Staff and Employee Lab Injury Reporting
A chemical splashed into the eye will be trapped against the cornea by the contact lens, increasing the likelihood of eye damage, and that vapors such as hydrogen chloride or ammonia are absorbed by some lenses and can cause severe irritation or injury.
** For a life-threatening emergency, seek immediate medical treatment by dialing 911.**
For assistance during a life-threatening emergency, please dial 404-413-3333.
Staff and Employee Lab Injury Reporting Procedures
1. Follow the Critical Event Guide from Research and Environmental Safety
2. IMMEDIATELY report injury to Principal Investigator or Laboratory Supervisor, Supervisor or HRAC Representative who must report all on-the-job injuries to Insurance & Risk Management (IRM) within 24 hours. An employee may not call in their own injury.
3. Seek medical treatment as needed according to severity of the injury:
a. EMERGENCY: Dial 911
b. Immediate Medical Treatment can be obtained from Concentra Midtown (688 Spring StNW, Atlanta, GA, 404- 881-1155) M-F 8:00am-5pm
c. After-hours care should be sought in the nearest hospital’s emergency department
4. In order to ensure the employees ability to pursue a workers’ compensation claim, Supervisor or HRAC Representative must obtain the following:
a. First Report of Injury Form (Modified WC-1 to be completed by Supervisor/HRACrepresentative)
b. Employee Leave Election Forms (completed by injured employee)
c. Acceptance / Denial of Workers Compensation Form (completed by injured employee)
d. Employee Accident Statement Form (completed by injured employee)
e. Witness Accident Statement form (if a witness is available)
f. Submit completed forms to Insurance & Risk Management
Forms available at https://risk.gsu.edu/workers-compensation/
Lajanda Casey
Risk & Insurance Coordinator
Email: [email protected]
Phone: 404-413-9546
g. Insurance & Risk Management will contact the injured employee, the employee’ssupervisor, and HR to provide them with the Workers’ Compensation claim number.
h. Upon receipt of the Workers’ Compensation claim number, employee must call theworkers’ compensation managed care organization (AMERISYS, 800-900-1582, option 2) to arrange in-network medical care.
i. Employee is required to submit a work status slip from the treating physician to theSupervisor and the Department of Safety & Risk Management following each medical visit.
General Treatment Locations
Please seek appropriate treatment according to the severity of the injury.
EMERGENCY: Dial 911
Immediate Medical Treatment can be obtained at the following student health clinic locations:
- Concentra Midtown (Lab Injuries)
688 Spring St NW
Atlanta, GA 30308
Phone: 404-881-1155
Hours: Mon-Fri 8:00am-5:00pm. Additional Concentra locations can be found in and around the City of Atlanta by searching here. - Piedmont WellStreet Urgent Care
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone: 404-996-0120
Hours: Mon-Fri 9am-9pm, Sat-Sun 8am-8pm. Additional Piedmont WellStreet Urgent Care Locations can be found here. - After-hours care should be sought in the nearest hospital’s emergency department
Non-Urgent Medical Care can be obtained following normal injury reporting procedures and working with the University System of Georgia’s Managed Care Organization to arrange for in-network medical care.
First Aid Only Injuries: Apply necessary first aid and report injuries to IRM as “record only”.
Laboratory Injury Report Form
Our Staff
Frederick Bibbs
Director, Insurance & Risk Management
Tel: 404-413-9548
[email protected]
Lajanda Casey
Insurance & Risk Coordinator
Tel: 404-413-9546
[email protected]
Vacant
Administrative Specialist, Administrative
Tel: 404-413-9545
Crystal White
Occupational Health and Safety Officer
Tel: 404-413-9547
[email protected]
Office Location
Citizens Trust Building
75 Piedmont Avenue
Suite 506
Atlanta GA 30302
Emergency Numbers
Emergencies: 911
Campus Police: 404-413-3333
Mailing Address
Georgia State University
Department of Insurance & Risk Management
P.O. Box 3961
Atlanta GA 30302-3961