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Environmental Health and Safety

Incident Investigation Form

  1. Call in all accidents as soon as possible, but no later than 24 hours after the incident to the Travelers' Claim Office at 1-800-238-6225.
  2. Be prepared to give the operator as much of the following information as possible. 
  3. The Risk Management Office will automatically be notified of your injury upon the submission of this form, and will contact you shortly regarding the next steps in the process.
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Include the cause of the accident (e.g. slip, lifting, chemical), any contributing factors, equipment involved, etc. Also include the names and numbers of any witnesses or involved parties. If there are circumstances that give you reason to suspect that the above injury may be fraudulent, please describe and notify the Risk Management Office at 202-885-6813.