3/14/2014

Instructions for reporting an accident

Step 1: Must fill out an accident report and fax it to 786-272-1079. Please include in the accident report
the store # where the injury occurred.
Step 2: If the employee requires medical attention please call the following:
First Person to Contact
Marisol Oliva
Safety Coordinator
Office 305-247-5135 Ext 449
Cell: 786-227-0794
moliva@costafarms.com
Second person to contact
Brenda Garcia
Safety Assistant
Office 305-247-5135 Ext 457
Cell: 786-238-3243
bgarcia@costafarms.com
Third person to contact
Karla Savany
HR Personnel
Office 305-247-5135 Ext 456
Cell: 305-978-8400
Ksavany@costafarms.com

Fourth person to contact

Barbra Rocha
HR Director
Office 305-247-5135 Ext 319
Cell: 305-775-9804
brocha@costafarms.com

Accident Protocol

Accident Report must be filled out and signed immediately after accident is reported.
Injured employee signs accident report regardless if they deny medical treatment.
After signature is obtained, the accident report must be faxed immediately to Marisol.
Make sure the contract phone number of the injured employee is the most accessible phone
number for the employee. After the report is faxed, Marisol will contact the employee to give
the injured employee direction as to what medical facility to receive medical attention.
Always make a phone a call to Marisol to notify her that an accident has occurred and that the
report has been faxed.
If the injured employee does not hear from Marisol in a timely fashion notify your Area
Manager.