Accident Reporting Procedures
CompWest Insurance Company is a member of AF Group. All policies are underwritten by a licensed insurer subsidiary of AF Group.
☐ Provide first-aid or arrange for employee medical treatment. Use
approved MPN clinic.
☐ Alert clinic that employee will be arriving.
☐ Provide injured worker’s written job description to clinic (hand
carry or fax).
☐ Barricade the accident scene until deemed safe by qualified
personnel or Cal-OSHA.
☐ Preserve any physical evidence, such as potentially defective
equipment.
☐ Alert employee supervisor and corporate contact.
☐ Contact employee family members in the event of serious injury.
☐ Contact Cal/OSHA within eight hours if employee is hospitalized:
916-263-2800.
☐ Take photos of the accident scene using a variety of angles and
zoom. Preserve surveillance video if available.
☐ Interview witnesses using fact-finding, open-ended questions.
Take written statements.
☐ Interview injured employee if possible.
☐ Complete the accident investigation report objectively,
thoroughly and completely.
☐ Provide employee with Claim Form – DWC 1.
☐ Submit first report of injury to CompWest Insurance Company:
888-709-3651.
☐ Implement corrective action to prevent reoccurrence.
☐ Partner with CompWest Keep at Work team to provide modified
work (if applicable): 714-641-9510.
