103.02 industrial leave

Question 1

• The employee shall immediately report all work-related injuries to their immediate supervisor no later than ___ ____ ____ ____.

Answer 1

the end of the shift,

Question 2

If a non-emergency injury becomes apparent after the shift has been completed, the employee must phone or report to__ ____ and complete an Employee Injury Form at the first available opportunity.

Answer 2

to the City Nurse,

Question 3

when should an injury report form be turn in to your supervisor when your at work ?

Answer 3

before the end of shift

Question 4

if an injury becomes apparent after shift when do you fill out the injury form ?

Answer 4

as soon as possiable

Question 5

• The first priority should always be to ensure that the _____ is receiving the appropriate medical care. Second is _____

Answer 5

employee

documentation

Question 6

• Have the employee complete the electronic Employee Injury Form. ,complete your portion of the report. Send the electronic injury report to the:
1.
2.
3.

Answer 6

• Safety Division Officer
  
  • Shift Commander (BC and ISO)
  • City Nurse or Heath center

Question 7

• The Safety Division will complete the electronic form of the Form ICA 101, Employer’s Report of Industrial Injury. This report will be sent directly to ?

Answer 7

the City of Glendale (COG)Worker’s Compensation Claims Analyst