HOM 10.6- Occupational Safety Manual and HOM 10.7 Injury and Illness Case Management Flashcards

1
Q

The department is ____ and _____ responsible for the safety of its employees.

A

Legally and Morally

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2
Q

Occupational Safety Committees assist commands in administering safety responsibilities, achieving compliance with safety requirements, and resolving local health and safety issues. Members of the committees represent all _____ _____ _____, as well as local management, within commands.

A

Collective Bargaining units

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3
Q

The _____ Compliance Office is responsible for investigating all complaints alleging unsafe and/or unhealthy conditions in a work environment.

A

DOSH(Division of Occupational Safety and Health)

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4
Q

Investigation and reporting of accidents involving vehicles being used on official state business is required by Highway Patrol Manual

A

100.86- Risk Management

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5
Q

Supervisors are responsible for ensuring that reported unsafe or unhealthy conditions are documented on the______

A

CHP 113B- Hazardous Report/ Inspection

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6
Q

What is a CHP 442?

A

Individual Collision, Injury and Safety Recognition Record

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7
Q

What is a CHP 113?

A

Injury and Collision Report- required quarterly division no later than the 15th day of the first month following the reporting period

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8
Q

What is a STD 261?

A

Authorization to use Privately owned vehicles on state business

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9
Q

DOSH compliance officer has how long to investigate the complaint and respond?

A

14 days

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10
Q

A copy of the complaint letter and a copy of the command’s response are to be posted in a prominent location in the command readily accessible for employee review for a minimum of three days or until the unsafe condition is corrected.

A

true

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11
Q

All new employees required to drive on official business shall be given information on vehicle accident prevention from a supervisor.

A

true

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12
Q

Uniformed employees will receive a minimum of _____ per year of commentary driver training. The annual behind-the-wheel review of driving will be conducted by a supervisor.

A

one hour

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13
Q

Nonuniformed employees who frequently drive on official business will receive between ______ and ______ of commentary driving from a qualified supervisor using the training guide outlines

A

30 minutes, one hour

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14
Q

a. Department of Motor Vehicle Response. The most current print out from the DMV regarding an employee’s driver license shall be maintained in the employee’s field folder and updated ______.

A

annually

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15
Q

The evaluation shall be recorded on the _____, Workstation Evaluation Checklist, and retained in the employee’s medical file until superseded by the next evaluation.

A

CHP 198

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16
Q

Employees impacted by RMI shall receive training ______ and documented on a ______ Supervisors report on employee orientation

A

Annually, CHP 10

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17
Q

Record-Only Injury or Illness. Nondisabling injury or illness which does not require first aid or medical treatment. Record-only incidents shall be documented on a _______ Supervisor’s Incident Report-Record Only

A

CHP 121E,

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18
Q

First Aid Injury or Illness. Minor nondisabling injury or illness (splinter, scratch, cut, burn, etc.) which does not involve medical treatment. Record-only and first aid incidents shall be documented on a______.

A

CHP 121E

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19
Q

Nondisabling Injury or Illness. Injury or illness which requires more than first aid, may require more than one-time medical care, and the employee is able to return to work (full or limited duty) following the date of the injury or illness.

A

May miss some of current shift, but can return for next scheduled shift

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20
Q

Disabling Injury or Illness. Injury or illness which results in an employee being unable to return to work following the date of the injury or illness

A

Leaves employ incapable of returning for next scheduled shift

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21
Q

Serious Injury or Illness. Disabling injury or illness which requires overnight hospital care other than for observation, a lengthy disability status, or disability retirement.

A

true

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22
Q

________ of Injury or Illness. A recurrence of an injury or illness which does not have a new, clearly defined incident to cause injury or illness. It is a spontaneous reappearance of a prior condition

A

Recurrence

23
Q

________ of Injury or Illness. An aggravation of an injury or illness has an identifiable new incident of injury or illness and shall be processed as a new injury or illness.

A

Aggravation

24
Q

A _____ Injury/illness status report shall be submitted by the 10th of each month, providing updates on those employees on limited/ off duty status

A

CHP 121D

25
Q

Duty/disability status SHALL be provided to the appropriate assistant commissioner via MIS WEB

A

true

26
Q

Supervisors SHALL assist employees in receiving prompt and proper medical care if it is believed necessary by either management or the employee

A

true

27
Q

Supervisors, if practical, ____ accompany employees to their initial medical appointments and discuss work capability with the employee’s medical care providers. In no event shall supervisors attempt to be present when employees are being examined by medical care providers

A

shall

28
Q

Supervisors shall notify the commander if it appears that an employee is not making a good-faith effort toward prescribed medical rehabilitation.

A

true

29
Q

Completed STD. 634, Absence and Additional Time Worked Report. Employees shall ensure submission of their completed and signed STD. 634s, Absence and Additional Time Worked Report, to their commands in accordance with policy and in no case later than the______________________. Failure to submit documents in a timely manner may result in delayed benefits.

A

first working day following the end of each pay period

30
Q

NJURIES TO JOB APPLICANTS. If an applicant reports a sustained injury or illness during the application process, occupational injury and illness reporting and routing procedures shall be initiated by the supervisor managing the application process. CHP 121 documentation shall indicate the salary as “none” and the occupation as “job applicant”.

A

true

31
Q

Injuries and illnesses sustained by job applicants ______ be included in departmental occupational safety statistics.

A

shall not

32
Q

Volunteers are not entitled to workers compensation benefits. But if the volunteers governing agency adopted a resolution declaring the volunteer an employee they may be eligible for workers compensation benefits

A

true

33
Q

Within _______ of reporting a recurrence of an injury or illness, the employee shall prepare a CHP 51, Memorandum, detailing the circumstances surrounding the recurrence and a description of the injury or illness. If employee is unable_______

A

24 hours, employees supervisor shall prepare a CHP 51 detailing the circumstances and reported injury

34
Q

CHP 121 shall be completed by the employee’s supervisor within ______ of notification of an alleged occupational injury or illness

A

24 hours

35
Q

If the employee is incapable of signing the field injury file copy of the CHP 121 within 24 hours of reporting an injury or illness, the supervisor shall _________________________________. The employee shall then sign the form as soon as possible.

A

document the circumstances which prevented the signing of the form in the comments section of the CHP 121

36
Q

If the employee refuses to sign the field injury file copy of the CHP 121, the supervisor shall type or print __________ in the employee’s signature block and document the refusal in the comments section.

A

“refused to sign”

37
Q

The commander or designee shall review and sign the CHP 121 within __________ of notification of an injury or illness.

A

three days

38
Q

the commander or designee shall ensure the CHP 121 (unless record only or first aid without medical expenses incurred) is filed with the appropriate SCIF office within ______ of notification of an injury or illness.

A

five days

39
Q

If an injury or illness occurs while an employee is temporarily assigned to and/or under the direct control and supervision of an entity other than the Department, the appropriate _________ shall be responsible for the completion and filing of the CHP 121 (copy forwarded to command of permanent assignment). The command where the employee is permanently assigned shall be responsible for subsequent case management.

A

Assistant Commissioner

40
Q

CHP 121A shall be completed by the employee’s supervisor within ______ of notification of an alleged occupational injury, illness, or hazardous exposure

A

24 hours

41
Q

As soon as possible after notification a uniformed employee sustained an injury or illness requiring medical treatment beyond first aid, the supervisor shall provide the medical care provider with a CHP ______ to assist in determining if the employee may perform full or limited duty (see Annex P-8).

A

CHP 225- officer tasks

42
Q

Within _____ of initial notification of, or any status change of, an employee injury, illness, or hazardous exposure, the supervisor shall record or update the incident on the employee’s CHP 442

A

three days

43
Q

As soon as possible after notification of a nondisabling injury or illness which requires assignment of limited
5-5 HPM 10.7 duty, the supervisor shall provide the employee’s medical care provider a CHP 443

A

true

44
Q

Within 24 hours of notification of an injury or illness, the supervisor shall provide the employee with a copy of ___________ Right to Privacy instructions

A

Chp 600

45
Q

Within 24 hours of notification of an injury or illness, the supervisor shall provide the employee with a copy of ________ Coping with your injury

A

Chp 601

46
Q

SCIF 3301 shall be initiated by the supervisor and provided to the employee within 24 hours of notification of an alleged injury or illness other than record only or first aid

A

true

47
Q

Completed SCIF 3301s shall be forwarded to SCIF within _____ of command receipt of the forms.

A

five days

48
Q

A _____ must be completed prior to injury for predesignation of a physician. If no valid form is on file, a medical care provider will be assigned within network.

A

CHP 242,

49
Q

Commanders shall obtain authorization from the appropriate Assistant Commissioner prior to initiating a Department-ordered FFD examination.

A

true

50
Q

“Stay Away” Prescriptions. “Stay away” prescriptions are commonly confused with “stay away” orders issued by the Workers’ Compensation Appeals Board. A preclusive prescription, on the other hand, is simply a determination by an employee’s physician that contact with the Department or specific individuals may exacerbate a medical condition. Although these prescriptions normally arise in the context of a workers’ compensation stress claim, they may arise in a nonindustrial setting. Preclusive prescriptions take many forms, may be broad or limited in scope, and may arise at any time during treatment for an injury or illness. Any commander receiving a preclusive prescription of this type shall immediately contact the Office of Internal Affairs and DRU.

A

true, weird

51
Q

Commanders shall concurrently revoke the peace officer powers and secure all state-issued firearms whenever a uniformed employee is on limited duty as a result of a psychological reason, to include stress. In those instances where commanders identify extenuating circumstances, the commander may provide justification through channels to the Office of the Commissioner, requesting a waiver.

A

true

52
Q

Uniformed employees ____ only participate in non-enforcement activities while assigned to limited duty. While on limited duty, employees shall not wear a uniform, display a badge, or operate an enforcement vehicle

A

shall

53
Q

When a commander becomes aware that a physician has placed an employee off work from full duty, utilizing a CHP 443, Limited Duty Assignment – Physician’s Report, medical restrictions shall be requested from the appropriate physician. Medical restrictions and the release to limited duty shall be documented on a CHP 443.

A

true

54
Q

The following procedures shall be followed for uniformed employees returning to full duty after an extended injury or illness:

(1) Employees absent or returning from limited duty of less than one year shall be retrained and recertified at their currently assigned commands.
(2) Employees absent or returning from limited duty of more than 12 contiguous months to 2 years are required to complete Refresher Training at the Academy prior to resuming field-related duties at their assigned command.
(3) Employees absent or returning from limited duty of more than two years are required to complete Reinstatement Training at the Academy prior to resuming field duties at their assigned command.

A

yup