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Wednesday, July 23, 2008

Procedures In The Event Of A Student/Participant Injury On A Work-based Learning Placement or Work Placement

Prior to placing a student/participant with an employer, the post-secondary institution/community-based organization must ensure that the student/participant has completed a Workbased Learning Consent and Agreement Form. In the event of an accident at the worksite the following should be done:

  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/participant work placements. Please use these forms in the event of an injury to a student.

  3. Complete the E1 Form provided by Ministry of Advanced Education, Employment and Labour:

    a) Report the incident to the employer at the work placement and the school or community-based organization's work placement coordinator immediately.

    b) The Employer's Initial Report of Injury (E1) must be submitted to Ministry of Advanced Education, Employment and Labour within three days. This form should be completed by the institution's/community-based organization'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, must be faxed to the Coordinator at Ministry of Advanced Education, Employment and Labour (306-787-7182). Ministry of Advanced Education, Employment and Labour will submit the form to WCB.

        i. Section A - The workplace employer's name, address, and postal code should be entered above Ministry of Advanced Education, Employment and Labour address, and fields on the right side should be filled in with the workplace employer's information. 

        ii. Complete all other sections. 

        iii. The E1 form should be signed by the institution's/community-based organization's work placement coordinator.

    c) 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/participant has a job but will have to miss work due to the injury during their work placement.)

  4. Complete the W1 Form provided by Ministry of Advanced Education, Employment and Labour

    a) Complete the Worker's Initial Report of Injury (W1) as soon as possible.

    b) Section A should include the requested information and in block letters, the statement: Post-Secondary, CBO WORK PLACEMENT STUDENT

    c) Section B of the W1 form should include the employer's address for the workplace at which the student/participant is placed, the name of the post-secondary institution/community-based organization and should list the contact name and phone number of the employer AND the work placement coordinator from the institution/community-based organization.

    d) This form must be faxed to the Coordinator at Ministry of Advanced Education, Employment and Labour (306-787-7182) as soon as possible. Ministry of Advanced Education, Employment and Labour will submit the form to WCB.
Related Documents

The form is for ensuring that a student/participant participating in Saskatchewan in a program and for whom the following consents and agreement are completed, is eligible for worker’s compensation and is subject to legal rights, benefits, obligations and restrictions while placed with a local employer, as if the student/participant was a worker in the course of employment.

This form must be faxed to the Coordinator at Ministry of Advanced Education, Employment and Labour (306-787-7182) as soon as possible. Ministry of Advanced Education, Employment and Labour will submit the form to WCB.

w1.pdf  ( 178.8 KB )

The Employer's Initial Report of Injury (E1) must be submitted to Ministry of Advanced Education, Employment and Labour within three days. This form should be completed by the institution's/community-based organization's work based learning coordinator in consultation with the employer.

e1.pdf  ( 272.9 KB )

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