Workplace Injuries
The Worker’s Compensation and Occupational Disease Act of Indiana provides protection for you if you are injured while carrying out assigned work duties both on university premises and while traveling on university business.
Workplace Injuries: What to Do?
If an injury occurs at work, do the following:
- If emergency medical treatment is necessary, call 911.
- If the injury results in hospitalization, please report the incident to University Police.
- If non-emergency medical treatment is necessary, visit an authorized work comp provider location.
- Notify the supervisor as soon as possible of the injury.
- In addition to all of the above — the supervisor completes and submits a First Report of Injury (FROI) Form. The FROI form must be completed for ALL work-related injuries/illnesses occurring on site. The FROI is available via DocuSign. Click here First Report of Injury (FROI) form.
- Enter the name and email of the person completing the form (in most cases this will be the supervisor). Enter the name and email of the injured employee’s supervisor. Then click “Begin Signing“
- Complete all required fields of the DocuSign Form
- Click “Finish“
- The supervisor will receive an email confirming the submission. Supervisor opens the DocuSign Form, reviews the information and submits. The form can be printed or saved electronically as a PDF.
- Notify Human Resources of the injury. (hr@pnw.edu or (219) 989-2251)
- If applicable, the supervisor completes and submits a Witness Report Form
- The Witness Report Form can be printed or saved electronically as a PDF.
- Send the completed witness report form via email to hr@pnw.edu or fax to Human Resources at (219) 989-2185 (Hammond) or (219) 785-5540 (Westville)
Working for Purdue from Another State?
If you are employed by Purdue Northwest and work inside the United States but outside of the State of Indiana, there are additional steps to take when injuries occur. Please contact your Purdue Northwest benefit administrator at (219) 989-2251.
Authorized Workers Compensation Provider Locations
Franciscan WorkingWell Munster – Hammond Clinic (3.3 mi)
7905 Calumet Avenue
Munster, IN 46321
Phone: (219) 836-4690
Monday through Friday: 8 a.m to 6 p.m
Community Occupational Health (Powers Health) – St. Catherine Hospital (4.6 mi)
4320 Fir Street, Suite 313
East Chicago, IN 46312
Phone: (219) 392-7424
Monday through Friday: 7:30 a.m. to 4 p.m.
Community Occupational Health (Powers Health) – Lake Business Center (5 mi)
10240 Calumet Avenue
Munster, IN 46321
Phone: (219) 440-5286
Monday through Friday: 7:30 a.m. to 7 p.m.
Franciscan WorkingWell St. John (12.2 miles)
8345 Wicker Ave
St. John, IN 46373
Phone: 219-365-5577
Monday through Saturday: 8 a.m. to 6 p.m.
Franciscan St. Margaret Health Hospital (4 mi) After Hours or in Emergency
5454 Hohman Avenue
Hammond, IN 46320
Phone: (219) 932-2300
Open 24 hours
Franciscan WorkingWell Michigan City (6.5 mi)
4111 S. Franklin Street
Michigan City, IN 46360
Phone: (219) 879-5400
Monday through Friday: 8 a.m. to 6 p.m.
Franciscan WorkingWell Valparaiso (12.2 mi)
2307 LaPorte Ave, Suite 8 (Eastgate Plaza)
Valparaiso, IN 46383
Phone: (219) 464-7073
Monday through Saturday: 8 a.m. to 6 p.m.
Community Occupational Health (Powers Health) – SouthPoint (15.4 mi)
1451 West Morthland
Valparaiso, IN 46385
Phone: (219) 286-3830
Monday through Friday 7:30 a.m. to 4 p.m.
Franciscan St. Anthony Health (9.1 mi) After Hours or in Emergency
Emergency Room
301 W. Homer Street
Michigan City, IN 46360
Phone: (219) 879-8511
Open 24 Hours
Chesterton Health & Emergency Center (9.6 mi) After Hours or in Emergency
770 Indian Boundary Road
Chesterton, Indiana 46304
Phone: (219) 921-2000
Open 24 Hours
Franciscan WorkingWell (14 miles)
400 Legacy Plaza West
La Porte, IN 46350
Phone: 219-575-6055
Monday through Friday: 8 a.m. to 4 p.m.
Community Occupational Health (Powers Health) – SouthPoint (5.3 mi)
1451 West Morthland
Valparaiso, IN 46385
Phone: (219) 286-3830
Monday through Friday: 7:30 a.m. to 4 p.m.
Franciscan WorkingWell Hobart (9.8 miles)
101 West 61st Avenue
Hobart, IN 47342
Phone: (219) 945-9530
Monday through Saturday: 8 a.m. to 6 p.m.
Community Occupational Health (Powers Health) (9.7 miles)
320 W 61st Avenue
Hobart, IN 46342
Phone: (219) 947-6495
Monday to Friday: 7:30 a.m. to 4 p.m
Franciscan WorkingWell Portage
3283 Willowcreek Road
Portage, IN 46368
Phone: (219) 764-8439
Monday through Saturday: 8 a.m. to 6 p.m.
Community Occupational Health (Powers Health) – Willowcreek Health Center
3170 Willowcreek Road
Portage, IN 46368
Phone: (219) 947-6628
Monday through Friday: 7:30 a.m. to 4 p.m.
Franciscan WorkingWell Crown Point (23.4 miles)
12800 Mississippi Pkwy, Pavilion A, Suite A204
Crown Point, IN 46307
Phone: (219) 662-5500
Monday through Friday: 7 a.m. to 5 p.m.
Forms and Guidelines
First Report of Injury Form
A first report of injury should be completed for every injury regardless if medical treatment is sought.
Witness Report Form
A witness report form should be completed if there were witnesses present when an injury occurred.
Work-Travel Benefits
Employee travelers should register with ACE International Advantage to have access to helpful services, including 24 hours emergency response.
Work Comp Information for Supervisors
All PNW employees are covered by Indiana Workers Compensation administered by JWF Specialty. This includes faculty, staff, graduate staff, student employees, full-time employees and part-time employees.
Workers Comp FAQs
Learn key workers compensation information, including: what are the benefits, who pays for my treatment, what if I have to be off work, what should I do if I get sick or injured on the job, and more.
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