Incident Reporting
Have you been injured in a practice setting or involved in a clinical incident? Make sure to complete the (google form) Clinical Incident Reporting Tool (external link) .
Workplace Safety and Insurance Board (WSIB) reporting is required if your injury or incident may result in or has resulted in any or all of the following:
- Health care by a medical practitioner (i.e. physician, chiropractor, dentist, hospital and/or health facility)
- Loss of time from placement and/or university beyond the date of the incident
- Exposure to and/or contraction of a communicable disease (i.e. TB exposure, needlestick)
In the event of a practice injury or incident requiring first aid treatment only, you do not need to make a WSIB claim. Please follow placement agency/facility protocol for reporting and obtaining medical attention if required. If ongoing medical attention is required, please seek follow-up from your family practitioner of the Toronto Metropolitan University Medical Centre.
First aid is defined by the WSIB as a “one-time treatment or care and any follow-up visit(s) for observation purposes only. First aid includes, but is not limited to: cleaning minor cuts, scrapes, or scratches, treating a minor burn, applying bandages and/or dressings, applying a cold compress, cold pack, or ice bag, applying a splint, and changing a bandage or a dressing after a follow-up observation visit”.
(google form) Clinical Incident Reporting Tool (external link, opens in new window) must be completed and submitted by the student.
If the practice incident is an accident or injury that necessitates WSIB reporting, please follow placement agency/facility protocol for reporting and obtaining medical attention if required. If ongoing medical attention is required, please seek follow-up from your family practitioner or the Toronto Metropolitan University Medical Centre.
Notify the clinical instructor or faculty advisor as soon as possible on the day of the incident.
Obtain, complete and submit the following WSIB documentation. (Please note your documentation may be required from your clinical instructor/preceptor)
- Letter of Authorization to Represent Placement Employers (opens in new window) - this letter can be found under the Forms section of the TMU Office of the General Counsel and Board Secretariat (requires a signature from nurse manager or educator at the placement agency)
- Post Secondary Student Unpaid Work Placement Workplace Insurance Claim Form (external link, opens in new window)
- Form 7 (external link, opens in new window) - this form can be found under the Claims - Report an Injury, Illness, or Exposure of the WSIB website
- Report on Needlestick Injury or Body Fluid Splash (external link, opens in new window) - this form can be found under the Claims - Report an Injury, Illness, or Exposure of the WSIB website (Remember, your employer name is the Ministry of Colleges and Universities, not your placement agency's name)
Questions related to completing these forms should be directed to cpo@torontomu.ca (opens in new window)
Students should send all completed forms to cpo@torontomu.ca (opens in new window) for submission to WSIB.
If the practice incident is an accident or injury that necessitates WSIB reporting, please follow placement agency/facility protocol for reporting and obtaining personal medical attention. If additional medical attention is desired, seek medical attention from your family practitioner or the Toronto Metropolitan University Medical Centre.
Notify the practice instructor or faculty advisor as soon as possible on the day of the incident.
Obtain, complete and submit the following WSIB documentation with your faculty advisor/clinical instructor/preceptor:
- Letter of Authorization to Represent Placement Employers (opens in new window) - this letter can be found under the Forms section of the TMU Office of the General Counsel and Board Secretariat (requires a signature from nurse manager or educator at the placement agency)
- (PDF file) Post Secondary Student Unpaid Work Placement Workplace Insurance Claim Form
- Form 7 (external link, opens in new window) - this form can be found under the Claims - Report an Injury, Illness or Exposure of the WSIB website
- Form 6 (external link, opens in new window) - this form can be found under Report an injury or illness - Worker's Report of Injury/Disease (if applicable)
- (PDF file) Worker's Exposure Incident Form to Infectious Disease, Chemical or Other Workplace Substances (external link) - this this form can be found under the Claims - Report an Exposure Incident of the WSIB website (if applicable)
Questions related to completing these forms should be directed to cpo@torontomu.ca (opens in new window) .
Students should send all completed forms to cpo@torontomu.ca (opens in new window) for submission to WSIB.