Workers' Compensation

Workers' compensation provides benefits to employees who have sustained a work-related injury or illness. It is a mandatory coverage provided to all eligible employees in California. It is designed to provide employees with immediate medical attention and other benefits when they sustain a work-related injury or illness.

Employees may report their injury/illness directly, or the Supervisor/Manager can submit on behalf of an employee who has been injured.

Employees are responsible for reporting incident details to their immediate supervisor as soon as possible if they have sustained an injury or illness in the course and scope of their employment. Supervisors are responsible for initial distribution of the Workers’ Compensation DWC-1 Claim Form within 24 hours of notice for any work-related injury or illness. Completed forms should be returned to the workers’ compensation unit within 24 hours via email at hs-workerscompergo@ucdavis.edu.

*Supervisors and Managers: To establish a user group within your department to monitor for injuries that have been submitted, please reach out to the main Workers’ Compensation inbox at hs-workerscompergo@ucdavis.edu.

Seek appropriate medical care

• If non-emergency medical treatment is needed, schedule an appointment with Occupational and Employee Health Clinic (OEHC) at 916-734-3572.

• Information regarding care needed outside of normal OEHC operating hours can be found on the Occupational and Employee Health Clinic (staff only) website.

• For emergency medical treatment only, please go to UC Davis Medical Center Emergency Department or call 911.

• UCDMC Emergency Department: 2315 Stockton Blvd, Sacramento, CA 95817

Environmental Health and Safety is responsible for reporting work-connected fatalities or serious injuries or illnesses to Cal/OSHA within 8 hours of employer knowledge. Serious injuries or illnesses are those which require hospitalization, loss of limb or any degree of permanent disfigurement and must be reported immediately to the Health and Safety Officer at: 916-734-2740, after hours call the EH&S 24-hour pager at 916-816-1994. If there is no answer to the 24-hour pager, please contact the hospital operator at 916-734-2011.

The Workers’ Compensation Report, previously known as the Signal Light Report, provides supervisors and managers with a snapshot of injuries/illnesses filed for UC Davis Health. The report contains easy-to-use filters for a quick review of claims by Division, Month, Year, and Unit. Please follow the instructions below for accessibility to Tableau and the Workers’ Compensation Report. Any inquiries regarding data presented in the report should be sent to the Workers’ Compensation Unit at hs-workerscompergo@ucdavis.edu.

• To request tableau access
• Workers’ Compensation Report
• To request access to this dashboard, please submit a Service Now ticket here

Fill out the ticket as follows, inserting your information into the brackets:

• Access Type: New Access
• Access Role: Viewer
• Access Start Date: [Today’s date]
• Site: UCD Health
• Grant Access Similar To: [Your Manager]
• Requestor Department: [Your Department Name]
• Server: Production
• Project:

After adding the request, open your cart and enter the following:

• Approver: David Frankenberger
• Brief Cart Title: Add user(s) to OA – HR
• Detailed Description of Cart Request: Add user(s) to OA – HR
• List all users to be added along with their email address

Please contact Imran Yousaf or Latha Dumpala with any questions regarding access to the dashboard.