Workers Compensation Claim Procedure

Work related injury, disease or illness occurs or is noticed

Seek first aid or medical treatment. If medical treatment is required, ensure medical practitioner supplies a First Medical Certificate

If major injury ring 2222* for ambulance
and 3938 for immediate reporting to Safety and Health

Contact Supervisor AND Safety and Health Representative (SHR)
or School Safety Officer (SSO)

Complete a UWA
Confidential Incident / Injury Report Form

Fax First page to UWA Safety and Health 6488 1179.
Supervisor to complete second page and forward to Safety and Health, M350

Workers' Compensation forms forwarded to the Injured Worker, including a form
to be completed by Head of School/School Manager or Section Head
These include:

Employee 2B Form.

To be completed by
the injured employee

Witness Statement.

May be completed by
an eyewitness or any person having
knowledge of the
incident

Employer's Report Form.

To be completed by
Head of School/Unit,
School Manager
or Supervisor

Journey Form.

To be completed by
the injured worker if
the injury occurred in
a motor vehicle.

Supervisor and/or injured worker forwards completed forms and
Workers' Compensation First Medical Certificate to Safety and Health

Safety and Health will submit forms to the University's
insurer within three working days

Insurer notifies employee of the status of
their claim within 14 working days (whether accepted, pended or disputed)

Every medical visit requires
a Workers' Compensation Medical Certificate

Medical certificates, approved treatments and prescription
invoice/receipts are to be forwarded to Safety and Health via supervisor

Return to Work Plan developed
if unable to return to full pre-injury duties.
Regular monitoring of progress by Safety and Health.
Regular review with GP

Once fully recovered,
Final Workers' Compensation Medical Certificate obtained