Accident Report

In this topic you will go through the steps for submitting an accident report.

Steps:

1. Click in the User ID field.

   Step 1

2. a valid value
    e.g.
   Enter
    "connie.green"
    into the User ID field.
   Step 2

3. Click in the Password field.

   Step 3

4. a valid value
    e.g.
   Enter
    "welcome1"
    into the Password field.
   Step 4

5. Click the Sign In button.

   Step 5

6. Click the Main Menu button.

   Step 6

7. Click the Manager Self Service menu.

   Step 7

8. Click the Job and Personal Information menu.

   Step 8

9. Click the Accident Report menu.

   Step 9

10. Click the "Search" button to view previously submitted requests.

     

    To submit a new request select the"Add a New Value" tab.

    Step 10

11. Click the Add a New Value tab.

    Step 11

12. Click the Attachments tab.

    Step 12

13. Documents are available to download by clicking the Open link.

    Step 13

14. Attach the completed IWIF documentation.

     

    Click the Attach button.

    Step 14

15. To attach a file select the document from your computer to upload click on the browse button and the click on upload.

     

    Step 15

16. Click the Upload button.

    Step 16

17. Click the Form tab.

    Step 17

18. Click in the Incident Date field.

    Step 18

19. a valid value
     e.g.
    Enter
     "06/04/2015"
     into the Incident Date field.
    Step 19

20. Click in the Incident Time field.

    Step 20

21. a valid value
     e.g.
    Enter
     "3:30PM"
     into the Incident Time field.
    Step 21

22. Use the IWIF Claim Number provided by IWIF.

     

    Click in the IWIF Claim Number field.

    Step 22

23. a valid value
     e.g.
    Enter
     "2345678"
     into the IWIF Claim Number field.
    Step 23

24. Click the Incident Type drop-down list.

    Step 24

25. Click the Injury list item.

    Step 25

26. Click in the Date Reported field.

    Step 26

27. a valid value
     e.g.
    Enter
     "06/05/2015"
     into the Date Reported field.
    Step 27

28. Click in the Time Reported field.

    Step 28

29. a valid value
     e.g.
    Enter
     "4:00pm"
     into the Time Reported field.
    Step 29

30. Click in the Reported To field.

    Step 30

31. Enter "000000828" into the Reported To field or use the look up to search by name.

    Step 31

32. Click in the Reported By field.

    Step 32

33. Enter "000001914" into the Reported By field or use the look up to search by name.

    Step 33

34. Click in the Employee ID field.

    Step 34

35. Enter "000000842" into the Employee ID field or use the look up to search by name.

    Step 35

36. The Employee ID will auto populate the Subject and Employee Name.

    Step 36

37. Click in the Employee Start Time field.

    Step 37

38. a valid value
     e.g.
    Enter
     "8:00am"
     into the Employee Start Time field.
    Step 38

39. Click in the Incident Description field.

    Step 39

40. a valid value
     e.g.
    Enter
     "Deborah slipped in a puddle in the hallway and sprained her ankle"
     into the Incident Description field.
    Step 40

41. Click the scrollbar.

    Step 41

42. Click the Occurred on Employer Premises option.

    Step 42

43. Click in the Judiciary Location field.

    Step 43

44. Enter "C01-CTHSE" into the Judiciary Location field.

    Step 44

45. Click in the Exact Location field.

    Step 45

46. Enter "Hallway" into the Exact Location field.

    Step 46

47. Click the Save button.

    Step 47

48. Click the scrollbar.

    Step 48

49. Click the Submit button.

    Step 49

50. The approver will have a status of "Pending" when the form is submitted. If the form is saved and not submitted the status will show as "Not Routed".

    Step 50

51. Click the OK button.

    Step 51

52. Click the Home link.

    Step 52

53. Click the Sign out link.

    Step 53

You have completed the steps for submitting an accident report.

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