COIDA IDA
Form of insurance for work related incidents/ accidents …compulsory ◦ Employees have right to compensation….. even if employer fails to register ◦ Employer can be penalized for non-registration. ◦ EPWP Section 17.1 - It is the responsibility of the employers (other than a contractor) to arrange for all persons employed on a EPWP to be covered in terms of the Compensation for Occupational Injuries and Diseases Act, 130 of 1993.
Funding ◦ Exclusively funded by employers Probability of injury, determined by employers accident frequency/risk profile…23 classes Cost of claims, approximated by employers wage bill Applicable to all staff ◦ Employees are covered for loss of earnings and medical treatment………. more than 3 days. ◦ Protect employers against employees who might sue………may not sue employer, only third party
Purpose ◦ Compensate employees…….injured or disease (work related) ◦ Pay medical expenses ◦ In the event of employees death….. compensate dependants Conveyance of injured employee….responsibility of Employer (can claim back) (Section 72) Who is an employee Any person, irrespective of age, who is employed by an employer for the purpose of his/her business activities. It includes temporary and casual workers.
Mandators (employers) and Contractors ◦ Contractors are compelled to registered and pay assessment ◦ If not, the Mandator will be regarded as the employer……………contractors employees Not for substantive provision of the Act … Section 56
Accidents outside the Republic ◦ If temporary employed outside SA for not more than 12 months…….covered ◦ Employer bringing in temporary staff from abroad ……….agreement with CC (unless employed for more than 12 months)
Drunkenness No compensation payable. When? Not adhering to SHE requirements. ◦ Willful misconduct of employee, unless: The accident result in a serious disablement, or The employee dies and leave dependants ◦ Can also hold employer individually or mutually liable for cost
No compensation payable. When? ◦ Knowing the information is false ◦ Death or disablement was caused by willful neglect of the employee by not seeking medical aid
Definition of Accident ◦ “accident means an accident arising out of and in the course of an employee’s employment and resulting in an personal injury, illness or the death of the employee” “arising out of” – must be related to the employees duty (what he/she was employed to do) “in the course of” – busy performing his/her duty during normal working hours. The above does not debar an employee of claiming when injured whilst performing overtime or other special duties.
Definition of an Occupational Disease (Section 65 (1) (a) or (b)) ◦ “that an employee has contracted a disease mentioned in the first column of Schedule 3 and that such a disease has arisen out of and in the course of his or her employment” ◦ “that an employee has contracted a disease other than a disease contemplated in paragraph (a) and that such a disease has arisen out of and in the course of his or her employment”
Difference ◦ “Accident” – can be specifically related to a certain event, time and place ◦ “Disease” – Cannot be pinpointed….could result of exposure to harmful agents over a long period
Reporting by employee ◦ Employee to report as soon as possible after accident happened or disease has been diagnosed……….employer ◦ Right to benefits shall lapse if not reported within 12 months Reporting by Employer ◦ Report within 7 days after having learned of it …………”prescribes manner” ◦ Employer must report…….whether agree or not that it is an accident. Report any “Accident or Alleged Accident”
Internal ◦ Receive no COID forms or received claims are incomplete: No full names No I.D numbers Blank spaces No date and type of injury Causes…. ◦ No or late registration of claims ◦ Claims cannot be traced…..Commissioner ◦ Doctors submit accounts…not registered ◦ One injury……two claim numbers
Implications ◦ Injured workers not being compensated ◦ Department not compensated…3 months ◦ Outstanding medical accounts ◦ Refuse medical treatment to injured staff ◦ Pay penalties
◦ Improve COID Administration ◦ Complete required forms ◦ Ensure submission to designated person ◦ Ensure timeous submissions ◦ Prevent fraudulent claims
◦ Centralized the COID process ◦ Report telephonically ◦ Reporting structure ◦ Submission of COID forms “prescribed” ◦ Implementation and commitment by all staff Benefits ◦ Injured workers are compensated ◦ Department compensated… 3 months ◦ Payment of medical accounts ◦ Treatment of injured staff ◦ No penalties
Purpose Injury Occupational Disease Serious Injury and Death
Aimed at/role players: ◦ Contractors ◦ Project Managers ◦ Regional COID Administrators (RCA) ◦ National COID Administrators (NCA)
Assist with the process of completion of COID documents NCA & RCA must keep record of: ◦ Minor injuries ◦ Serious injuries ◦ Occupational diseases
INJURY
◦ Report all incidents to responsible manager …shift incident occurred ◦ First Aid only – record in dressing book…first aid kit ◦ Minor Incidents…require doctor treatment, do the following…
STEP 1 • After receiving the Part A & Annex 1 Incident Report from the contractor within 12 hours, the designated Project Manager must notify the RCA telephonically of the incident. • The RCA inform the NCA by phone immediately. Once the supervisor / manager has received the Accident Report (Annex 1) from the employee s/he must forward the report to the RCA. ..\..\Safety\Safety standards\Standards 2008\4.12 Incident investigation\Annexure 1.doc
STEP 2 Designated Project Manager complete the Employers Telephonic Report of an accident (TR 2) & (Annex A4) within 12 hours . COID Documents 2013\ANNEX,4A1.doc Fax them both to the RCA. The RCA will then fax to the NCA immediately. The RCA must forward original TR 2 within 24 hours with certified ID and first medical report .
STEP 3 Project manager or injured employee must deliver the (TR 2 card) & (WCI4) to the Doctor immediately. STEP 4 (WCI4), must be returned to the Project Manager. Fax it to RCA within 12 hours after receipt. RCA must then fax the (WCI4) to NCA for processing.
STEP 5 – If worker is booked off WCI5 – ( Final/Progress Report and the account I.r.o. an accident) must be completed by the Doctor/Hospital Forwarded to the Project Manager Fax it to the RCA immediately. The RCA should then forward the (Final/Progress Report and account I.r.o. an Accident) to the NCA immediately. If a worker is booked off for a month or more then a month (WCI5) must be filled in for every month that s/he is booked off.
STEP 6 If the Doctor is satisfied with employees health, s/he will complete a WCI5 – ( Final/Progress Report and Account i.r.o an Accident) Contractor to submit to Project Manager. The Project Manager must complete the WCI6 – Resumption Report and fax them both to the RCA. The RCA will forward the form to the NCA for final processing. It is the Project Manager’s responsibility to follow up on the WCI5 forms.
Ensure that you include the following in the TR2 form : The correct registered name (Working for Water Programme) The registration number (1132/737/0810) Ensure that you include the Region, Project Name & Project Manager Name on Annexure 4. Ensure that you include full name, surname and ID number of the injured worker. NB! ALL I.O.D. CLAIM DOCUMENTATION MUST BE COURIERED WITHIN SEVEN WORKING DAYS TO THE REGIONAL COID ADMINISTRATOR A.S.A.P. AND NOT TO THE COMPENSATION COMMISIONER.
OCCUPATIONAL DISEASE
STEP 1 After being notified that an employee has contracted an occupational disease, the Project Manager must immediately notify the RCA by telephone. A Telephonic report of an Occupational Disease (TR1) must be completed by the Project Manager and together with the Disease Control List (Annex 5A) Must be faxed through to the RCA within 12 hours. The RCA must then forward immediately to the NCA .
STEP 2 The Project Manager or infected employee must deliver a First Medical Report for the Occupational Disease (WCI22), together with a copy of the (TR1) to the Doctor. Once completed it must be faxed to the RCA – 12 hours The RCA must then forward it immediately to the NCA. STEP 3 The Project Manager must complete a Claim for Compensation for Occupational Disease (WCL14) form and fax it to the RCA – 12 hours.
Recommend
More recommend
