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Louisiana Tech University

Division of
Administration & Facilities

Environmental Health and Safety

Emergency Contacts

 Environmental Health and Safety           Department                          257-2120

MEDICAL

University Student Health Center       257-4866

Ambulance  911

North Louisiana Medical Center     254-2100

Poison Control Center                800-222-1222

FIRE

Ruston Fire Department                        911

POLICE

University Police                              257-4018

Ruston Police                                       911
 

Quick Links

Emergency Information
 
Safety/Risk Management Policies

Safety Documents
 
Safety Meetings and Training

Driver's Safety Program

Accident and "Near-Miss" Reporting

Chemical Safety

Biological Safety

Radiological Safety

Shops, Grounds, Custodial, and Tool/Equipment Use Safety Programs

Forms


ACCIDENT REPORTING INVOLVING VEHICLES   

When an authorized driver is involved in a vehicular accident while conducting Agency business, the driver and/or their supervisor shall:

If the driver or another employee who is a passenger in the vehicle in injured and require medical treatment, the supervisor must also contact the Louisiana Tech University Human Resources Office to report a Worker's Comp Claim.  Use Employers First Report of Injury or Illness (LWC-WC IA-1)

ACCIDENTS IN RENTAL VEHICLES

CDW/Damage Waiver insurance and $1 Million Liability Protection Coverage is included in the State’s in-state and out-of-state rental contract pricing.  In case of an accident the rental company should be notified immediately.  In addition ALL other vehicle reporting procedures described above must be followed.

REPORTING NON-VEHICULAR ACCIDENTS OR “NEAR-MISSES” THAT INVOLVE OR COULD HAVE INVOLVED INJURY OR DAMAGE TO PROPERTY


This guide is to assist someone confronted with a non-vehicular accident/injury or a “near-miss” incident that could have resulted in an accident /injury on campus.  The term "accident" shall be defined as any unforeseen incident during which a person or persons sustain physical injuries.  The term "injury" includes any physical trauma incurred during the accident. All Accidents, including those occurring to non-employees, should be investigated by University Police and the supervisor responsible for the area in which the accident occurred.  "Near misses" are accidents also and should be investigated by the supervisor as thoroughly as an accident that results in injury or property damage.

STEP 1- Notify University Police at 4018. If an ambulance is required, call 9-911 (to connect to the Lincoln Parish 911 system). Be prepared to tell the 911 system or University Police the following:  (a) Nature of the emergency; (b) Exact location of the victim; (c) Your name and address.  Do not hang up until advised that it is all right to do so

STEP 2A- When an employee is injured in a non-vehicular accident, the employee’s supervisor must complete the DA-2000- State Employee Incident/Accident Investigation Form. (See “Forms” Section of EHS web page for DA 2000).  Complete instructions for filling out the DA-2000 are below. Supervisors are to retain the original and are to send a copy of the completed DA-2000 to the Director, Office of Environmental Health and Safety within 5 working days after completing the form.

If the injuries require medical attention, the supervisor must ALSO complete Form LWC-WC IA-1, “Workers Compensation- First Report of Injury or Illness”  The LWC-WCIA-1 is completed by the Supervisor for each injury/illness identified by them or their employee as occupational. A copy is to be provided to the employee and the insurer immediately. Forms for cases resulting in more than 7 days of disability or death are to be sent to the HUMAN RESOURCES  by the 10th day after the Incident or as requested by the OWCA. Any questions regarding this form are to be addressed to the Louisiana Tech University Office of Human Resources

 
STEP 2 B- When a NON- employee  or client is injured in a non-vehicular accident, the University Police or the Supervisor to who this event is reported must complete the DA-3000- Visitor/Client Accident Reporting Form (See “Forms” Section of the EHS Web Page for DA-3000) Complete instructions for filling out the DA-3000 are found below. Supervisors are to retain the original and are to send a copy of the completed DA-2000 to the Director, Office of Environmental Health and Safety  within 5 working days after completing the form.

ACCIDENT INVESTIGATION

Who Investigates Accidents


All levels of administrators and supervisors investigate accidents. The most important investigator is
the immediate supervisor because:


1. Knows most about the situation.
2. Has a personal interest in identifying accident causes.
3. Can communicate more effectively with the workers.
4. Can take immediate action to prevent an accident from recurring.

What, When, and Why of Accident Investigation


1. What is an accident investigation?
Basically, the immediate supervisor's analysis and account of an accident based on factual information gathered in a conscientious manner--it is not a recounting of the employee's explanation of the accident.

2. When is the best time for an accident investigation?  As soon as possible. The less time between accident and investigation, the better the information obtained.

3. Why are accidents investigated?

Not to assign blame or to satisfy the supervisor, but to prevent recurrence.

Conducting the Accident Investigation


The immediate supervisor shall:

1. Put the employee at ease--your only interest is to prevent recurrence. Assure the employee you are concerned for him/her.


2. Conduct the interview at the scene of the accident--this reduces the possibility of mistakes and avoids embarrassment.

3. Ask for the employee's version of the accident--be sure it is understood that you want his/her version. No need to dress it up. Do not make judgmental remarks or you will put the employee on the defensive.

4. Ask any questions necessary--the key word is necessary. Limit your questions as much as possible to facts.

5. Repeat the employee's story as you understand it. It assures complete understanding between yourself and the employee as to what actually took place.

6. Close the interview on a positive note: Prevention.


Sample Procedure for Accident Investigation


An accident is defined as "a series of unplanned events that caused or COULD HAVE CAUSED personal injury or property damage." All accidents, including those occurring to non-employees, should be investigated by the supervisor responsible for the area in which the accident occurred. "Near misses" are accidents also and should be investigated as thoroughly as an accident that results in injury or property damage.  AFTER ACQUIRING NECESSARY MEDICAL AID FOR INJURED PERSONS, the supervisor should follow these steps in investigating the accident:

1. Contact University Police.

2. If possible, ask the person or persons involved to describe what happened. Do not fix blame or find fault; just get the facts.

3. Survey the accident scene for information. Assemble any objects that might have contributed to the accident.

4. Determine if there were any witnesses to the accident and get their accounts of the incident.

5. Take whatever steps are necessary to prevent recurrences until the condition can be permanently corrected.

6. Complete the Accident Investigation Form

Instructions for Completing the Accident Investigation Form ( DA 2000 or DA 3000)

Either accident investigation form is a tool to assist in determining the causes and procedures to prevent the recurrence of similar incidents. All spaces on the form are to be completed. Notations such as N/A should be avoided. The Immediate Supervisor, with the assistance of the employee completes DA-2000. The investigating officer/official, with the assistance of the client. completes the DA-3000.

Page 1 of the DA-2000  identifies the injury and the circumstance(s) under which it occurred. Page 2 of this form is the Management Section which must be completed by the Employee’s immediate supervisor and is of critical importance to determine the Root Cause of the accident and to identify those measures  to mitigate any hazards. This analysis must be thorough and in enough detail that actions can be taken to correct the unsafe condition. FORMS WITH AN INCOMPLETE  ROOT CAUSE ANALYSIS WILL BE REJECTED AND RETURNED TO THE IMMEDIATE SUPERVISOR FOR MORE DETAIL.

The original form is retained by the supervisor in the area where the accident occurred. A copy should be sent to the Environmental Health and Safety Department. EHS will review the form for completeness and have them available for the Risk Management Auditor.



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