Flow Chart For Work Related Injury

If it is a fatality or three or more employees are injured notify osha and risk management within 8 hours. If an employee drops a box of work documents and injures his or her foot the case is considered work related. Complete the supervisor s report of employee injury safety form 674.

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Return to work return to work coordinator phone.

Flow chart for work related injury. Call 911 immediately report injury immediately to on duty supervisor. Contact risk management immediately to report all serious injuries or when the employee is transported by ambulance. For serious injuries occurring after hours the supervisor reports directly to san diego regional cal osha office at 619 767 2280 within 8 hours of the injury and advise risk management the call was made. Work related injuries flow chart.

The employee is to report any incident to their immediate supervisor or designated personnel. 492 17721 the goal of any return to work plan is to assist the worker in regaining the fullest physical psychological social vocational and economic usefulness of which they are capable following a work related injury or illness. Forward the original and yellow copy to the workers compensation division complete the workers compensation lost time report wc 6 and submit the form along with any original off work orders to the workers compensation division. An incident or injury occurs.

Employee sent to appropriate medical facility. Yes call 911 or other emergency service number. If the injury or illness is related to non work activities or to the general home environment the case is not considered work related. After hours employees are required to contact their supervisor via cell phone or home phone and report the injury before proceeding.

Injury occurs serious. Injury workers compensation flow chart incident occurs. Night custodians and faculty working after hours or on weekends. Is it life threatening or requires immediate medical attention.

No does employee want to have treatment. If an employee s fingernail is punctured by a needle from a sewing machine used to perform garment work at home becomes infected and requires medical treatment the injury is considered work related. 492 17720 and workers compensation coordinator phone. Yes employee fills out a c.

Serious injury back injuries broken limbs or injuries resulting in death should be reported immediately to chris delisi director of human resources 763 559 6732.