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Employee must return a completed Incident Injury Report Packet to Human Resources. 

(shown below are clickable images of the HRSS Incident Report Packet)

    

Contacts

First Report of Incident Injury Memo and Acknowledgment Form must be submitted to the following individuals by email:

To:

Training Manager (Currently: Elizabeth Saavedra)

Senior HR Support Specialist (Currently: Wendy Whipple)

CC:

HRSS Department Email

Senior Employee Relations Specialist (Currently: Annette Williams)

Night or Day Shift Manager (Night - Andy Yanez, Day - Seyfi Yazicioglu)

 

 

 

 

The first two pages of the packet constitute the FRI. The last page is the Acknowledgement Form.

 

 

 

 

 

The FRI and AF do not need to be communicated verbally to the Training Manager.

WSR's with restrictions require Training Manager instructions on eligibility for a Modified Work Program.

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