Accident/Near Miss Reporting


All injuries or near misses, no matter how slight, need to be reported immediately. (Paper or PDF versions are available upon request)

WWU Accident/Near Miss Report 

For injuries sustained while participating on one of our intercollegiate athletic teams (see list below), speak with the Athletic Trainer to complete the proper form within 72 hours of the accident.

  • Basketball (Men's & Women's)
  • Golf (Men's & Women's)
  • Cross Country (Men's & Women's)  
  • Soccer (Men's)
  • Volleyball (Women's)

For injuries sustained while participating in a sports activity that is not included in the list above, please complete the WWU Accident/Near Miss Report.

Emergency Procedure

  1. Call 911, if needed
  2. Call Campus Security, 509-527-2222

Non-emergency Procedure

  1. Notify the Risk & Safety Officer by completing a WWU Accident/Near Miss Report form.
  2. Contact the Risk & Safety Officer before seeking medical treatment for work-related injuries

    Walla Walla University is subject to Washington industrial insurance laws and has been approved by the state to cover its own workers' compensation benefits. Self insured employers must provide all benefits required by the laws, The Department of Labor and Industries regulates employer's compliance with these laws. If you become inured on the job or develop an occupational disease, you will be entitled to industrial insurance benefits. Your claim will be handled by the benefits paid by Walla Walla University

    Emergency Procedure: 

    1. Call 911, if needed
    2. Call Campus Security 509-527-2222
    3. When receiving care, DO NOT provide personal insurance information. Tell the provider you were injured at work.
    4. Contact the Risk & Safety Officer to complete an WWU Accident/Near Miss Report and Self Insurer Accident Report (SIF-2)

    Non-emergency: 

    1. Notify the Risk & Safety Officer within 24 hours by completing a WWU Accident/Near Miss Report form. 
    2. The Department Head or Supervisor will be contacted by the Risk & Safety Officer to inspect the site of the accident and complete the Accident/Near Miss Investigation Report within 72 hours of the reported accident or near miss.
    3. It is important that all parts of the forms be completed for insurance and regulatory reporting accuracy. 
    4. Contact the Risk & Safety Officer to complete a Self Insurer Accident Report (SIF-2) before seeking medical treatment for work-related injuries

    Worker's Compensation Billing Information:

    Walla Walla University
    c/o Sedgwick / Seattle, WA
    P.O. Box 14518
    Lexington, KY 40512-4518


    All incidents on the College Place Campus should be reported directly to Campus Security by calling 509-527-2222.

    For incidents occurring on the Billings, Missoula, Portland, or Rosario campuses you may elect to complete an incident report and email it to courtney.bryant@wallawalla.edu instead of calling. For any incident that require a response from the Emergency Response Team, call Campus Security, 509-527-2222.


    Concussion Protocol

    Any student that exhibits signs, symptoms, or behaviors consistent with concussion (headache, nausea, vomiting, cognitive impairment, lose of consciousness, etc.):

    1. Must be removed from learning activity, physical activity, or competition for evaluation.

    2. Must be evaluated by a health care professional with concussion experience.
    3. May only return to activity based on the recommendation of a health care professional if they determine that a concussion is no longer suspected.

    Complete this form with the Athletic Trainer within 72 hours. Covered athletics are listed below:

    • Basketball (Men's & Women's)
    • Golf (Men's & Women's)
    • Cross Country (Men's & Women's)  
    • Soccer (Men's)
    • Volleyball (Women's)

    If you sustained an injury while participating in a sports activity not listed above, you need to complete the Student Accident claim form.

    Complete this form and the WWU Accident/Near Miss Report and provide to the Risk & Safety Officer for authorization prior to submitting to A-G Administrators along with any invoices and Explanation of Benefits (EOBs) you have received.