Injury/Incident Reporting Documents

SAFETY AT RMU

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For More Information, Contact:

Tim J. Kirsch, CIH
Senior Director,
Capital Projects and Safety
Facilities Management
kirsch@rmu.edu
412-397-6282 Phone
412-397-6474 Fax

Olivia A. Lampenfeld
Safety Specialist
lampenfeld@rmu.edu
412-397-5919 Phone
412-397-6474 Fax

FACULTY/STAFF > DEPARTMENTS & OFFICES > FACILITIES MANAGEMENT > SAFETY AT RMU

Injury/Incident Reporting Documents

Forms & Documents

Worker's Compensation Employee's Acknowledgement Form
Worker's Compensation Information Notice
Employee Injury/Incident Report Form
Visitor Injury/Incident Report Form
Student Injury/Incident Report Form
First Prescription Fill Form

Physician's Panels

Physician's Panel - Butler (16002)
Physician's Panel - Cranberry (16319)
Physician's Panel - Johnstown (15904)
Physician's Panel - Moon Twp (15108)
Physician's Panel - Pittsburgh (15219)
Physician's Panel - Pittsburgh (15222)
Physician's Panel - Pittsburgh (15225)
Physician's Panel - Robinson (15949)