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J - Employee Safety & OHSA
City of Greensboro Personnel Policy Manuał
Table of Contents A B C D El
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F H I J K L TableofContents GCompensation Recordkeeping Procedures.
6.0 PROCEDURES
6.1. Job Related Injuries
A. If an employee is injured on the job, he must report the injury to the supervisor in writing
using the
Employee Injury Report Formimmediately or as soon as practical, regardless of the
severity. This includes minor sprains and strains.
B. The supervisor will arrange immediate medical treatment following established procedures.
See appendix document,
If You Are Injured On the Job .The supervisor must maintain regular
contact with the employee until the employee returns to work or until it is determined that the
employee will not return to his regular assignment.
C. As soon as feasible, not to endanger the employee, the supervisor must notify City Medical
Services and complete a Medical Authorization Form. See appendix document,
Medical Treatment Authorization Form .1. Workers’ Compensation claims may be authorized by one of the following: City Medical
Services (hereafter called Medical Services), City’s Workers’ Compensation Specialist,
Safety Specialist, or the City’s Workers’ Compensation Administrator in order for the claim
to be paid under worker’s compensation.
2. When treatment does not start with Medical Services, the City’s Workers’ Compensation
Specialist, Medical Services, or the City’s Workers’ Compensation Administrator must be
contacted for authorization as soon as practical.
3. In the case of a severe injury when the supervisor cannot contact Medical Services
immediately for approval of medical treatment, the supervisor will complete a Medical
Authorization form which will authorize the emergency medical treatment.
See the appendix document, Physical Exam Components on page 411.The medical provider
may use one of his own Return-to-Work forms, but it must indicate the employee’s status,
restrictions, and return visits. The employee must return the Medical Authorization Form
and other medical documentation to Medical Services for follow-up. If the employee is
hospitalized or otherwise unable to take the information to Medical Services in a timely
manner, he may give the information to the supervisor to take to Medical Services.
D. The supervisor will record all injuries, other than first-aid injuries, on a departmental
accident report and an
Employee Injury Report (OSHA FORM 19)specifying in detail the full
account of how the injury was sustained. The departmental account number, from which the
employee is paid, must be written at the top of the
Employee Injury Report (OSHA FORM 19) .6.2 Disability Absence
A. An employee who is temporarily disabled due to a job-related injury or illness must notify




