Appendix J: Procedures In The Event Of A Student Injury On A Work-Based Learning Placement

1.  Get medical attention if required. The employer should provide appropriate first aid and arrange immediate transportation so the worker can receive appropriate treatment from a qualified health care professional.

2.  Have your healthcare provider report to the Workers’ Compensation Board (WCB).

Note: the WCB forms provided below have been amended to reflect the unique nature of student work placements. Please use these forms in the event of an injury to a student.

3. Complete the E1 Form provided by Saskatchewan Learning

1. Report the incident to the employer at the work placement and the school-based work placement coordinator immediately.
2. The Employer's Initial Report of Injury (E1) must be submitted to Saskatchewan Learning within three days. This form should be completed by the school’s work based learning coordinator in consultation with the employer. The E1 form, along with the completed Schedule B, the Work-based Learning Consent and Agreement form (Appendix G), must be faxed to the Practical and Applied Arts Coordinator at Saskatchewan Learning (306-787-2223). Saskatchewan Learning will submit the form to WCB.
   1. Section A – The workplace employer’s name, address, and postal code should be entered above Saskatchewan Learning’s address, and fields on the right side should be filled in with the workplace employer’s information.
   2. Complete all other sections.
   3. The E1 form should be signed by the school work placement coordinator.
3. This should be done regardless of whether there are lost wages as a result of the accident or not. (Loss of wages may occur in those cases where the student has a job but will have to miss work due to the injury during their work placement.)

4. Complete the W1 Form provided by Saskatchewan Learning

1. Complete the Worker's Initial Report of Injury (W1) as soon as possible.
2. Section A should include the requested information and in block letters, the statement: K-12 WORK PLACEMENT STUDENT
3. Section B of the W1 form should include the employer’s address for the workplace at which the student is placed, the name of the school and school division, and should list the contact name and phone number of the employer AND the work placement coordinator from the school.
4. This form must be faxed to the Practical and Applied Arts Coordinator at Saskatchewan Learning (306-787-2223) as soon as possible. Saskatchewan Learning will submit the form to WCB.