|
STEP |
WHO |
WHEN |
INFO TO
USE |
WHAT TO
DO |
RESULTS |
| 1 |
Anyone who observes
accident |
Accident occurs |
Personal observation |
Stabilize injured person, remove from
immediate danger (unless head, neck or back injury or
other trauma situation). Send word to Foreman or
Supervisor. |
Injured person stabilized and removed from
danger if possible; supervisor
notified. |
| 2 |
Any supervisor* |
When notified of accident |
Own assessment of injury; List of Medical
Facilities |
According to nature of injury, direct
employee to medical facility, or direct
pre-designated employee** to drive injured employee
to medical facility for treatment. |
Injured transported to appropriate medical
facility for treatment. |
| 3 |
Supervisor |
After assessment of injury and if employee is
comfortable and able to speak
coherently |
Employee's description of
circumstances involving the accident; Employee Statement of
Injury; Manager's/Supervisor's
Report |
Complete top section of Authorization for Treatment and
Report; have injured sign the
Medical Authorization and Drug and Alcohol Screen
Authorization and Release sections; instruct
injured to submit report to medical facility upon
arrival. Help injured complete Employee
Statement; or collect and record information to
complete Manager's/Supervisor's
Report. |
Authorization completed for injured to
receive medical attention; injured authorized
release of information and drug and alcohol
testing; injured directed to medical facility and
instructed to submit authorization forms upon
arrival; Employee's statement of
circumstances of his injury are recorded on
Employee Statement and Manager's/Supervisor's
Report. |
| 4 |
Injured Employee |
Upon injury and receiving direction to medical
facility from supervisor |
Instructions from supervisor; Authorization for
Treatment and Report |
Go to medical facility for treatment as
instructed by supervisor, and submit Authorization
for Treatment and Report to medical staff upon
arrival. |
Injured seeks medical treatment and submits
proper authorization. |
| 5 |
Supervisor |
After accident, before next morning operations
meeting |
Employee Statement of injury, Manager's/
Supervisor's Report, Witness
Statement
|
Investigate accident, collect information from
any witnesses, complete reports and forward to Human
Resources Manager. |
Manager's/Supervisor's report and Witness
Statement completed and forwarded to Human Resources
Manager |
| 6 |
Human Resources Manager |
Morning following accident in which lost time
occurred |
Accident Report |
Present Lost Time report and any other
findings via e-mail to all managers; issue CAR per
TOP-CARRR |
Managers apprised of lost-time accidents and
circumstances; CAR issued |
| 7 |
Human Resources Manager |
Periodically, until injured recovers and
returns to work |
Doctor's reports, employee
input |
Review employee's recovery with employee
and doctors on an informal and periodic basis; relay
status to President or CEO |
Follow-up maintained during employee
recovery; company kept advised of injury, recovery,
and therapy status. |
| 8 |
Injured employee |
Medical Release |
Upon recovery |
Obtain Medical Release from Company doctor;
submit to Human Resources Manager. |
Employee recovered and Medical Release
submitted to Human Resources
Manager. |
| 9 |
Human Resources Manager |
Upon receipt of Medical
Release |
Medical Release |
Review Medical Release; authorize employee to
return to work; file Medical Release in Personnel
File. |
Employee's return to work approved;
Medical Release filed in Personnel
File. |
|
*Supervisor includes any manager,
supervisor, foreman or lead man. If one is not
quickly available, any team member can assume the
role.
**Pre-designated employee(s) is/are chosen
by foremen or leadmen to assist injured employee(s)
with transportation to proper medical facility in
the event injured employee cannot safely operate a
vehicle.
|
