|
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. |
