Risk Management/Workers' Compensation

Question 1

Which form will be used to report public accidents, motor vehicle crashes, damage to intergovernmental property, and other losses to Risk Management?

Answer 1

Form 36-2

Question 2

The Accident/Incident Report requires electronic submission to Risk Management within ___ hours.

Answer 2

48

Question 3

The accident/initial report requires acknowledgement by the ____ or ____ ______.

Answer 3

Supervisor or division commander.

Question 4

What is a public accident?

Answer 4

When a person other than a City employee has been injured on property owned by the City, or when personal property of an individual has been damaged or destroyed by a City employee.

Question 5

Whenever City property is damaged, stole, vandalized, or lost, and the loss is greater than $____, a supervisor will be notified.

Answer 5

$100

Question 6

Employees and supervisors are required by Department regulations to report all job-connected injuries no later than the _____ during which the injury occurred.

Answer 6

End of the tour of duty.

Question 7

For employees who receive a minor on-duty injury or illness that does not require treatment, the supervisory will contact who?

Answer 7

FL Hospital Centra Care

Question 8

If an employee receives an on-duty injury requiring treatment, every time he/she receives treatment, the employee must deliver a copy of any and all paperwork received from the treatment center to his/her supervisor by when?

Answer 8

Immediately.

Question 9

In the event the Workers’ Compensation First Report of Injury/Illness is not received by the State of FL Workers’ Comp Offices within 7 days of knowledge of such an injury, a $____ fine will be assessed.

Answer 9

$500

Question 10

True/False: Failure to timely report injuries could result in the loss of Workers’ Comp benefits.

Answer 10

True

Question 11

Who shall ensure that the weekly attendance record, supporting remarks section, reflects that sick time is being used for a previously on the job injury or that the employee is in an alternative duty status?

Answer 11

Supervisors.

Question 12

A wage statement report shall be completed by who if the employee is unable to resume either full or alternative duty work at the end of the first 7 days of an on the job injury?

Answer 12

Payroll Unit