300-05 Worker's Compensation Flashcards
What is the HSU?
HPD’s Healthy and Safety Unit
What is the DWC Form 73?
Texas Worker’s Compensation Work Status Report
What shall employ do after being exposed or being injured?
Notify Supervisor, Seek Medical Attention, Review/Sign On the Job Injury Sheet, submit to blood Tests
N.S.R.S
Whose responsibility is it to ensure IOD forms are completed and how long do they have?
Supervisor, 24 hours
What shall a supervisor do when an employee refuses to sign the IOD paperwork?
Document refusal on each form and have a witness sign and date the form
What shall a supervisor do once notified of injury or exposure?
Arrange treatment, Advise to seek medical attention from worker’s comp, Start IOD paperwork, Review On the Job Injury Form with Employee, Report claim to Claim Reporting Service, forward copy of IOD to HSU, Provide employee with IOD forms, provide employee with FMLA info
What forms shall be provided to employee for an IOD?
COH Supervisor’s Incident Report, COH On the Job Injury Reference, RX Card, COH Summary Workability Guidelines
What are the employees subsequent duties after IOD?
Report changes, report conditions preventing completion of duties, contact TPA after doctor’s appt, advise physician of transitional duty, submit DWC 73 Form, provide info to supervisors about injury, remain available for calls, receive and return calls, cooperate with requests
What are the prohibited activities while on IOD?
Working EJs, work as volunteer, Self Employment, Working for another person
How shall employees on IOD attend training?
With release from their treating physician
How shall an employee on IOD take unscheduled and scheduled leave?
Letter from physician w/ Employee Request for Travel Form, updated DWC 73 Form
What shall employees do when returning to active duty from IOD?
Submit new DWC Form 73 with physician statement/release
In IODs involving IADs, how shall correspondence be addressed?
Separately from IAD and IOD
Who is the only one who can forward forms to TDI or TPA?
HSU
What shall supervisors do once they contact injured employees?
Document date, time and results
Unless directed by Commander, how often shall supervisors contact IOD employees?
Minimum once a week
How often shall mid managers contact IOD employees?
between 5th and 10th calendar days, then weekly
How often shall commanders contact IOD employees?
after 30 days, then every 2 weeks
How often shall supervisors conduct scheduled or unscheduled personal visits?
After 30 days, then every 30 days.
Report to HSU after 24 hours
What shall an supervisor do if they expect employee is feigning injury?
Cease communication and notify HSU and IAD
Eligible injured employees may receive what for payments?
Indemnity payments from TPA, more than 70% of wage
What is salary continuation?
Sum of money before withholdings and deductions to supplement TIB indemnity payments
Who shall add injured or ill employees to Injured or Ill Employees Duty Report?
Division Commanders
What does the APC do for IOD employees?
Determine if employee is psychically or psychologically fit
What is the duty of the commander if they have concerns about employee returning to duty?
Written referral to APC about employees appearing unable to perform job more than 90 days, unable to work or less than full capacity for more than 90 days
Commanders correspondence to APC for IOD employees should include what additionally?
Date of provided FMLA packet, number of days absent, info on transitional duty status
Who shall maintain logs of IOD employees on leave status?
Each concerned division
Who is allowed access to employee related medical information?
People who need to know to supervise them, conduct investigation or coordinate leave and benefits
