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2015 Sergeants Exam > HPM 10.7 - Injury Illness and Prevention Program Manual > Flashcards

HPM 10.7 - Injury Illness and Prevention Program Manual Flashcards

1
Q

What is an occupational injury? Cut, fracture, sprain, amputation, from a single causative event incident

A

Cut, fracture, sprain, amputation, from a single causative event incident

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2
Q

What is an occupational illness?

A

Abnormal condition or disorder, other than occ. injury, from exposure to environmental factors

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3
Q

What is a record only injury?

A

Nondisabling injury/illness not requiring first aid or medical treatment

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4
Q

What is a first aid injury/illness?

A

Non disabling injury or illness requiring one time medical treatment

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5
Q

Non disabling injury or illness?

A

Employee requires more than first aid, and may need further medical treatment, but is able to return to work the date following the injury.

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6
Q

What is considered a disabling injury/ illness?

A

Employee is unable to return to work following the date of injury/illness

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7
Q

Who determines the preventability of an injury or illness?

  1. Supervisor
  2. Occupational Safety Unit
  3. Office Occupational safety chairperson
  4. Commander
A

Commander

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8
Q

If an employee’s injury is deemed preventable, can they appeal it?

What happens then?

A

Yes, to the Command Occupatinal Safety Committee

They can recommend to Commander to change it, but he/she doesn’t have to

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9
Q

How often are Commanders or designees required to contact SCIF to review status of cases of employees off duty?

A

At least monthly

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10
Q

Policy for attendance at SCIF Worker’s Comp Appeals Board hearings or trials?

A

A supervisor or manager from the employee’s command familiar with the case shall attend trials and may attend hearings

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11
Q

The CHP 121D is a list of employees assigned to limited duty or off duty for injuries. Where in the office is it posted?

A

Nowhere, it shall not be posted

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12
Q

How often is CHP 121D reported to Division?

Policy on who goes on it?

A

Reported monthly by 10th of month

MAY put employees on limited or off duty for 30 calendar days or less but SHALL put if 30
c. days or more

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13
Q

If, during a comprehensive review of injury or illness incident, a supervisor becomes aware of a video or audio recording of event, what is done?

A

The supervisor shall do the review and if an audio/video is available, SHALL make a copy of it

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14
Q

Policy on attendance at medical appointments?

2

A
  1. SHALL accompany employees to initial appt
    To determine work status
  2. SHALL not attempt to be present when employee is examined by Dr.
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15
Q

Supervisor responsibility when employee is not making an effort to medically rehabilitate self?

A

SHALL notify Commander of this occurrence

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16
Q

Employees who are off duty as a result of occupational injuries and illnesses have what work assignment?

A

Shall be assigned to their residence, hours of

8-5, Monday to Friday

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17
Q

When is the STD 634 due for an employee with an injury/illness?

A

No later than the first working day following a pay period

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18
Q

An employee death or serious injury requires reporting via Comm-net to appropriate Asst. Commissioner and Disability Retirement Unit (DRU) within what time frame?

A

Within 8 hours of occurrence

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19
Q

An employee death or serious injury requires reporting via Comm-net to Division of Occupational Safety and Health within what time frame?

A

8 hours of occurrence by telephone

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20
Q

Illnesses or injuries sustained by applicants are included in Dept. Occ. Safety statistics.

True or False

A

False, they SHALL NOT be

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21
Q

Are Volunteers eligible for Worker’s Comp. benefits?

A

No, they are not considered employees

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22
Q

If an employee has a reoccurrence of an injury or illness, what is required?

A

A memo within 24 hours of reoccurrence

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23
Q

If an employee has a reoccurrence of an injury or illness and cannot complete a memo as required, what is done?

A

Supervisor is required to write an interim memo until the employee can complete it his/her self.

Must say what injury/illness is and why employee couldn’t complete

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24
Q

How many OSHA 300 logs are required to be maintained by Academy?

A

Three
Permanent and Temp employees
Trainees
Cadets

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25
Q

In what time frame are injuries/illnesses required to be placed on OSHA 300 log?

A

Within 6 working days of knowledge of event

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26
Q

Questionable injuries/illnesses.

Are they recorded on the OSHA 300 log?

A

Yes until denied by SCIF, then lined out

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27
Q

If there is a status change of injury/illness within ________ years, the OSHA 300 log must be updated?

A

Five years

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28
Q

When are OSHA 300 logs required to be sent to next level of Command?

A

Areas, HQ Command, Comm Ctr – Jan 15

Field Divisons, complied by Feb 15, to OSU

HQ Divisions – Feb 15 to OSU

OSU – By March 31, composite to Dept Labor

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29
Q

Each entry on the OSHA 300 log requires what?

A

A CHP 121 to be maintained for the injury/illness

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30
Q

Each worksite with an OSHA 300 log is required to post a OSHA 300A composite from when?

A

February 1 to April 30 of year following year covered by log (post by Feb 1, 2011 for 2010 log)

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31
Q

How long are OSHA 300 and CHP 121s required to be maintained at area?

A

Five years each

32
Q

The CHP 121 _______ be completed by __________ within ____________ hours of an alleged occupational injury/illness?

Shall/Should/May
Employee/Manager/Supervisor
24/36/48

A

Shall

Supervisor

24

33
Q

Can the CHP 121 be handwritten?

A

No, shall be typed

34
Q

Employee signature required on 121 within what time frame of injury/illness?

Unless not possible.

A

Shall be signed within 24 hours of reporting

35
Q

If employee is unable to sign 121 within 24 hours of injury/illness, what must be done?

A

Supervisor SHALL document the circumstances which prevented the signing and have employee sign as soon as possible

36
Q

What if employee refuses to sign?

A

Supervisor writes “refused to sign” in employee signature box and documents reason in comments

37
Q

Time frame for Commander to sign 121?

A

Within three days of notification of injury/illness

38
Q

Time frame to have 121 filed with SCIF?

A

Within five days of notification of injury/illness

39
Q

What reasons is it acceptable to delay filing 121 with SCIF?

A

None, nothing shall delay it

40
Q

Time frame from completion of 121A and by whom?

121A – Supervisory Review of Occupational Injury/ Illness or Exposure

A

Must be completed by employee’s supervisor within 24 hours of notification of injury/illness/exposure

41
Q

121A, can it be completed by hand?

A

Yes, it shall be typed or written neatly in ink

42
Q

Time frames for signature of 121A?

A

Same as 121
Employee – 24 hours
Commander – 3 days

43
Q

Time frame and who completes 121B?

121B = Employee report of injury

A

Employee completes and signs within 24 hours of injury/illness

44
Q

121C – Medical Information release authorization

Time frame for completion and by whom?

A

It only needs to be signed by employee within 24 hours of reporting an injury/illness

45
Q

CHP 442 , Individual accident, injury and safety recognition record

Within ______ days of initial notification of, or status change in, employee injury/ illness or exposure, _____________ _________ record or update 442.

A

3

Supervisor SHALL

46
Q

Time frame for supervisor to give employee CHP 600, Right to privacy, Occupational injury, illness and vehicle accident report?

A

24 hours

47
Q

CHP 601, Coping with your injury

Supervisor time frame to give to employee?

A

24 hours

48
Q

SCIF 3301, Employee’s claim for Workman’s Comp

Time frame for supervisor to provide to employee?

A

24 hours ( not first aid or record only(

49
Q

Commander’s memo and attachment

Commander or designee must review with employee within?

A

24 hours (first aid or record only not done)

50
Q

What can the Dept. do if the potential exists that an employee is emotionally or physically unable to complete the essential duties of his/her employment classification?

A

The Dept. may obtain a fitness for duty examination

51
Q

Policy of Commissioner regarding Fitness for Duty examination requested by Commanders?

A

Commissioner says it will be utilized whenever a Commander deems it appropriate

52
Q

What must a supervisor do when he/she becomes aware of an employee suffering from a medical condition that may limit performance of his/her essential duties?

A

The supervisor SHALL notify the Commander

53
Q

In a Dept. ordered FFD examination, what form SHALL the employee be requested to sign to allow for medical records examination?

A

The CHP 121C

54
Q

When a CHP 121C is signed by the employee, how far back will Dept. check medical records for related conditions?

A

10 years

55
Q

Is a vacant employee position required to assign an employee to limited duty?

A

No, not necessary

56
Q

Restrictions to assignment of an officer on limited duties (what type of duties can he/she perform?)

A

Only non-enforcement related duties

57
Q

Policy on uniform when on limited duty?

A

Officer SHALL NOT wear a uniform, display a badge or operate an enforcement vehicle

58
Q

When an employee is assigned duties on limited duty status, who is involved in discussion of those duties?

A

Commander, supervisor and employee

59
Q

What are the two responsibilities supervisors have regarding employee rehabilitation and recovery?

A
  1. Notify commander is employee is not making a good faith effort to recover/rehab
  2. Notify commander of significant status change of an employee’s injury
60
Q

The duration of the limited duty assignment shall be directed by the nature of the injury or illness and the needs of the Department on a case-by-case basis not to exceed ______ year(s)?

A

Two years

61
Q

Who authorizes limited duty assignments of:
One year or less?
More than one year?

How often are they re-authorized/evaluated?

A

Commander

Appropriate Asst. Commissioner and its re-evaluated/authorized every 3 months after

62
Q

All limited duty assignments will have a _______ ______ set by the medical provider or they may not be approved.

A

Termination date

63
Q

Employees awaiting medical retirement per LC 4800.5, ________ be assigned to limited duty not to exceed two years?

A

SHALL

64
Q

Employees who have depleted available leave credits and are awaiting a disability retirement decision, and have attained the minimum age for service retirement, ___________ be approved for limited duty assignments.

A

SHALL NOT

65
Q

Retraining requirements of employees returning from limited duty/off duty?
(3)

A
  1. Less than one year, at command
  2. One to two years, refresher at Academy
  3. More than two years, re-instatement at Academy
66
Q

If an employee’s disability retirement request through CalPERS is denied, what is done with employee?

A

They are returned to full duty unless appealing decision

67
Q

Are supervisors allowed to contact SCIF regarding an employee’s injury/illness?

A

They MAY do so to manage employee injury and illness cases

68
Q

Is Departmental attendance at a Worker’s Compensation Appeals Board (WCAB) hearing required?

At a trial?

A

Not required in hearing unless requested by SCIF

Mandatory at a trial, SHALL be arranged

69
Q

Is an employee or witness who his/her witnesses entitled to state time for attendance at WCAB trial?

A

No, no state time

70
Q

Is Dept. employee attending a WCAB trial as Dept. representative entitled to state transportation?

A

Yes, allowed and a travel claim is allowed also if necessary

71
Q

Prior to an employee participating in the voluntary Annual Fitness Challenge, what must be done?
(3)

A
  1. Resting heart rate
  2. Resting blood pressure
  3. sign waiver
72
Q

Staffing at an Annual Fitness Challenge (AFC) requires an _______ with _______ and _______ bag?

A

EMT

Oxygen

EMT

73
Q

Injuries sustained preparing for the Annual Fitness Challenge are reported on a CHP 121 following normal injury reporting procedures?

True or False

A

False, they are your own responsibility

74
Q

What is the max paid overtime available for the Annual Fitness Challenge?

A

None, all CTO if commander approved (may)

75
Q

During actual participation in the Annual Fitness Challenge, how is your injury documented?

A

Standard procedure, but only while ACTUALLY PARTICIPATING

76
Q

Wellness program

All physical activities organized through the wellness program shall be conducted ______________________________________.

A

Off state property and off-duty time

77
Q

An options letter is used when an employee is medically determined to be _____________ ____________ from returning to regular job duties?

A

Permanently precluded

2015 Sergeants Exam (8 decks)

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