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NSLS ESH Highlight #19

Report Your Work Incurred Injuries And Illnesses

Date: November 9, 1999
Editor: R. Casey, N. Gmür

This NSLS ES&H Highlight is being issued to remind NSLS staff and supervisors of some important points. This Highlight and Dr. Marburger's original memo are also available on the web at the following site: http://www.nsls.bnl.gov/esh/highlights/.

  • It is important that you follow these guidelines and collaborate with your supervisor.
  • If you fail to report as required, any resulting missed work may be considered unauthorized leave and ineligible for sick leave pay.
Injuries and Illnesses Incurred During Normal Work Hours

Inform your supervisor immediately.
Report as soon as possible to the Occupational Medicine Clinic (Bldg. 490) with your supervisor or another member of NSLS supervision or management.
If you cannot report to Clinic immediately, notify them at x3670 and report at the latest by the beginning of the next work shift.
If you are seriously injured, have someone call x2222 or 911 for ambulance assistance.

Injuries and Illnesses Incurred Outside of Normal Work Hours

Inform your supervisor immediately.
Report as soon as possible to the Firehouse (Bldg. 599) with your supervisor or another member of NSLS supervision or management.
Leave a message on the Clinic answering machine (x3670) about your injury or illness.
Report to the Clinic at the beginning of the next normal work shift.
If you are seriously injured, have someone call x2222 or 911 for ambulance assistance.

Absence From Work

If you are absent because of a work related injury or illness, you must report the incident and absence to your supervisor and the Clinic on or before the start of the work shift you intend to miss, and follow any mutually agreed upon instructions.

Off-Site Treatment

If you receive off-site medical treatment for a work-related injury/illness, notify the Clinic (in person or at x3670) by the next day, at the latest. Prescriptions to stay away from work must be discussed with the Clinic and your supervisor. Follow BNL instructions for billing and Workers’ Compensation.

Return to Work

Upon returning to work after any absence resulting from a work-incurred injury or illness, you must obtain a "Return to Work Slip" from the Clinic before you will be permitted to work. Return to work slips are required for any lost time due to a work-incurred illness or injury, even if such lost time occurs due to doctor visits or physical therapy.

Office of the Laboratory Director

Building 460
P.O. Box 5000
Upton, NY 11973-5000
Phone 516 344-2772
Fax 516 344-5803
marburger@bnl.gov

managed by Brookhaven Science Associates
for the U.S. Department of Energy

Date: September 8, 1999
To: All Employees
From: John H. Marburger
Subject: Work-Incurred Injuries and Illnesses

The Laboratory has recently undertaken a number of initiatives to reduce our work-incurred injury and illness rate. In the course of doing so, it became evident that the policy, as contained in the Employee Guide, was ambiguous with respect to how employees are required to report such injuries and illnesses.

In order to clarify this policy, I am issuing this memo and have asked Bob D’Angio to make the appropriate changes to the Employee Guide. This policy is effective immediately and will be included in the next re-issuance of the "Employee Guide" in October of this year"

Work-incurred Injuries

If Injured During Normal Work Hours:

If you are injured on the job, you must report to the Occupational Medicine Clinic as soon as possible and you should have your supervisor accompany you. If your supervisor is not available, you must call upon another member of supervision or management in your Department or Division to go with you. In most circumstances, it is expected that you report to the Clinic immediately after the injury. If this is not possible, you are required to notify the Clinic immediately and report to the Clinic with your supervisor, or alternate member of management, before the end of the work shift in which the injury occurred, or at the start of your next work-shift. If you fail to notify as required, any resulting missed work may be considered unauthorized leave and ineligible for sick leave pay.

If Injured Outside Normal Work Hours:

If you are injured during off-hours when the Clinic is not normally open, you must report to the Firehouse immediately and you should have your supervisor accompany you. If your supervisor is not available, you must call upon another member of supervision or management in your Department or Division to go with you. Before leaving the Firehouse, you are required to leave a message at the Clinic extension (3670) about your injury. You then must call or report to the Clinic at the start of the next normal work shift for the Laboratory, i.e. Monday through Friday, 8:30am to 5:00pm. The only possible exception to these reporting requirements would be for unusual medical circumstances. The Occupational Medicine Clinic has responsibility for determining whether or not such circumstances are met. If you fail to report as required, any resulting missed work may be considered unauthorized leave and ineligible for sick leave pay.

Absence From Work

If you intend to be absent because of a work-incurred injury or illness arising from a work-related incident, you must report the incident and your intended absence to your supervisor on or before the start of the work shift you intend to miss. You must also notify the Clinic at this time if your work shift coincides with normal work hours for the Clinic. If not, you must notify the Clinic on or before the next work shift for the Clinic. Upon contacting the Clinic, you may be asked to report to the Clinic for observation or given alternative instructions. The Clinic may require you to maintain periodic contact with their staff and to come in and be seen on a follow-up basis by one of the Clinic physicians. You are required to follow the Clinic’s instructions with respect to the frequency and nature of your contact. Employees who are on medication which would impair their driving or who cannot drive because of their medical condition should contact the Clinic prior to a visit to make alternative arrangements. During your period or work absence you are also required to maintain periodic contact with your supervisor at a frequency that is mutually agreed upon.

If you are sent home by the Clinic, or your supervisor, do not assume it to be authorization to stay out of work beyond the remainder of the work shift unless you are specifically so advised by a member of the Clinic Staff. The Clinic and your supervisor will work together with you to identify any accommodations you may require in order to continue working.

Off-Site Treatment for Work-Incurred Injuries and Illnesses

If you receive medical treatment other than at the Clinic or Firehouse, you must report this fact to the Clinic either in person or by telephone (extension 3670). This must be done at the start of the next normal work shift for the Clinic.

If you visit an off-site physician who prescribes that you stay out of work, this alone does not entitle you to stay home. Only Laboratory physicians can make such a determination in a case involving a work-incurred illness or injury. Without the agreement and approval of the Clinic following the process noted above, such an absence may not be considered an Occupational Illness/Injury.

Personal health care providers (e.g. physicians, chiropractors, physical therapists or hospitals) should be informed the injury was work incurred and should be instructed to send their bills, along with appropriate Workers’ Compensation forms (C-4), to the Laboratory Workers’ Compensation Insurance carrier:

Liberty Mutual Group
80 Grasslands Road
P.O. Box 1207
Elmsford, NY 10523-0907

If you incur any other expenses, bills should be sent to the Laboratory’s Workers’ Compensation Administrator, Bldg. 129B, for submission to the insurance carrier.

Return to Work

Upon returning to work after any absence resulting from a work-incurred injury or illness, you must obtain a "Return to Work Slip" from the Clinic before you will be permitted to work. Return to work slips are required for any lost time due to a work-incurred illness or injury, even if such lost time occurs due to doctor visits or physical therapy.

Your compliance with the above requirements is essential in order for the Laboratory to effectively manage its Workers’ Compensation Program and better ensure the safety and physical well being of its employees. Failure to abide by these requirements can be grounds for disciplinary action. Finally, all employees should be aware that filing a fraudulent Workers’ Compensation claim is a felony under New York State Law and can lead to criminal prosecution.

To the extent that any collective bargaining agreements differ with this policy, such collective bargaining agreement takes precedence.