Injury And Illness/Job Action

Question 1

Injury and Illness objectives (BRCR)

Answer 1

Benefits
Reporting
Communication
Return to work

Question 2

Are employees required to notify supervisor if their secondary employment is affecting their injury recovery?

Answer 2

Yes

Question 3

Can supervisors be present during medical exam for injury? Should/shall accompany employee to initial medical appointment?

Answer 3

No
Shall

Question 4

Supervisor should/shall notify commander if employee is not making good faith effort toward rehabilitation?

Answer 4

Shall

Question 5

Are job applicant injuries included in department stats?

Answer 5

No

Question 6

If employee has a recurrence of an injury, they shall prepare a __ within 24 hours. If they cannot, supervisor should/shall prepare one in the interim?

Answer 6

Memo
Shall

Question 7

What is the DRU? (Injury and Illness)

Answer 7

Disability and Retirement Unit

Question 8

Are occupational injuries that are recorded only or first aid without medical expenses included in the maintenance log?

Answer 8

No

Question 9

Are Cal/OSHA numbers required for occupational injuries, excluding record only or first aid without medical expenses?

Answer 9

Shall

Question 10

121s are retained for __ years

Answer 10

5

Question 11

Serious death, injury or illness shall be reported to assistant commissioner by __ (means of communication). MIS-Web message within __ hours.

Answer 11

Telephone
24 hours

Question 12

121s shall be completed by supervisor within __ hours.

Answer 12

24

Question 13

Commander shall sign 121 within __ days.

Answer 13

3

Question 14

121 shall be filed with SCIF within __ days.

Answer 14

5

Question 15

Deadlines for 121
Officer notify supervisor __ hours
Supervisor complete to commander __ hours
Commander sign __ days
Commander send to SCIF __ days

Answer 15

24
24
3
5

Question 16

121
121A
121B
121C
121D

Answer 16

Employer’s report of injury
Supervisory review of injury
Employee report of injury
Medical information release
Injury/illness status report

Question 17

600, Right to Privacy Instructions to Occupational Injury, and 601, Coping With Your Injury, should/shall be given by supervisor within __ hours.

Answer 17

Shall
24 hours

Question 18

SCIF 3301, Employee’s Claim of Workers Comp, should/shall be given by supervisor within __ hours.

Answer 18

Shall
24 hours
(Routed to SCIF in 5 days)

Question 19

As soon as practical, a supervisor should/shall provide employee’s medical care provider with a 443, Approval of Llimited Duty, and 225, Officer Tasks?

Answer 19

Shall

Question 20

Within __ days, supervisor should/shall record or update 442, Accident/Injury/Safety Record?

Answer 20

3
Shall

Question 21

Supervisor should/shall notify commander if employee is suffering from condition which prevents them from performing essential duties.

Answer 21

Shall

Question 22

Commander may authorize limited duty positions for less than __ year(s). AC approval is needed for __ month extensions. Maximum of __ years.

Answer 22

1 year
3 months
2 years

Question 23

Retraining after extended injury or illness
< 1 year
1-2 years
2+ years

Answer 23

<1 at Area Office
1-2 Refresher at academy
2+ Reinstatement at academy

Question 24

Is an employee attending their own WCAB hearing or trial or as a witness eligible for state time or 4800.5?

Answer 24

No state time
Already on 4800.5

Question 25

Fitness for duty exams must be requested by __ and final approval by appropriate commissioner.

Answer 25

Commander -> Division -> Commissioner

Question 26

If temporarily assigned outside of the department, who files 121?

Answer 26

Appropriate commissioner

Question 27

May be assigned limited duty pending retirement if UNDER/OF retirement age and exhausted leave credits. If disability retirement is approved?

Answer 27

Under Limited duty terminated

Question 28

In the event of a sick-out, can a commander order an employee to be transported by ambulance or doctor house visit (at state's expense)? With who's approval?

Answer 28

Yes, with division and appropriate commissioner approval

Question 29

In event of sick-out, can employee be ordered to submit to an examination? If they refuse?

Answer 29

Yes Ordered back to work

Question 30

In event of slowdown, after positive approach doesn't work, supervisor should/shall interrogate each employee?

Answer 30

Shall