Worker Injuries AND wcb

					        Worker Injuries
     REPORT YOUR INJURIES
           Far too many\workers are needlessly injured. Injuries
                       and illnesses are preventable.
Workplaces that take their health and safety duties seriously will want to
identify situations that can result in injuries or illness and eliminate them
    immediately so that no one else is hurt. This is why ensuring your
  supervisor or employer knows you've been injured is important. What
   they know about, they can fix. A scrape caused by a malfunctioning
  machine today may result in a far more serious injury to someone else
      tomorrow if adjustments to correct the problem aren't made
                                immediately
              Your protection
• No fault insurance
• Protection is provided for you and your employer
  regardless of who caused the work injury. The
  workers’ compensation system is funded through
  the payment of premiums by employers with
  coverage.
• Coverage
• Most employers and workers are covered by
  WCB; however, some industries are not required
  to have this coverage. If you are unsure whether
  you have WCB coverage, ask your employer.
                  First Item
• Seek proper first aid no matter the injury
Importance of Prevention and Reporting
            “Near Misses”



                       1
                   Serious or
                   Fatal Injury


                    10
                Minor Injuries


                    30
              Property Damages




              600 Incidents
               Claim Reporting

•   What is a near miss?
•   Why record a near miss?
•   When should incidents be reported to WCB?
•   When should incident be reported to WS&H?
•   How soon should injuries be reported to WCB?
•   Whose responsibility is it to report an injury to
    WCB?
  If You Are Hurt at Work What Do You
                   Do?
• REPORT THE INJURY RIGHT AWAY!
• The sooner you are able to get medical attention the better off you will be.
• It is important that your supervisor is aware of injuries that require
  medical treatment as well has injuries that don’t so that improvements or
  prevention measures can take place.
• When you attend the doctor tell them that it is work related and also
  speak to the doctor about work capabilities.
• Claims are started by 3 potential sources 1) the worker 2) the employer 3)
  healthcare provider.
  What is Disability Management?
• Proactive formal workplace approach to
  helping injured workers return to safe and
  productive work as soon as physically possible.
• Disability management programs take place in
  the workplace.
           RTW is Good For Workers
• Maintains employment
    – Maintain social ties to the workplace
    – Keep up to date with co-workers and other workplace changes
    – Keep work skills current and up to date
    – Protects the resume
• Financial
    – Maintain regular rate of pay and continue earning salary and vacation
      time.
    – Ensures consistent income flow
    – Keeps EI and CPP contributions current and up to date
    – Uninterrupted medical/dental coverage
               RTW is Good For Workers
•   Physical
     – RTW is part of the recovery process
     – RTW programs assist with physical reconditioning
     – Relationships with family and friends
•   Psychological
     – Reduces possibility of developing secondary condition such as depression
     – Maintain normal routine of daily living
     – Less uncertainty for the future
     – Keep the focus on rehabilitation not future employment status
     – Maintain personal relationships
     – Maintain workplace relationships
     – Minimizes FEAR
         RTW is Good For Management
•   Labour relations- Successful disability management programs build trust between workers,
    unions, and management.
•   Financial- Minimize WCB claim costs
     –   Rate/premium implications
•   Maintain productivity
•   Corporate image
•   Recruitment of new workers
•   Reduce costs associated with training and recruiting replacement staff.
•   Keep experienced/knowledgeable staff in the workplace.
•   Legal obligations
     –   Human Rights Legislation
     –   Duty to Accommodate
     –   WCB Re-employment obligations
           RTW is Good For Unions
• Preserves jobs, seniority, and contributions to company
  benefit/pension plans for union members.
• Increased awareness that union is there to protect worker’s interests
  and well-being.
• Promotes co-operative labour management relationships.
• Legal obligations
    – Human Rights Legislation
    – Duty to accommodate
    – Re-employment obligations
    Make sure you have filed the WCB
                REPORT
• The Association of Workers' Compensation Boards of Canada
  (AWCBC) publish accepted time-loss injuries and fatality reports
  under the National Work Injuries Statistics Program (NWISP)
  according to the following categories:
• Nature of Injury (the type of injury or disease)
• Part of Body affected by the injury or disease
• Source of the Injury (immediate cause of the injury)
• Event (type of accident resulting in the injury, for example, "fall")
• Industry in which worker was employed at time of the accident
• Occupation of the injured or ill worker
• Province or Territory in which the injury, disease or fatality occurred
• Gender (sex) and Age (in age groups)
• It is important to remember that these reports do not
  include all workplace injuries: they only include
  accepted time-loss injuries. The AWCBC defines a time-
  loss injury as "an injury for which a worker is
  compensated for a loss of wages following a work-
  related accident (or exposure to a noxious chemical) or
  receives compensation for a permanent disability with
  or without time lost in his or her employment". An
  example of the latter kind of time-loss injury is a
  worker who receives compensation for a loss of
  hearing caused by excessive workplace noise even
  though the worker may have not missed any time from
  work because of this injury.
• To be included in the statistical report, the injury must have been
  accepted by a workers' compensation board or commission. This
  means that cases not accepted by a workers' compensation agency
  would not be included in the reports. Other examples of excluded
  information include:
• injuries that were never reported to the WCB (e.g. the injury was
  considered minor or "first aid" only, etc),
• injuries among some work groups that are not covered by WCB
  (such as the self-employed),
• incident rates (e.g., number of time-loss injuries per 100 workers),
• costs of accidents, or
• amount of time lost.
We all need to Understand what is
• Risk Management:
   – Understand methods for WC risk management:
      • Risk avoidance.
      • Risk financing.
      • Loss prevention.
      • Loss reduction.
         Date of Injury is IMPORTANT

Date of Injury           The worker’s fitness level          Required Accommodation

                    Factors that influence the employer’s
                        Re-employment Obligations

Date of Injury = Date the Worker is Unable to Work

For re-employment purposes, date of injury is the first date the worker is unable to work at their
    pre-injury duties.
WCB Services at a Glance

                $ out to
                Workers


   Assessment             Rehabilitation and
   Services               Compensation
                          Services

                $ in to
                 WCB
             Fit for Essential Duties
              Can I go back safely
When a worker is able to perform the essential duties
 of the pre-injury job, the employer is required to:

   – Offer to re-employ the worker in the position held on the
     date of injury
   – Provide alternative employment similar to and at earnings
     comparable to the employment on the date of injury.
Your protection if you file properly
• The Act sets out responsibilities with respect
  to such things as:
  – Determining compensation for workers and
    dependents
  – Funding the system - assessment of employers
  – Health and safety
• The legislation is established by the Provincial
  or State Government
                                       First Report of Occupational Injury or Disease
                                                                                                                                                                                      1. WCB FILE NUMBER (if known):

            EMPLOYER’S FIRST REPORT OF OCCUPATIONAL INJURY OR DISEASE



                                                                                                                                                                                                                                  • With in 72 hrs
                                                                                                                                                                                      1a. OSHA 300 CASE NUMBER (if applicable):


                                                                                REASON FOR REPORT (check all that apply)
2a.  LOST TIME - ONE OR MORE DAYS                          2b.    WAS EMPLOYEE PAID FOR ½ DAY OR MORE ON DAY OF INJURY?                     YES  NO
3.    LOST EARNINGS BUT NO LOST TIME                        4.     MEDICAL/HEALTH CARE                                           5.    FATALITY DATE OF DEATH: _____/_____/_____
                                                                                                                                                                       MM DD YYYY
6a.  OCCUPATIONAL DISEASE                                   6b.   DATE OF LAST EXPOSURE: _____/_____/_____                          6c. DATE OF DIAGNOSIS AS OCCUPATIONALLY RELATED: ____/_____/_____
                                                                                         MM DD YYYY                                                                                             MM DD




                                                                                                                                                                                                                                    of the incident
YYYY
7a.  CORRECT PRIOR REPORT                                   7b.   DATE OF CORRECTION: _____/_____/_____                                         7c. DATE CORRECTION SENT TO WCB: _____/_____/_____
                                                                                                   MM DD YYYY                                                                                   MM                     DD YYYY
                                                                                             EMPLOYER
8. STATE EMPLOYER UNEMPLOYMENT                            9. FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN):                                   10. EMPLOYER NAME:
INSURANCE ACCOUNT NUMBER (UIAN):




                                                                                                                                                                                                                                  • A Worker and
11. STREET/P.O BOX MAILING ADDRESS:                       12. CITY:                                            13. STATE:                     14. ZIP:               15. TELEPHONE NUMBER:
                                                                                                                                                                     (          )

16. PRIMARY BUSINESS PERFORMED BY                         17. EMPLOYER LOCATION IF DIFFERENT FROM                  18. DID INJURY OR EXPOSURE OCCUR ON EMPLOYER’S PREMISES?  YES  NO
EMPLOYER WHERE INJURY OCCURRED:                           MAILING ADDRESS:                                         IF NO, THEN GIVE NAME AND PHYSICAL ADDRESS OF THE EMPLOYER WHERE THE EMPLOYEE
                                                                                                                   WAS INJURED OR EXPOSED:




                                                                                                                                                                                                                                    employer
(check one)           INSURER                                                    THIRD PARTY ADMINISTRATOR (TPA)                                                       SELF-ADMINISTERED EMPLOYER
19. INSURANCE / TPA COMPANY NAME:                      20. POLICY NUMBER:                                                                     21. INSURER FILE NUMBER:



22. STREET/P.O. BOX MAILING ADDRESS:                   23. CITY:                                               24. STATE:                     25. ZIP:               26. TELEPHONE NUMBER:

                                                                                                                                                                     (            )




                                                                                                                                                                                                                                    report must be
                                                                                                         EMPLOYEE
27. LAST NAME:                                         28. FIRST NAME:                               29. MI:       30. TELEPHONE NUMBER:                 31. SOCIAL SECURITY NUMBER:              32. GENDER:
                                                                                                                   (          )                                                                    MALE  FEMALE
33. STREET/P.O. BOX MAILING ADDRESS:                   34. CITY:                                                   35. STATE:                 36. ZIP:                   37. DATE OF BIRTH:

                                                                                                                                                                 _____/_____/_____




                                                                                                                                                                                                                                    filed with the
                                                                                                                                                                  MM DD YYYY
38. OCCUPATION/JOB TITLE:                              39. DATE OF HIRE:                  40. WEEKLY WAGE AT TIME OF INJURY:                  41. DOES EMPLOYEE WORK FOR ANOTHER EMPLOYER?
                                                                                                                                              YES  NO IF YES, GIVE NAME AND ADDRESS:
                                                         _____/_____/_____                $
                                                         MM DD YYYY

                                                                                                   CLAIM INFORMATION
42. DATE OF INJURY OR ILLNESS:                  43. DATE OF INCAPACITY:                   44. TIME EMPLOYEE BEGAN WORK                        45. DATE EMPLOYER NOTIFIED INSURER/TPA:
                                                                                           (e.g. 7:30 a.m.):




                                                                                                                                                                                                                                    provincial or
_____/_____/_____                               _____/_____/_____                                                                             _____/_____/_____
 MM DD YYYY                                      MM DD YYYY                                                                                    MM DD YYYY
                                                                                        46. TIME OF INJURY (e.g. 1:10 p.m.):                47. HAS EMPLOYEE RETURNED TO WORK?  YES  NO
DATE EMPLOYER NOTIFIED:                         DATE EMPLOYER NOTIFIED:
                                                                                                                                               IF YES, GIVE DATE: _____/_____/_____
_____/_____/_____                               _____/_____/_____                                                                                                 MM DD YYYY
 MM DD         YYYY                              MM DD YYYY
48. SPECIFIC INJURY OR ILLNESS                      49. BODY PART(s) AFFECTED (e.g. lower right forearm):                               50. ALL EQUIPMENT, MATERIALS, OR CHEMICALS EMPLOYEE WAS




                                                                                                                                                                                                                                    state boards
(e.g. second degree burn or toxic hepatitis):                                                                                           USING WHEN THE EVENT OCCURRED (e.g. acetylene torch, metal plate):


51. SPECIFY ACTIVITY THE EMPLOYEE WAS ENGAGED IN WHEN THE EVENT                           52. HOW INJURY OR ILLNESS OCCURRED. DESCRIBE THE SEQUENCE OF EVENTS AND INCLUDE ANY OBJECTS OR
OCCURRED (e.g. cutting metal plate for flooring.):                                        SUBSTANCES THAT DIRECTLY INJURED OR MADE THE EMPLOYEE ILL. (e.g. worker stepped back to inspect work and
                                                                                          slipped on some scrap metal. As worker fell, worker brushed against hot metal.):




WAS ACTIVITY PART OF NORMAL JOB DUTIES?  YES  NO
53. HOSPITALIZED OVERNIGHT AS INPATIENT?                                    55.
                                                 54. WAS THE EMPLOYEE TREATED HEALTH CARE PROVICER NAME:              56. MAILING ADDRESS:                                  57. TELEPHONE NUMBER:
 YES  NO                                       IN AN EMERGENCY ROOM?                                                                                                       (         )
                                                  YES  NO:
                                                                                              PREPARER INFORMATION
58. PREPARER NAME AND TITLE (TYPE OR PRINT):                                              59. TELEPHONE NUMBER:                                                      60. DATE SENT TO WCB:
                                                                                          (          )                                                                                              _____/_____/_____
                                                                                                                                                                                                     MM DD YYYY
WCB-1 (01/02) The State of Maine does not discriminate on the basis of disability in admission to, access to, or operation of its programs, services or activities. This material can be made available in alternate formats by
contacting your Department ADA Coordinator.
DISTRIBUTION: COPY (1) MAINE WORKERS’ COMPENSATION BOARD, 27 STATE HOUSE STATION, AUGUSTA, MAINE 04333-0027, (2) EMPLOYEE, (3) INSURER, (4) EMPLOYER.
    They work for you when your
        injured and can not
• Ensure that policy appropriately guide the
  provision of health care benefits and services.
• Resolve disputes regarding the provision of
  health care benefits and services which result
  in client dissatisfaction, reviews and appeals.
• Provide appropriate benefits and services to
  the most seriously injured to alleviate the
  effects of the injury and improve their quality
  of life
        Protection of Information
          and Personal Privacy
Your medical information and items are
protected from those you don’t want to share
with
 Your assigned a Case Managers
• Project Manager
                         Injured Worker
           Health Care
            Providers                     Employer




                          Case Manager
Cost-effective Return-to-work Services

The WCB will consult with the worker to jointly develop an appropriate
and cost-effective return-to-work plan that is consistent with the
worker's abilities, skills, and potential. The return-to-work plan is
considered appropriate if the worker has a reasonable probability of
successfully achieving the vocational goal.
• In most cases, the WCB determines cost-effectiveness by
   comparing:
• a) the total estimated costs of required vocational services
• b) the remaining compensation benefits that the worker is entitled
   to
• c) the estimated cost of alternative return-to-work plans, and
• d) the estimated benefit costs if no return-to-work services are
   provided.
   What do we need from you?
• Plan on how to get workers back to pre-injury
  job or to alternate work.
• Need to know the following:
  – What are their main barriers to a full return to
    work?
  – How do we remove these barriers?
  – What are the workers’ limitations & restrictions?
  – What is the prognosis?
  – How long will they require treatment?
       We are committed to fairness

• We protect employers and workers from the uncertainty, cost and
  delays of legal action by providing no-fault coverage.
• We compensate injured workers for lost employment income.
• We cover the cost of health care and other costs associated with a
  work-related injury or illness.
• We add stability to the compensation system through the balanced
  application of the Workers’ Compensation Act.

We focus on return to work
• We support workers’ safe return to work through case plans that
  set clear goals.
• We help employers bring their workers back to work through strong
  disability management and modified work programs.
       No false statements please
• Protecting the workers' compensation system
• WCB is committed to deterring, detecting and prosecuting
  those who abuse the funds held in trust for workers and
  employers. While fraud is a rare occurrence, it is possible.
• What constitutes fraud?
• falsely reporting an accident as one that occurred at work
• falsely reporting your income when filing a claim with WCB
• not informing WCB once you have returned to work or are
  able to return to work and continuing to accept wage
  replacement benefits thereafter
• In simplest terms, abuse occurs when an individual is
  intentionally dishonest in order to obtain money, goods or
  services to which he or she is not entitled.
                 Last Page
• Now that you have successfully filed your WCB
  Report – we too need a little help
• PLEASE FILL OUT THE COMPANY INCIDENT
  REPORT AND FILE A COPY WITH YOUR
  SUPERVISOR AND SAFETY

				
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posted:11/28/2011
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Description: worker safety