Accident Investigation for Workers’ Compnsation Claims对工伤事故调查索赔.pptVIP

Accident Investigation Name, Job Title Phone number E-mail address Purpose of Presentation Overview of workers’ compensation accident investigation process Value of investigation following an accident (whether compensable or not) Elements of Accident Investigations Goals Objectives Increase your knowledge of the workers’ compensation accident investigation process Identify methods of investigation Determine the causes of accidents Identify tools used in the investigation process Fine tune your accident investigation skills Employee Must Provide “Notice” Why: To notify the employer that the employee had an injury at work so that the incident can be investigated. Employee Notice of an Accident (Insert your agency’s reporting policy and key process steps) Immediate written notice required Enables prompt investigation of facts Allows employer to provide necessary medical attention If the employer does not investigate, may not be able to prove the facts. Best Practices Injured worker should immediately notify his/her supervisor The supervisor should investigate or notify whoever is responsible for agency investigation immediately! Submit claim within 5 days Investigate to Determine Greater Risk Injury arises from a risk not shared by the general public There is a causal connection between the injury and the employment Employee exposed to a particular danger The risk is peculiar to the employment How Can You Help? On-Site Investigator’s Role In Workers’ Compensation Claims Why Investigate WC Claims? Executive Order 52 (99) Needed to assist claims staff Determine cause Document scene Document what people said and saw Prevent future accidents Documentation Document information you hear Document the scene through photographs, sketches, written descriptions, video recordings Document evidence of non-work injury Investigate facts that contradict injured workers’ version Investigate personnel or disciplinary problems that impact the claim situation Documentation Ins