, medical attention is required, please notify the Office of Personnel and Human Resources of the physician’s name and/or the name of the hospital, and the date you were seen, so that the records are updated and correct. This will allow for proper filing of Worker's Compensation paperwork, and the timely payment of bills incurred for medical treatment.The Workers’ Compensation Law requires that this information must be filed within ten (10) days of the occurrence. We appreciate your cooperation in assuring that Lewiston-Porter Central School District is in compliance.
Plesse note:
These instructions DO NOT apply to cafeteria personnel or to BOCES personnel. They should follow the procedures recommended by their employer.
These instructions DO NOT apply to non-employees on school premises. They should follow the procedures as outlined in the Accident Report: Non-Personnel.