5014 Reporting and Investigating Serious Injuries or Fatalities (safety)

Question 1

The Administrative Battalion Chief for Safety or his/her designee shall be
responsible for:

Answer 1

1. Making the required L & I notification regarding injuries in accordance
   with the guidelines set forth in this document
2. Investigating serious injuries or fatalities in accordance with the guidelines set forth in this document
3. Reviewing injuries and fatalities on a case by case basis with the TFD Safety Committee
4. Assisting L&I investigators as necessary
5. Maintaining records of serious injuries and fatalities
6. Maintaining this document

Question 2

The Safety Lieutenant shall be responsible for

Answer 2

1. Assisting with investigating serious injuries or fatalities as necessary and in
   accordance with the guidelines set forth in this document
2. Assisting L&I investigators as necessary

Question 3

Who is responsible for receiving and processing employee paperwork related to reports of on-the-job injury and/or illness.

Answer 3

The Financial Assistant for Payroll at TFD Headquarters

Question 4

Define

Probable Fatality.

Answer 4

An occupational injury or illness that, by the doctor’s prognosis, could lead to death or an occupational injury or illness that by its very
nature is considered life threatening.

Question 5

Define

Serious OJI

Answer 5

Actual or probable fatality or inpatient hospitalization of a TFD employee as a result of a work-related accident.

Question 6

The TFD Administrative Battalion Chief for Safety and/or Deputy Chiefs shall report by telephone or in person immediately to the City Safety Officer when

Answer 6

a fatality, probable fatality or inpatient hospitalization of any TFD employee occurs as a result of a work-related accident
a. This includes those actually admitted, but not necessarily those who go to the hospital for precautionary measures and are released without being admitted

b. If possible, the City Safety Officer shall make the L&I notification

Question 7

If the City Safety Officer is not available to make the notification, the TFD
Administrative Battalion Chief for Safety and/or Deputy Chiefs shall report the fatality, probably fatality or inpatient hospitalization by telephone or in person to

Answer 7

the nearest L&I office within 8 hours of the occurrence.

Question 8

L & I Notification and Investigation:
This notification requirement also applies to any subsequent fatality or hospitalization of any employee that occurs within

Answer 8

thirty days of the accident.

Question 9

If TFD does not learn of a reportable accident at the time it occurs and the
accident would otherwise be reportable, the Administrative Battalion Chief for Safety or Deputy Chief shall verbally notify L & I within

Answer 9

eight hours of the time the accident is reported to any City agent or TFD employee.

Question 10

PROCEDURE FOR REPORTING A FATALITY, PROBABLE FATALITY OR INPATIENT HOSPITALIZATION OF A TFD EMPLOYEE DUE TO A WORK-RELATED ACCIDENT:
Immediate Supervisor shall

Answer 10

1. Contact Fire Communications and request a serious injury or fatality notification
2. Complete HRE 002.
3. Forward HRE 002 to the Financial Assistant for Payroll at TFD Headquarters.
4. Enter injury in the daybook of the company where the injury occurred.
5. Refer to other TFD policies that may contain additional reporting requirements related to the circumstances of the employee’s OJI.

Question 11

What policy number is

Reporting and Investigating Serious Injuries or Fatalities

Answer 11

5014

Safety