Current through all regulations passed and filed through September 16, 2024
(A)
Policy
statement
It is the policy of the university of
Toledo that when a university employee has a work related injury or
occupational disease, they will seek appropriate medical care, report the
injury to their supervisor and complete and submit the injury and illness
report form to the workers' compensation department or their
supervisor.
(B)
Purpose of policy
This policy provides direction to the
employee and their supervisor on how to assure that an employee with a work
related injury or occupational disease:
(1)
Receives proper
medical care; and
(2)
Submits the documentations that will initiate a
workers' compensation claim when appropriate, and provide information for
accident investigation and safety hazard elimination, when
appropriate.
(C)
Procedure:
Caring for the injured employee is the
first concern. The university will provide any necessary emergency medical care
through its health facilities and/or other qualified health care providers for
employees who are injured during the performance of their duties, and to
properly record pertinent information for accident investigation, safety hazard
elimination, and workers' compensation, when appropriate.
(1)
This policy
applies to all university of Toledo employees, full or part-time, who are
injured in the course and scope of university employment.
(a)
All injuries must
be reported to the supervisor by the injured party or, if the injured party is
not able to do so, a co-worker, by the end of the shift or as soon as is
practical.
(b)
Anyone who is aware of unsafe conditions or working
practices has an obligation to report them to their supervisor and the office
of safety and health.
(2)
When on-the-job
injury or illness occurs:
(a)
As soon as possible after an injury, the supervisor or
department chairman will notify the workers' compensation department of the
occurrence of the injury. In the absence of a supervisor, a fellow supervisor
should notify the workers' compensation department via phone, voice mail, or
e-mail.
(b)
When employees are seen in the emergency department of
university health services, the treating department will immediately notify the
workers' compensation department.
(c)
Workers'
compensation personnel will inform the office of safety and health of any
safety issues pertaining to the employees
injury/illness.
(3)
Completing injury and illness incident form:
(a)
As soon as
physically able, the injured employee will file with his or her supervisor a
written statement explaining the accident, using part one of the injury and
illness incident form. Where necessary, the supervisor will assist the employee
in preparing this statement. Copies of the injury and illness incident form can
be obtained in the workers' compensation department or on-line at
http://www.utoledo.edu/depts/risk/pdfs/EmployeeIncidentForm.pdf.(b)
The supervisor
will obtain signed statements from individuals who witnessed the accident.
These statements may be recorded in the supervisor's analysis of the original,
or copies of the injury and illness incident form filed by the injured
employee.
(c)
The supervisor will complete supervisor's analysis of
the injury and illness incident form, including the identified causes of the
accident.
(i)
The supervisor will file the completed injury and illness incident form with
the workers' compensation department as soon as possible after the
accident.
(ii)
If the severity of the injury prevents the injured
employee from filing a report, even with assistance, the supervisor will file a
preliminary report giving all available information and will file supplemental
reports with additional information, and the employee's report, at the earliest
possible date.
(d)
In addition to the reports of the incident, the main
campus classified employee's absence and return to work will be reported on the
regular absence report (form "PE" 203 195).
(4)
Workers'
compensation department role:
(a)
The workers' compensation department will provide the
necessary forms to initiate a claim with the Ohio bureau of workers'
compensation ("BWC"). "BWC" then assesses the claim and makes the decision to
allow or disallow the claim.
(5)
After a claim has
been submitted:
(a)
Upon receipt of the claim, "BWC" will mail out
notification of the assigned claim number. It is then the employee/claimant's
responsibility to provide said claim number to all health care providers, along
with any other information request to ensure proper billing of claim related
charges.
(b)
In the event the claim is disallowed, the employee will
have appeal options as outlined in the "BWC" order, or industrial commission
correspondence.
(6)
Contact information: if an employee or supervisor has
any questions regarding this policy or procedure, they can contact the main
campus office (419-530-3655), or the health science campus office
(419-383-4567).
