Details for Non-SLAC Employees*

*Stanford or SLAC does not have Workers’ Compensation responsibilities for non-SLAC employees and will not process any bills or reports received from medical providers for non-SLAC employees.

The following information for handling a work-related accident, injury, illness, or exposure applies to:

• subcontractors
• temporary personnel from an agency
• visitors
• non-employee experimenters
• collaborators
• students from other institutions

Medical Treatment

If your injury or illness is a medical non-emergency, you may seek treatment from your physician or one of the following health care providers:

• SLAC Medical Department
  A&E Building (041), Room 137
  Hours: Monday-Friday 8:00 a.m. - 4:30 p.m.
  Telephone: ext. 2281
   
• Alliance Occupational Medicine - Hours: Monday – Friday: 7:00 a.m. – 7:00 p.m.  (2 locations)
  
  2737 Walsh Avenue
  Santa Clara, CA 95051
  (408) 228-8400
  
  315 S. Abbott Avenue
  Milpitas, CA 95035
  (408) 790-2900
   

• U.S. HealthWorks Medical Group - Hours Monday – Friday 7:30 a.m. – 5:00 p.m
  201 Arch Street
  Redwood City, CA 94062
  (650) 556-9420
   
• Stanford Hospital Emergency Services & Prompt Care (Open 24-hours)
  300 Pasteur Drive
  Stanford, CA 94309
  (650) 723-5111

Adhesive bandages, which are available through SLAC Stores, may be used until you have follow-up medical care.

Note: If you seek medical assistance for your injury or illness, you must identify your employer to the medical provider, otherwise the medical provider will bill you directly.

Reporting Your Injury

Your Responsibilities

You should immediately report any work-related accident, injury, illness, or exposure to:

• Your SLAC supervisor or University Technical Representative (UTR)
• The SLAC Medical Department. If the SLAC Medical Department is closed, notify the Department by phone ext. 2281 or email: mggherman@slac.stanford.edu as soon as possible. Leave a message noting:
  • Your name
  • Nature of the injury
  • Time and date of the occurrence
  • Name of clinic or hospital where you received treatment

For SLAC to comply with federal reporting requirements, you are strongly encouraged to complete an Occupational Injury/Illness Report - Employee First Report of Injury (SU-17A) within 24 hours of the occurrence.   The SU-17A is available at the SLAC Medical Department and is also located on the Web at: http://www-group.slac.stanford.edu/esh/eshmanual/references/incidentsFormInvestigateSU17A.pdf.

Note: You should complete an SU-17A even if you do not seek medical treatment.

You are responsible for notifying your employer of any work-related injury or illness resulting from an accident, incident, or exposure. SLAC will not contact your employer. You may obtain a copy of your SU-17A to provide to your employer.

Responsibilities of your SLAC Supervisor or UTR

Upon learning of your work-related accident, injury, illness or exposure, your SLAC Supervisor or UTR may determine that you need medical care from a health care provider of your choice (such as the SLAC Medical Department, Stanford Hospital, Alliance Occupational Medicine or U.S. HealthWorks Medical Group or your physician). If so, your SLAC Supervisor or UTR should arrange for your transportation that does not compound the injury to a health care provider.

Your SLAC Supervisor or UTR is responsible for ensuring that the SLAC Medical Department is aware of your accident, injury, illness, or exposure. If the SLAC Medical Department is closed, your SLAC supervisor or UTR must provide the following information in a telephone message or email mggherman@SLAC.Stanford.edu:

• Your name
• The nature of your injury
• Time and date of the occurrence

If you complete an Occupational Injury/Illness Report - Employee First Report of Injury (SU-17A), the SLAC Medical Department will send the SU-17A, and an Incident Investigation Form SU-17B, to your SLAC supervisor or UTR.  Within three business days, your SLAC supervisor or UTR must complete and sign the SU-17B and return both forms to the SLAC Workers’ Compensation Administrator at MS 11.

Note:  The supervisor or UTR may not provide a copy of his/her statement to the non-SLAC employee.