Injury Reporting

Injury Reporting

To document any harm that a person suffers at your locations, use the Incident Report. Make any possible improvements to policies, facilities or grounds in order to prevent this incident from happening again. Completed Incident Reports should be kept on file at the parish. This file should be in a separate, locked location from personnel files.

Incident Report

 

To report an employee injury to Catholic Mutual, employers must complete the First Report of Injury form. Give a copy of this form to the employee along with the Employee Information Sheet. Then, fax the First Report of Injury to 402-514-2490, attention Teresa Sim or Jan Moxley. After making any necessary improvements to policies, facilities or grounds in order to prevent a similar incident from happening again, file completed forms at the parish in a separate, locked location from personnel files.

First Report of Injury

Employee Information Sheet

 

Contact

 

Mary Rasch

Human Resources
Diocese of Duluth
2830 East Fourth Street
Duluth, MN 55812
(218) 724-9111

 

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Injury Reporting