Injur Injury R y Repor eporting P ting Procedur ocedure - PowerPoint PPT Presentation

Workers’ Compensation Injur Injury R y Repor eporting P ting Procedur ocedure

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• Workers are required to report any injury to their supervisor as soon as possible ( within 24 hours ) • Supervisors must ensure medical treatment is obtained, if the need goes beyond first aid • If the worker cannot transport himself or herself to the medical provider, the supervisor must make the arrangements for the injured worker • Supervisors must complete the required WC forms, which are available on SFMTA intranet: http://inside.sfmta.com:8088/wc/SitePages/default.aspx 6

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ACTIONS REQUIRED: • Supervisor ( within 24 hours ): • Completes Employer’s Report of Occupational Injury or Illness (Form 5020) • Provide the injured employee with the WC Claim form (Form DWC-1) • If the employee is physically incapable of filling out the Employee Claim form and Employee Injury Report, mail the form to the employee’s address of record and document your efforts. 10

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After Hours Clinics Please use when the other clinics are closed 14

In the Event of an Injury at Work • • 15

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