The benefits of an active safety program in the workplace is very important. Specifically, these benefits include higher morale of workers, reduction of cost, increased production and harmonious employer-employee relationships. University Enterprises, Inc. is committed to providing a safe and healthy work environment for all employees.
UEI Employee Health and Safety Newsletters
Injury Illness Prevention Program (IIPP)
The purpose of the Injury Illness Prevention Program (IIPP) is to ensure a safe and healthy environment for UEI personnel and to protect students, staff and visitors at UEI from potential hazard or conditions which could affect their safety and health.
Code of Safe Practices
Guidelines to follow to protect employees, customers and visitors from potential accidents.
Report of Unsafe Condition or Hazard
This form is to be completed to report an unsafe condition or hazard in the workplace.
Hazard Correction Report
This form should be used in conjunction with the “Report of Unsafe Condition or Hazard”, as appropriate, to track the correction of identified hazards.
Notice of Safety Deficiencies
This notice is posted at or near the deficiency location until it is resolved.
Work Related Injury/Illness
Reporting a Work Related Injury/Illness
Instructions for reporting a work related injury/illness for both emergency and non-emergency situations.
Accident Report – Work Related Injury/Illness
This form represents both the original notification of work-related injury/illness and detailed report of the injury/illness. This form is to be completed by the supervisor and employee within 24 hours of injury/illness.
Workers’ Compensation Claim Form (DWC1)
This form is to be completed by the employee and UEI Human Resources or employer representative (i.e. supervisor) for work related injury/illness that results in lost time beyond the date of injury/illness or which results in medical treatment beyond first aid.
Medical Provider Network
Group of health care providers in the Sacramento area set up to treat UEI employees injured on the job.
Statewide Kaiser Occupational Health Center Locations and Contact Phone Number
A list of Kaiser occupational health center locations and contact phone number for UEI employees who do not live or work in the Sacramento area. These centers are set up to treat UEI employees injured or became ill on the job.
Kaiser On-The-Job Occupational Health Treatment Referral Form
This form authorizes Kaiser Health Center to provide a UEI employee treatment for a work related injury/Illness. Contact UEI Human for authorization signature. Please call ahead for on the job injury/illness care to ensure timely treatment.
U.S. HealthWorks Medical Group Treatment Authorization
This form authorizes U.S. HealthWorks to provide a UEI Employee treatment for a work related injury/Illness. Contact UEI Human Resources for authorization signature. Please call ahead for on the job injury/illness care to ensure timely treatment.
Authorization for Exchange and Disclosure of Protected Health Information
If treated for a work related injury/Illness at the Student Health and Counseling Services (SHCS), this form authorizes the SHCS to disclose/exchange information contained in your medical record between SHCS and UEI Human Resources for your work status (i.e. Off full duty or restricted duty). Contact UEI Human Resources for authorization signature.
Returning to Work
Requirements for the supervisor when an employee is returning to work following a work related injury/illness.
Designation of Personal Physician
This form is to be completed if you wish to designate your physician to treat you in the event of a work related injury or illness. You must submit this form to UEI Human Resources before a work related injury or illness occurs.
FAQs regarding work related illness/injury
Checklist to Operate a Vehicle
Lists all necessary documents needed to operate a vehicle.
Application for Vehicle Operation Authorization
To be completed by all first time drivers to operate any vehicle on UEI business. This form requires authorized approval prior to use of the vehicle.
Authorization to Operate Privately Owned Vehicle on University Enterprises, Inc. Business (STD 261)
To be completed by all first time drivers to operate their privately owned vehicle and submitted with the Application for Vehicle Operation Authorization form. This form requires authorized approval prior to use of personal vehicle and must be updated annually.
Authorization for Release of Record Information (INF 1101)
Authorizes the California Department of Motor Vehicles to provide UEI Human Resources your driving record annually or when action is taken against your driving privilege during your employment. To be completed by drivers who drive more than once a week or whose primary duty is driving related.
Policy for Using Electronic Devices While Driving
To be completed by all first time driver and submitted with the Application for Vehicle Operation Authorization.
Vehicle Accident Report
To be completed after any motor vehicle accident in a UEI owned vehicle including Electric Golf Cart, personal vehicle, or rental car while driving on UEI business. This form is to be submitted within 48 hours of the accident to UEI Human Resources and UEI Business Services.
Defensive Driver Training
Defensive driver training is an online course that is required if driving more than once a week or twelve times a year. This one (1) hour course covers advance defensive driving techniques to reduce your chances of being involved in a motor vehicle accident.
How to take the course: Once all required paperwork is completed and submitted to UEI Human Resources; you will receive an email with a link and instructions to take the online training.
Operation of University and UEI Vehicles on Inner Campus Pathway Procedures
Details the rules and guidelines under which vehicles can be operated on the inner campus pathways.
Golf/Electric Cart Safety Training
Employees operating a golf/electric cart, especially in the inner campus, must complete the online Golf Cart Safety Training. Employees must complete the Application for Vehicle Operation Authorization form. Once the form is completed and submitted with all the required documents to UEI Human Resources, you will receive an email with a link and instructions to take the online training.
Employees are expected to utilize Enterprises Rental-A-Car with which UEI through the CSU Auxiliary Organization has a contract that includes insurance coverage. Contact UEI Human Resources for rental rate information or account number information to make the reservation. Employee must complete the Application for Vehicle Operation Authorization form and submit to UEI Human Resources.
Bicycle Safety Guidelines
Guidelines to follow when riding a bicycle on campus and when riding a bicycle on campus for University Enterprises, Inc. business.
Bicycle Safety Guidelines Acknowledgement
This form is to be completed to acknowledge you’ve read and will follow the Bicycle Safety Guidelines.
This form is to be completed by anyone volunteering a service and is NOT a UEI employee.
Safety Committee Roster
Listing of the Safety Committee members and contact information.
Foreign Travel Request Form
This form is to be completed at least 30 days prior to traveling to a foreign country for UEI business.