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Quick Reference for SMIS Accident Reporting – DOI Employees Module Accessing SMIS Accident Reporting 1. Open your browser and in the Address field, type 

http://www.smis.doi.gov. 

2. Click Accident Reporting. 3. Click DOI Employees. Logging In 1. From the main “Safety Management Information System” screen, 

click DOI Employees. 

2. In the Last Name field, type your last name. 3. In the SSN Last-4 field, type the last four digits of your social 

security number. 

4. Press Enter or click Employee Login. 

5. What you do next depends on whether you are initiating a new claim 

OR completing or reviewing an existing claim. • If you are initiating a new claim, in the Enter your Internet EMail Address field, type your email address and click Verify 

E-mail and Request a Claim ID. If an email address already displays in the Enter your Internet E-Mail Address field, verify that it is correct and click Verify E-mail and Request a Claim ID. 

• If you are completing or reviewing an existing claim, type your 

claim ID in the Enter your claim ID field and click Send Claim ID - Enter your Claim. 

Initiating an Injury Report (Claim) Once you have your claim ID, you can file a C1. In the Enter your Claim ID field, type the 

in an email. 

2. Click Send Claim ID - Enter your Claim 

CA-1 or CA-2 form. 

3. In the 5. Home telephone box, type your 4. Verify that the mailing address in the 7. E

address (including city, state, and zip cothe information as required. 

5. Identify all your dependents. 6. Select the type of report you 

are filing: • (CA-1) 

Injury/Traumatic Injury 

• (CA-2) 

Occupational Disease/Illness 

7. Click Proceed to Description of your In

Printing a Completed CA-1 or CA-2 1. Open the claim you want to print and clic

CA-2 Form, depending on the type of rep(You cannot change any information from 

2. From the File menu, select Print. The for

appears on screen. 

Viewing the Status of Your Claim 1. Open the claim you want to view. 2. Click Claim Status at the top of the scree

claim. The “Status of Claim for CompensName>” screen is displayed. 
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Completing the CA-1 Form In the Description of Injury section of the screen... 1. In the 9. Place Where Injury Occurred box, type a detailed 

description of the location at which you injured yourself. Be specific. 

2. In the 10. Date Injury Occurred box, type the date on which the 

accident occurred (mm/dd/yy, mm/dd/yyyy, or dd/mm/yyyy). 

3. In the Time box, select the time at which the accident occurred. 4. In the 12. Employee’s Occupation box, type your job title. If a job 

title already appears in this field, you cannot change it. 

5. In the 13. Cause of Injury box, describe, in detail, how and why the 

accident occurred. 

6. In the 14. Nature of Injury box, describe your injury. In the Employee Certification section of the screen... 1. In box 15, determine how you wish to receive payment by selecting 

Continuation of regular pay (COP) or Sick and/or Annual Leave. 

2. Check the I have read and understand the above statement box. 

3. Click Complete your Claim Submission to file your claim. 

4. Notify your supervisor that you have completed a CA-1 form: 

• In the Enter Your Supervisor’s Email Address field, type his or 

her email address and click Send Email to your Supervisor. 

• If you do not know your supervisor’s email address, type his or 

her name in the Enter Your Supervisor’s Name field and click Prepare Paper Notification. 

Completing the CA-2 Form In the Claim Information section of the screen... 1. In the 9. Employee’s Occupation box, type your job title. If a job 

title already appears in this field, you cannot change it. 

2. In the 10. Location (address) where you worked when disease or 

illness occurred box, type the street address, city, state, and zip code of the location where you first became ill. 

3. In the 11. Date you first became aware 

type the date on which you first noticed ymm/dd/yyyy, or dd/mm/yyyy). 

4. In the 12. Date you first realized the dis

caused or aggravated by your employ

which you first realized you were ill becaugovernment (mm/dd/yy, mm/dd/yyyy, or d

5. In the 13. Explain the relationship to yo

you came to this realization box, descrdisease or illness is job-related. 

6. In the 14. Nature of Disease or Illness b

or illness and how it has affected your bo

7. In the 15. If this notice and claim was n

employing agency within 30 days after disease was related to your employmethe delay box, describe why you delayed are completing this form within 30 days ofield blank. 

8. In the 16. If the required employee stat

this report, explain the reason for the d

you might be delayed in getting your stateyour claim being processed. 

9. In the 17. If the required medical report

this report, explain the reason for the dyou might be delayed in getting this repoclaim being processed. 

In the Employee Certification section of th1. In box 18, check the I have read and un

statement checkbox. 

2. Click Complete your Claim Submission 

3. Notify your supervisor that you have com

• In the Enter Your Supervisor’s Ema

her email address and click Send Em

• If you do not know your supervisor’s 

her name in the Enter Your SuperviPrepare Paper Notification.