GO #40 Injury Recording and Reports Flashcards
Which employees are under workers comp?
Pers members hired prior to January 1, 2007
If an injury occurs on an incident dealing with any hostile fire, complete the”______ ________ ________” tab in the incident system.
Fire service casualty
Line personnel enter injuries in the company journal system/entry tab in what color?
Red
For each period of approved time loss, have the attending physician complete a _____.
WSR
Which intra-departmental envelope will be exclusively used for injury reports?
Red envelope
If a member is unable to complete the DILD form, who will fill out for him?
Company officer
Who reports injuries to the on-duty deputy chief?
Battalion chief
Upon completion of an injury report in the personnel system, notification will be automatically sent to what two places?
BHQ
Safety chief
To qualify for non-service disability benefits, a member must have at least __ years of service from the date of permanent appointment.
10
For each month the member is off-duty on nonservice disability, the member shall turn in to the company officer a WSR signed by the attending physician no later then when?
Last day of each month
Nonservice disability benefit checks are issued once a month on the _____ ______ of the month.
Second Tuesday
A member will be reimbursed 100% of their sick leave if their paperwork is in within 14 days of the date of injury or time loss. If the claim or paperwork is filed after the 14 days sick leave accrual will be at ____%.
75%
Worker’s Compensation packets are what color?
White
Worker’s Compensation forms are forwarded to what department?
Bureau of risk management
For Worker’s Comp. Personnel what form must be turned in prior to returning to work?
Notice of recovery form
