300-05 Worker’s Compensation Flashcards
Employee who is injured or potentially exposed to a communicable disease within the scope of their employment with the city of Houston shall:
Notify a supervisor immediately no later than 24 hours following the exposure
Seek immediate medical attention and don’t do activities that will aggravate the injury
Review, initial, and sign the city of Houston on the job injury reference sheet with a supervisor if physically possible
Submit to a baseline drug test within _________ days following the communicable disease exposure
10 calendar days
How long does a supervisor have to ensure all initial IOD forms and required Worker’s Compensation forms and documents are completed and forwarded to the health and safety unit HSU
24 hours after being made aware of the injury or event or as soon as practicable.
Supervisors duties after being notified of an IOD incident:
- notify HSU within 24 hours
A) arrange for prompt emergency medical treatment of the employee
B) advise employed to seek medical attention from a treaty physician and except workers compensation
C) _______ the process of filing the workers compensation claim by completing the required IOD paperwork. Complete the city of Houston supervisor incident report with the injured employee as soon as possible but no later than 24 hours after being made aware of the injury or event
D) Review with the employee the city of Houston on the job injury reference sheet. Is the employee refuses to sign the supervisor show document the refusal and have a witness sign and date the form noting the refusal.
E) Report to Claim via telephone to the third party administrators claim reporting service as soon as possible or within 24 hours after being made aware of the injury or event. Obtain a reference number from CRS and document the number in the city of Houston supervisors incident report. Contact HSU if unable to contact administrator within 24 hours.
Provide employee with the IOD forms.
Provide employee information with FMLA
C) initiate

Employees subsequent duties when reporting an occupational injury or possible exposure:
A) immediately report any changes to their work status to the supervisor assignment adjuster and HSU.
B) immediately report to their supervisor in condition preventing them for performing the essential functions of their job duties and any directive from their treating physician it may affect their work status
C) contact the TPA after each doctor‘s appointment to advise the adjuster of updated medical in work status
D) advise the treating physician of the departments transitional duty assignment program
E) submit the DWC form 73 or treating physician statement after each physician visit. This shall be done no less frequently than ______
F) provide supervisors with pertinent information that could facilitate a more expedient recovery
G) remain available on a daily basis to receive telephone calls from the adjuster, HSU, a supervisor, or the department personnel typically between the hours of 9 AM and 5 PM
H) receive, and return phone calls and respond to all correspondence concerning the Worker’s Compensation claim
I) coordinate fully and in a timely manner with all reasonable request for any supervisor, the COH, TPA, or a treating physician.
E) every 30 days
What are we should an employee remain available if an injury leave or possible exposure
9 AM through 5 Pm
How often does a DWC form 73 or treating physician statement have to be submitted to a supervisor
No less frequently than every 30 days
How often should a mid manager make contact with an injured employee?
Between the ____and 10th consecutive calendar day of the IOD absence and then continue this process on a weekly basis
Fifth
How often Does the Division commander make contact with an injured employee
After 30 days of consecutive leave and then repeat the process every two weeks.
When shall a supervisor conduct an unscheduled or schedule personal visit with an injured employee
After 30 consecutive calendar days. And then every 30 consecutive calendar days. The supervisor shall report the details date and time of each visit with HSU via email within 24 hours following each visit.
What is a temporary income benefit TIB?
Benefit paid by TPA l to eligible municipal employee, which can equal ___% of the employees Worker’s Compensation average weekly wage
70%
What is the division commander’s responsibility when reporting injured or ill employees transitional duty reports:
Initiate a written referral to the APC chair about employees to become injured or mentally ill.
* Referrals to a PC do not include pregnant employees.
A) if it is expected that it employee will not be able to perform essential job functions for more than 90 calendar days
B) unable to work or work full capacity for ___calendar days or more
C) The date FMLA packets were provided to the employee nifty employee except it or deny the FMLA coverage
D) The number of Days employee has been absent due to the injury or illness or mental issues.
E) if applicable the status of the employees traditional duty status
90 calendar days
At what point is an employee required to take a drug test.
Absent for 30 consecutive calendar days for any reason
