Injury Illness Response and Reporting Procedure
The following is the procedure for reporting and response to injuries or illnesses
employees, students, official volunteers and/or visitors at SUNY ESF.
Injury/Illness Requiring Medical Response
- University Police should be called at x6666 in all cases to report any injury or illness
potentially requiring emergency medical attention. When calling University Police, please
provide details related to the seriousness of the injury or illness, name of the person, and
exact location (building, floor, and room number). If you are with the person, please stay in
the area until University Police arrives.
- University Police Officers are not authorized to transport individuals to hospitals
assistance. University Police will assess the situation and contact an ambulance if necessary,
according to appropriate protocols. If it is determined an ambulance is needed, both Rural
Metro and Syracuse University Ambulance are simultaneously notified. A determination of
the appropriate ambulance service will be made between the two responding ambulance
services. (Note: Ambulance service may be covered under employee health insurance plans
if medically necessary, but the ill or injured employee would be responsible for all expenses
and documentation and follow-up with the ambulance service.)
- If an ambulance is called, University Police will write a report of the incident and
the offices of the Vice President for Administration and Human Resources. Any situation
regarding hazardous material will also be reported by University Police to the Environmental
Health and Safety Office. The Office of Human Resources will provide any other necessary
- Any work-related injury or illness for employees, student employees (related to their
employment) or official volunteers, whether or not medical assistance was required, should be
reported on the SUNY ESF Injury/Illness Report form located online under Policies and
Procedures | ESF Administration, also included with this procedure, and submitted to Ellen
Brown, Sr. Personnel Associate, 315-470-6613, in the Office of Human Resources.
- State employees and or supervisors including state student employees must also call
800-0029 to report the work-related injury or illness to the Accident Reporting System. This
will ensure a record of the injury and quick processing of any applicable benefits through the
Workers’ Compensation carrier. In addition, State Employees must notify Ellen Brown, Sr.
Personnel Associate, at 315-470-6613 if any days of work will be missed due to the work related injury or illness and/or if medical treatment was provided. Please note: that the
Workers’ Compensation carrier for State employees is the State Insurance Fund, NYSIF, PO
Box 66699, Albany, NY 12206, should you need to provide that information to your health care provider.
- Research Foundation employees and or supervisors must notify Ellen Brown, Sr. Personnel
Associate, at 315- 470- 6613 if any days of work will be missed due to a work-related injury
or illness and/or if medical treatment was provided. Please note: that the Workers’
Compensation carrier for Research Foundation employees is Chubb Insurance, Eastern Claim
Service Center, PO Box 4700, Chesapeake, VA 23327. Phone: 1-800-699-9916, should you
need to provide that information to your health-care provider.
Any questions about this procedure should be addressed to the Office of Human Resources
SUNY ESF Injury/Illness Report
Injury Illness Response and Reporting Form
Issue Date: 8/19/2013