Policy I 8

Question 1

what is policy I-08?

Answer 1

work related injuries/returning to work

Question 2

whose authority does policy I-08 fall under?

Answer 2

fire rescue administrator w/ f.a.c. 69/a/62.032 (11)(a)/cw-p-021

Question 3

which forms go with policy I-08?

Answer 3

employee notification of work related injury

employee injury illness form

Question 4

when must all work related injuries be reported and documented?

Answer 4

immediately

Question 5

where will supervisors document all facts related to injury?

Answer 5

employee injury/illness report (ops form I-8b)

Question 6

where can op form I-8b be filled out?

Answer 6

station computer/then printed for distribution

Question 7

how will immediate supervisor initiate a tracking number?

Answer 7

by completing “injury tracking number” located on sharepoint

Question 8

what must be filled out on injury tracking sheet?

Answer 8

all areas w/ detailed explanation of injury in comments section

Question 9

if no treatment required forms will be forwarded to?

Answer 9

district chief/supervisor to review for accuracy

Question 10

forms will then be forwarded to?

Answer 10

battalion chief/division head then to division chief of training and safety

Question 11

copies of forms will be forwarded via?

Answer 11

scanned copies and email

Question 12

if employee injured at emergency scene or incident supervisor will?

Answer 12

enter in fdm on ff casualty page

Question 13

if injury requires further treatment employee will report to?

Answer 13

occupational health clinic

Question 14

employee will bring____to the clinic?

Answer 14

copy of employee injury/illness report

Question 15

if clinic is closed employee can go to?

Answer 15

hospital or wait for clinic to open

Question 16

if injury is serious employee must?

Answer 16

go to nearest hospital

Question 17

who is responsible for contacting dc/supervisor to advise of injury and which hospital?

Answer 17

immediate supervisor

Question 18

district chief will then notify?

Answer 18

foo

Question 19

foo will then notify?

Answer 19

appropriate bc/deputy chief/wellness coordinator/risk managment

Question 20

the dc will code the employee in payroll while he receives further treatment or evaluation at er or ohc?

Answer 20

w/c

Question 21

article of cba leave criteria may meet?

Answer 21

45 wellness (section d)

Question 22

who confirms w/ payroll that employee approved by clinic for workmen’s comp to adjust leave type?

Answer 22

wellness cordinator

Question 23

if ppe is involved who will inspect after ppe is secured by dc?

Answer 23

training and safety division

Question 24

who will complete written report on ppe?

Answer 24

district chief

Question 25

ff safety and health section of bureau and fire standards and training requires notification if?

Answer 25

1 or more ff’s hospitalized for 24 hours/line of duty death (lodd)/serious injury from equipment failure

Question 26

department makes notification within?

Answer 26

4 hours

Question 27

foo w/ authorization of appropriate deputy chief will contact?

Answer 27

bureau of fire standards and training

Question 28

bureau of fire standards and training number?

Answer 28

352-427-4401

Question 29

employee hospitalized will be helped by who to complete necessary paperwork?

Answer 29

risk management

Question 30

if employee later he realizes he sustained injury at work he should?

Answer 30

report to any pbcfr station and fill out form i8a and i8b and fdm

Question 31

ohc will provide copy of?

Answer 31

workmens compensation laws

Question 32

who must receive submitted mileage reimbursement form?

Answer 32

district chief for processing to risk management

Question 33

2 options for work related injury that occurs off shift?

Answer 33

report to work and notify dc they need to go to ohc/call dc or supervisor to notify them they are going to ohc if unable to report to work

Question 34

who enters injury tracking info?

Answer 34

training and safety division compiled on a quarterly basis forwarded to wellness cordinator

Question 35

whose responsibility is it to notify dc of clearance to return to work?

Answer 35

employee

Question 36

examples of employees who must have clearance to return to work?

Answer 36

work related injury that included light duty or workman’s comp/outpatient surgery or hospitalization/obtain clearance day before duty/dc may allow return to work if no longer sick or contagious/ohc will fax clearance to wellness cordinator