PPM Section 12 -
Employee safety: Workers' Compensation
The Workers' Disability Compensation Act is a state law providing for medical payments and income when injuries and accidents,
including disease, arise out of, and in the course of, employment. An employee who is injured
on duty must report it promptly to his/her supervisor, following the procedures outlined in
the incidents to be reported section below. Any delay in reporting
a job-related accident, injury, or disease may make it difficult to validate a claim at a later
Workers' compensation is administered by Human Resources. The department provides injured employees with resources and assistance, helping them to return to work as soon as possible.
Incidents to be reported
The University, as a covered employer, provides benefits within the limitations of the Workers'
Disability Compensation Act for job-related accidents and/or injuries. The University is required by law
to report all work-related injuries, within fourteen (14) calendar days of the date of
each compensable injury, to the State of Michigan Workers' Compensation Bureau. Failure to report
these injuries/accidents within the prescribed deadline is cause for the Bureau to penalize
the University. To avoid penalty for noncompliance with the Act, and to assure timely payment
for work-related accidents/injuries, all supervisors are required to follow the established
procedures for reporting all compensable incidents. Compensable incidents are defined as all
accidents and injuries, including disease, which arise out of, and in the course of, employment.
Ordinary disease to which individuals may be generally exposed outside of employment is not
- Employees must report accidents immediately to their supervisor.
- The supervisor and employee must complete the top half of the Report of Claimed Occupational Injury or Illness (WC-210) form, which is available on the HR Forms page. The injured employee is
to sign the WC-210 form where indicated to authorize release of medical information.
- The employee is then sent to the Sindecuse Health Center with a copy of the Medical
Treatment for On-the-Job Injury (WC-210) form and a blank Physical Capabilities (WC-504) form, which is available on the HR Forms page. Only in case of emergency or if the Health Center is closed
should an employee seek care off campus.
- Injuries requiring immediate attention will be examined/treated through urgent care
at the Health Center.
- Non-urgent injuries or problems where the relationship to the job is questionable
should be addressed with the occupational physician. Appointments should be scheduled
at the Sindecuse Health Center for these non-urgent cases.
- The treating physician completes the Physical Capabilities form and the lower portion
of the Medical Treatment for On-the-Job Injury form (WC-210), which the employee returns
to his/her supervisor.
- The supervisor is to complete an Accident/injury 311 report (EHS-311) form, which is available via the HR Forms page, within 48 hours and forward to Public Safety-Environmental Safety and Emergency Management.
- The employee or his/her supervisor must notify Human Resources if an employee is
away from work for more than seven (7) calendar days due to a work-related injury or illness, so that a workers' compensation claim can be filed for wage loss benefits.
- The supervisor prepares a Transaction form removing the employee from the payroll
when it is known that the employee will be off work for at least one entire pay period.