Employee Safety & Injury Reporting

Clinton County, Ohio Employee workplace injury/illness reporting

Clinton County BWC Policy Number 31400001-01

When a workplace injury and/or illness occurs, please complete an Employee Incident Report.

Complete the Employee Incident Report immediately and submit it to Human Resources.  An Incident Report does not file a workers’ compensation claim, it simply reports an injury occurred in the workplace.

Download the Employee Incident Report here.pdf

If you have sought medical treatment for your workplace injury, please complete an Ohio Bureau of Workers’ Compensation First Report of Injury Report (FROI).

Clinton County’s Workers’ Compensation Administrator is CompManagement Health Systems, Inc.

Steps To Take When a Workplace Injury Occurs

Injured Employee

  1. Immediately report the injury to your supervisor
  2. Complete the BWC First Report of Injury Form
  3. Seek medical treatment
  4. Take your ID card to all appointments
  5. Let your supervisor know that you have received medical treatment for your work-related injury

Employer

  1. Complete the employment section of the BWC First Report of Injury Form
  2. Fax the completed form to CHS toll-free at 800-334-4229
  3. Stay in touch with the injured work while they are off work

In emergency cases, injured workers should immediately notify their employer and seek treatment at the nearest medical facility. According to Health Partnership Program (HPP) guidelines, injured workers may seek treatment from any BWC-certified medical provider.

General Information
Human Resource Assistant
Valorie Fawley
Human Resource Assistant
Wendy Eddlemon
Phone Numbers
937-383-1170 937-382-3784
Fax: 937-382-5669
Emergencies: Dial 911
Location
1850 Davids Drive, Suite 209
Wilmington,
OH
45177

Monday - Friday
7:30am - 4:00pm