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Workplacement Injury Reporting Procedure



Note: Workers Compensation Board (WCB) Forms E1 and W1 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 where the student requires medical treatment from a health care professional and/or will be unable to continue work. Contact WCB Claims Department at 1-800-667-7590 if you have any questions regarding the E1 & W1 forms.




When a student is injured in the work place while participating in a work-based learning opportunity:

  • The incident must be reported to the employer at the work placement and to the school-based work placement coordinator immediately.
  • The employer must provide immediate and appropriate first aid and, if required, arrange transportation so that the injured student can receive appropriate treatment from a qualified health care professional.
  • The student's parents/guardians must be notified as soon as possible.
  • The health care provider must report to the WCB. It is advisable for the student/parent to request that the health care provider indicate that the student is on a work placement and note the name of the school.
  • The supervising teacher or work-based learning coordinator, in consultation with the employer, must complete Form E1, Employer's Initial Report of Injury Form. Note:
    • Section A - Employer Information - the employer's name and address (complete with postal code) are to be added below the Ministry of Education address, and fields on the right are to be completed.
    • Section B - Worker Information - the student's name and address (complete with postal code) are to be added below (K-12 STUDENT WORK PLACEMENT), and fields on the right are to be completed.
    • Section D – Students on a work-based learning assignment are not paid. However, loss of wages may occur if the injured student has a part-time job and will be unable to work due to the injury at the work placement.
    • All other sections must be completed.
    • The form must be signed by the supervising teacher/work placement coordinator.
    • The file is to be saved using the format, E1-MONTH DAY, YEAR-SCHOOL-STUDENT NAME (ie. E1-April 8, 2016-SouthwestHighSchool-JoeSmith).
    • The file must be emailed to the Ministry of Education (curriculum@gov.sk.ca) within 3 days of the occurrence or sent by fax to 306-787-2223. The completed Work-based Learning Consent and Agreement Form must also be attached to the email or fax.
    • The Ministry of Education will submit the form to the WCB.
  • The injured student, with assistance from the supervising teacher/work-based learning coordinator, must complete Form W1, Worker's Initial Report of Injury. Note:
    • Section A – Worker Information – the student's name and address (complete with postal code) are to be added below (K-12 STUDENT WORK PLACEMENT) and fields on the right are to be completed.
    • Section B – Employer Information – the employer's name and address (complete with postal code), the name of the school and school division, and the name and phone # of the work place coordinator are to be listed; fields on the right must also be completed.
    • All other sections are to be completed.
    • The student worker must sign the form. If the student is under the age of 18, a parent/guardian must witness the signature.
    • The file is to be saved using the format, W1-MONTH DAY, YEAR-SCHOOL-STUDENT NAME (ie. W1-April 8, 2016-SouthwestHighSchool-JoeSmith).
    • The file is to be emailed to the Ministry of Education (curriculum@gov.sk.ca) or sent by fax to 306-787-2223 as soon as possible.
    • The Ministry of Education will submit the form to the WCB.



In addition, a report should be filed with Marsh Canada and copies of the insurance form should be kept at the school and division offices. The School Incident Report Form for Insurance Purposes can be accessed on the Saskatchewan School Boards' Association website.

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