300-05 Worker's Compensation

Question 1

What is the HSU?

Answer 1

HPD’s Healthy and Safety Unit

Question 2

What is the DWC Form 73?

Answer 2

Texas Worker’s Compensation Work Status Report

Question 3

What shall employ do after being exposed or being injured?

Answer 3

Notify Supervisor, Seek Medical Attention, Review/Sign On the Job Injury Sheet, submit to blood Tests
N.S.R.S

Question 4

Whose responsibility is it to ensure IOD forms are completed and how long do they have?

Answer 4

Supervisor, 24 hours

Question 5

What shall a supervisor do when an employee refuses to sign the IOD paperwork?

Answer 5

Document refusal on each form and have a witness sign and date the form

Question 6

What shall a supervisor do once notified of injury or exposure?

Answer 6

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

Question 7

What forms shall be provided to employee for an IOD?

Answer 7

COH Supervisor’s Incident Report, COH On the Job Injury Reference, RX Card, COH Summary Workability Guidelines

Question 8

What are the employees subsequent duties after IOD?

Answer 8

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

Question 9

What are the prohibited activities while on IOD?

Answer 9

Working EJs, work as volunteer, Self Employment, Working for another person

Question 10

How shall employees on IOD attend training?

Answer 10

With release from their treating physician

Question 11

How shall an employee on IOD take unscheduled and scheduled leave?

Answer 11

Letter from physician w/ Employee Request for Travel Form, updated DWC 73 Form

Question 12

What shall employees do when returning to active duty from IOD?

Answer 12

Submit new DWC Form 73 with physician statement/release

Question 13

In IODs involving IADs, how shall correspondence be addressed?

Answer 13

Separately from IAD and IOD

Question 14

Who is the only one who can forward forms to TDI or TPA?

Answer 14

HSU

Question 15

What shall supervisors do once they contact injured employees?

Answer 15

Document date, time and results

Question 16

Unless directed by Commander, how often shall supervisors contact IOD employees?

Answer 16

Minimum once a week

Question 17

How often shall mid managers contact IOD employees?

Answer 17

between 5th and 10th calendar days, then weekly

Question 18

How often shall commanders contact IOD employees?

Answer 18

after 30 days, then every 2 weeks

Question 19

How often shall supervisors conduct scheduled or unscheduled personal visits?

Answer 19

After 30 days, then every 30 days.

Report to HSU after 24 hours

Question 20

What shall an supervisor do if they expect employee is feigning injury?

Answer 20

Cease communication and notify HSU and IAD

Question 21

Eligible injured employees may receive what for payments?

Answer 21

Indemnity payments from TPA, more than 70% of wage

Question 22

What is salary continuation?

Answer 22

Sum of money before withholdings and deductions to supplement TIB indemnity payments

Question 23

Who shall add injured or ill employees to Injured or Ill Employees Duty Report?

Answer 23

Division Commanders

Question 24

What does the APC do for IOD employees?

Answer 24

Determine if employee is psychically or psychologically fit

Question 25

What is the duty of the commander if they have concerns about employee returning to duty?

Answer 25

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

Question 26

Commanders correspondence to APC for IOD employees should include what additionally?

Answer 26

Date of provided FMLA packet, number of days absent, info on transitional duty status

Question 27

Who shall maintain logs of IOD employees on leave status?

Answer 27

Each concerned division

Question 28

Who is allowed access to employee related medical information?

Answer 28

People who need to know to supervise them, conduct investigation or coordinate leave and benefits