10.7 Injury and Illness Case Management

Question 1

Record only Injury or Illness

Answer 1

Nondisabling injury or illness which nodes not require first aid or medical treatment.

Question 2

First Aid Injury or illness

Answer 2

Minor nondisabling injury or illness which involves one-time treatment (splinter, scratch)

Question 3

Nondisabling injury or illness

Answer 3

Injury or illness which requires more than first aid, may require more than one medical care, and employee is able to return to work next day after injury.

Question 4

Disabling Injury or illness

Answer 4

Injury or illness which results in an employee being unable to return work following the day of the injury.

Question 5

Serious Injury or illness

Answer 5

disabling injury or illness which requires overnight hospital care other than for observation, a lengthy disability status, or disability retirement.

Question 6

Hazardous Exposure

Answer 6

Exposure to chemical, physical agent etc, which does not result in illness or injury

Question 7

recurrence of Injury or illness

Answer 7

It does not have a new clearly defined incident to cause injury or illness. it is a spontaneous reappearance of a prior condition. w/ 24 hrs employee is required to submit a memo w/ details on in recurrence and a description of injury

Question 8

Aggravation of injury or illness

Answer 8

An aggravation of an injury or illness has an identifiable new incident of injury or illness and shall be processed as a new injury.

Question 9

When an employee is off duty as a result of an occupational injury is supposed to be where?

Answer 9

shall be assigned to their residence m-f 0800-1700

Question 10

what shall an employee do when they are prescribed a medication which might adversely affect their job performance?

Answer 10

shall report it to their commander.

Question 11

CAL OSHA requires what in regards to logging injuries? within how long?

Answer 11

Copile a log of specific occupational injuries and illnesses. shall be recored w/ 6 workdays.

Question 12

What CAL OSHA injuries are required to be logged? When shall it be submitted to division?

Answer 12

All occupational illnesses, deaths and injuries other than record only or first aid.

by January 15th of each year

Question 13

When shall and for how long shall the prior year’s CAL osha injury log be posted?

Answer 13

February 1st to April 30th

Question 14

How long does a supervisor have to complete a CHP 121, 121a, 121b, 121c ?
Who needs to sign it and within how long?

Answer 14

w/ 24hrs of notification

employee must sign w/24 hrs or reporting it. if they can’t, supervisor shall document why not.

If they refuse, write “refused to sign”

Question 15

When shall the 121 be filed with scif?

Answer 15

w/ in 5 days of notification

Question 16

CHP 225 (CHP Officer Task Statements)
is required when and to who?

Answer 16

asap after notification a unformed employee sustained a injury or illness requiring medical treatment beyond first aid, the supervisor shall provide the medical care provider with CHP225 to determine if the employee may perform full or limited duty.

Question 17

CHP 442 (Individual Accident, injury and safety recognition record) is required when ?

Answer 17

w/ in 3 days of initial notification of, or any status change of, an employee injury, illness, or hazardous exposure, the supervisor shall record or update the incident not he employee’s 442.

Question 18

CHP 443 (approval of limited duty assignment) is required when ?

Answer 18

asap after notification of a non disabling injury or illness which requires assignment of limited duty, the supervisor shall provide the employe’s medical care provider with a CHP 443.

Question 19

CHP 600 (right to privacy instructions relative to occupational injuries and vehicle accidents) and CHP601 (coping w/ injury) shall be given to who within?

Answer 19

the employee w / 24 hrs of notification of injury

Question 20

How long does a supervisor have to initiate a SCIF3301 after notification of an alleged injury or illness other than record only or first aid?

How long until it shall be forwarded to scif?

Answer 20

w/ 24 hours

w/ 5 days shall be sent to scif

Question 21

What kind of message shall be sent to Disability and Retirement Unit after a non disabling (other than record or first aid) or disabling occupation injury or illness?

Answer 21

Comm-Net w/ 24 hrs

Question 22

What is the absolute longs an employee can be on limited duty? who approves it?

Answer 22

2 years max w/ approval from assistant commissioner

commander can approve up to 1 year

Question 23

If an employee is attending his own workers comp hearing or trial, can they use state time?

Answer 23

no not for their own case

only if you were testifying on someone else’s case

Question 24

What kind of trained personal is required to be at the annual fitness day before it can start?

Answer 24

A Department EMT