Embedded Files
- Authorized By: District Director of Health
- Initial Effective Date:
- Replaces:
- Reviewed:
- Revised: Practices codified on Google Sites 8/18/2021; Revised 12/23/2024, 11/24/2025
- Contact: Head of Human Resources
ALL incidents involving work-related injuries and illnesses must be reported immediately.
ALL incidents of reasonable suspicion of impairment due to the influence of drugs or alcohol must be addressed immediately.
Drug-Free Workplace Information and Forms
Drug-Free Workplace Information and Forms
Drug-Free Workplace-related information and checklists, and are available on the Workplace Safety Site.
Employee Incident Reporting Information and Forms
Employee Incident Reporting Information and Forms
What EMPLOYEES must do:
Employees must report incidents to their supervisor and to the hotline at KACO Claims center using 866-367-5226. They should notify the KACO Claims Center that the supervisor at NKY Health will complete Form IA-1 First Report of Injury form and that KACO does not need to complete the same form.
What SUPERVISORS must do:
As soon as they learn of an incident, supervisors must follow the Procedures for Reporting Employee Incidents described in the Incident Management section of NKY Health's Safety Manual.
Fatalities, hospitalizations and certain severe injuries to employees must be reported to OSHA within 8 hours as per OSHA's Reporting Requirements.)
Supervisors must:
Report fatalities, hospitalizations, and certain severe injuries to OSHA.
Notify the site manager of any incident involving her/his site.
Notify the head of Human Resources of any incident involving an employee.
What SITE MANAGERS must do:
Site managers (Clinic Managers for health centers; Human Resources for the District Office) must record certain work-related incidents to the OSHA 300 form as per OSHA's record-keeping guidelines.
For assistance, please call the head of Human Resources or:
502-564-3070 = KY
615-232-3803 = Federal
Visitor Incident Reporting Information and Forms
Visitor Incident Reporting Information and Forms
Please follow the Procedures for Reporting Visitor Incidents described in the Incident Management section of NKY Health's Safety Manual and use the links contained therein to access the forms.
Safety-Related Forms
Safety-Related Forms
Safety-related forms, checklists, and instructions for using them are available on the Workplace Safety Site.
Revision Log
Revision Log
6/8/2023
Added Revision Log
12/23/2024
Updated Drug-Free Workplace
11/24/2025
Clarified lanaguage in "Employee Incident Reporting Information and Forms" section
Added "Visitor Incident Reporting Infomation and Forms" section
Page updated
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