Accident and Unsafe Condition Reporting
Accident/Near Miss Reporting
All injuries or near misses, no matter how slight, need to be reported immediately. (Paper or PDF versions are available upon request)
Accident Reporting
Athletics
For injuries sustained while participating on one of our intercollegiate athletic teams (see list below), speak with the Athletic Trainer to complete the proper form within 72 hours of the accident.
- Basketball (Men's & Women's)
- Golf (Men's & Women's)
- Cross Country (Men's & Women's)
- Soccer (Men's)
- Volleyball (Women's)
For injuries sustained while participating in a sports activity that is not included in the list above, please complete the Accident and Unsafe Condition Report.
Non-Work Related
Emergency Procedure
- Call 911, if needed
- Call Campus Security, 509-527-2222
Non-emergency Procedure
- Notify the Risk & Safety Officer by completing an Accident and Unsafe Condition Report form.
- Contact the Risk & Safety Officer before seeking medical treatment for work-related injuries
Work-Related
Â鶹´«Ã½â€™s workers’ compensation is insured through the Department of Labor & Industries’ workers’ compensation program. If you are injured on the job or develop an occupational disease, you are entitled to workers’ compensation benefits. Your claim will be handled by the benefits paid by Â鶹´«Ã½
Emergency Procedure:
- Call 911, if needed
- Call Campus Security 509-527-2222
- When receiving care, DO NOT provide personal insurance information. Tell the provider you were injured at work, they will assist you in filing a workers' compensation claim.
- You can also file a claim form online at or by phone at 1-877-561-FILE (3453).
- Contact the Risk & Safety Officer to complete an Accident and Unsafe Condition Report.
Non-emergency:
- Notify the Risk & Safety Officer within 24 hours by completing a, Accident and Unsafe Condition Report form.
- The Department Head or Supervisor will be contacted by the Risk & Safety Officer to inspect the site of the accident and complete an investigation within 72 hours of the reported accident.
- It is important that all parts of the forms be completed for insurance and regulatory reporting accuracy.
- Contact Risk & Safety Officer and seek medical care.
Worker's Compensation Billing Information:
Â鶹´«Ã½
Washington State Department of L&I
PO Box 44140
Olympia, WA 98504
Incident Reporting
All incidents on the College Place Campus should be reported directly to Campus Security by calling 509-527-2222.
For incidents occurring on the Billings, Missoula, Portland, or Rosario campuses you may elect to complete an incident report and email it to courtney.bryant@wallawalla.edu instead of calling. For any incident that require a response from the Emergency Response Team, call Campus Security, 509-527-2222.
Concussion Protocol
Any student that exhibits signs, symptoms, or behaviors consistent with concussion (headache, nausea, vomiting, cognitive impairment, lose of consciousness, etc.):
-
Must be removed from learning activity, physical activity, or competition for evaluation.
- Must be evaluated by a health care professional with concussion experience.
- May only return to activity based on the recommendation of a health care professional if they determine that a concussion is no longer suspected.
Accident Claims
Accident Claim Forms
Athletic Accident
Complete this form with the Athletic Trainer within 72 hours. Covered athletics are listed below:
- Basketball (Men's & Women's)
- Golf (Men's & Women's)
- Cross Country (Men's & Women's)
- Soccer (Men's)
- Volleyball (Women's)
If you sustained an injury while participating in a sports activity not listed above, you need to complete the Student Accident claim form.
Student Accident
Students injured while on a Â鶹´«Ã½ campus, in campus-owned housing, or participating in off-campus University-sponsored activities (excluding intercollegiate athletic accidents) may complete an Accident and Unsafe Condition Report.