Accident Investigation fr Workers’ Compensation Claims：对工伤事故调查索赔

1、sample training powerpointoverview of workers compensation accident investigation processvalue of investigation following an accident (whether compensable or not)elements of accident investigationsincrease your knowledge of the workers compensation accident investigation processidentify methods of i

2、nvestigationdetermine the causes of accidentsidentify tools used in the investigation processfine tune your accident investigation skillswhy: to notify the employer that the employee had an injury at work so that the incident can be investigated.(insert your agencys reporting policy and key process

3、steps)immediate written notice requiredenables prompt investigation of factsallows employer to provide necessary medical attentionif the employer does not investigate, may not be able to prove the facts.injured worker should immediately notify his/her supervisorthe supervisor should investigate or n

4、otify whoever is responsible for agency investigation immediately!submit claim within 24 hrs.injury arises from a risk not shared by the general publicthere is a causal connection between the injury and the employmentemployee exposed to a particular dangerthe risk is peculiar to the employmenton-sit

5、e investigators role in workers compensation claimsneeded to assist claims staffdetermine causedocument scenedocument what people said and sawprevent future accidentsdocument information you heardocument the scene through photographs, sketches, written descriptions, video recordingsdocument evidence

6、 of non-work injuryinvestigate facts that contradict injured workers versioninvestigate personnel or disciplinary problems that impact the claim situationinsert information here on your agencys policy do you have internal forms? where does the investigator get the forms?who does the documentation go

7、 to for forwarding to the claims staff? what timeframes are in place for completing the investigation?any timeframes for follow-up for correction of hazards?gather contact information on witnesses & supervisorsobtain witness and supervisor names, phone numbers, best time to contactprovide this i

8、nformation to agency personnel to forward to wsi claims staffwhy are photographs so important ?support factsdocument scenebecome the “eyes” forpeople not in the fieldmay be required if litigateddocument:who is the sourcewas there any possible transmission of diseasecontact with cuts, scrapescontact

9、with eyes, nose, mouthinsert your agencys policy on how to handle exposure incidents here.claims staff receives information from agencywill investigate the who, what, where, when and how questionsmay call with additional questions or to obtain the injured workers or witnesss statementclaims staff de

10、termines compensabilityany unplanned event that results in personal injury or in property damage.not intendednot reasonably anticipatedit is the reason for an action or condition; something that brings about an effect or result. (websters dictionary)the failure of people, equipment, supplies or surr

11、oundings to behave or react as expected causes most accidents.accident investigations determine how and why these failures occur.conduct with prevention in mind not to place blame!assist workers comp claims processto be the “eyes and ears” in the fieldto gather facts on-siteto preserve evidence that

12、 may be lost over timeto determine cause of the accidentto identify ways to prevent accidents from recurringmake sure the injured worker is taken care of firstsecure the scene to preserve the integrity of the scenegather all necessary equipment to begin investigationdo:go to the accident siteinvesti

13、gate and document the causedocument supervisor and witnessespreserve the evidencedont:speculate on coverageconduct formal interviewsgive adviceagency investigator should:survey, secure and document the siteidentify the causelook for contributory hazards report conclusions and recommendationsinvestig

14、ate immediately!dont assume anythingobtain all possible factspreserve the evidencetake photographs of the sitetake measurements and diagram if necessarygather the factswhat did the injured worker say happened?what did witnesses see?what did the injured worker tell witnesses?talk to the supervisorwha

15、t did the injured worker tell you?where and when did the accident occur?were there any witnesses?how was the employee injured?was training provided for this task?were the safety rules followed?was the employee doing an assigned task?had the employee been trained on the task?had the employee ever don

16、e this task before?how often is this task performed?before you preserve it, lets define it:evidence is data, which helps to prove the eventnext, decide what evidence is importantimmediate photographs are criticalthe site could change the next day and evidence would be lostsites of accidents, includi

17、ng:defectshazardsunusual conditionsconditions that differ from what the employee describesareas or furniture in need of maintenancehousekeeping issuesliquid substances or objects on a floorworn treadsslippery floor (heavy wax)loose rungs on a ladderfrayed or torn carpettype of shoesanything being ca

18、rriedanything out of the ordinarysunny and clear?rainy?foggy?icy?temperaturecoldhotclear, unobstructed walkwayspassageways and aisles free of protruding nails, loose boardsdebrisunwanted clutterboxes in aislesobstacles/barriersmay include the following elements:stairsladders (portable, extension, etc.)machinery, i.e. power sawsany room, i.e. training, sleeping quarterswallsfurniture, such as tables o