The supervisor should complete the form with input from the injured employee, student, or visitor. All accidents and injuries of visitors, students, and employees while on WMU properties or while on scheduled WMU business off campus must be documented on the ESEM 311 form. Injuries of participants of collegiate athletics are the only exception for which completion of the 311 is not required.

The accident/injury report form (311) must be completed within 48 hours of the accident or injury and sent to the Division of Environmental Safety and Emergency Management

An investigation of the accident or injury and completion of the 311 form by the supervisor with the injured employee, visitor, or student is an important tool for the university to determine possible causes of the accident and the measures to prevent a reoccurrence of a similar accident or injury.

The information on these forms is used to track accident trends, to determine if equipment or facilities need repairs, to establish worker’s compensation benefits, and to determine the safety training need for our university community.

Click here to obtain a printable copy of the accident/injury 311 form

Click here for instructions on completing the accident/injury 311 form