Last modified: 3월 25, 2025

Policy 5120 Employee Accident/Injury Reporting Policy

• Download Policy 5120 Employee Accident/Injury Reporting Policy 

In an effort to maintain a safe and healthy work environment, accidents that occur on Provo City School District property or during the course of employment with the District must be reported. It is the intent of the District to minimize accidents, injuries, and illnesses by correcting identified causes when appropriate and feasible.

The Employee Accident/Injury Reporting Policy and Procedures apply to all accidents involving District employees. All employees of the Provo School District are covered by Workers’ Compensation Insurance through the Utah School Boards Association. Failure to comply with the Employee Accident/Injury Reporting Procedures (5120 P1) may result in a denial or partial denial of the accident claim with the Workers’ Compensation Insurance.

Fraud

5120 — “Under Utah law, a fraudulent workers’ compensation claim for compensation or medical benefits is a crime and any employee found guilty of fraudulently receiving these benefits is subject to fines and incarceration.”

참조

• Labor Commission of Utah – Employee’s Guide to Workers’ Compensation

교육위원회 승인

2011년 9월

Revised: July 2014, July 2017

관련 정책, 절차 및 양식

• 5120 직원 사고/부상 보고
• 5120 절차 1 직원 사고/부상 보고
• 5120 양식 1 사고에 관한 직원 진술서
• 5120 양식 2 감독자 사고 조사 보고서
• 5120 양식 3 증인 진술서
• 5120 양식 4 직원 재해 정보 양식