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The injured employee's supervisor shall complete the Accident Investigation Report immediately following an illness or injury. Use back of form if necessary.Personal Injury or Illness. The safety process coordinator receives a copy of all supervisors' injury and illness investigation reports and reviews each one for quality and thoroughness. The supervisor in conducting an investigation to include preparation of an accident report form. 2. 5020, Supervisor Accident Investigation Report form, and supportive medical notes to the GSD's Workers' Compensation Coordinator at (213) 978-2011. The safety process coordinator receives a copy of all supervisors' injury and illness investigation reports and reviews each one for quality and thoroughness. Injury and Illness Data. Safety and Health Surveys and Inspections Process. 519-661-2079 (ext 82079 on campus).