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Procedures for Supervisors

It’s important that every employee who experiences a workplace injury/illness is given a personalized approach to assist them with recovery and returning to work.  Managers set the tone for how the injured employee perceives the Workers’ Compensation benefit program.  Understanding the basics of the program and the steps involved allows you to engage with the employee with more confidence and alleviate fears and concerns before they become stumbling blocks to healing and the business relationship.

Managers may contact Risk Management to learn more about workplace safety training opportunities.

Responding to a Workplace Injury/Illness

NOTE: If an injury requires emergency assistance, call 9-1-1

 

Injury Response Chart
Type of Injury/Illness Serious Injury/Illness Medical Only Injury/Illness First Aid Only Injury/Illness
Examples
  • Serious lacerations; lumbar (back) strains; knee strains or dislocations; possible bone fractures; loss of consciousness or ambulation; life-threatening injuries; and exposure to hazardous substances.
  • Claim involving medical service but no time lost from work beyond the state-mandated waiting period and does not include any permanency of injury
  • Medical attention that is usually administered immediately after the injury occurs and at the location where it occurred
Response
  • Employees should be transported by ambulance to the nearest hospital.
  • Supervisors and other Employees may not transport ill/injured employees.
  • The injured worker(s) should obtain medical care at Designated Medical Clinics.*
  • First aid can be administered in the Department but still reported on an SIIR

Supervisor’s Responsibilities

Within 24 hours of knowing about a workplace illness/injury:

  1. Show concern about the employee's well-being right away.
  2. Complete the Supervisor’s Injury Investigation Report Form (and keep a copy for your records).
  3. Provide a Workers Compensation (DWC-1) Form.
  4. Advise employees to seek treatment right away at a Designated Medical Clinic if it is not serious or first-aid:
    • Managers can complete the Healthpointe Treatment Authorization Form. Risk Management can complete this, too.
    • For other Other Designated Medical Clinics* reach out to Risk Management before the employee arrives at the facility for treatment.
    • Management should not transport employees to a medical clinic unless they have formally advised.  Contact Risk Management if an employee needs transport to a medical clinic by calling 909-537-3939.  
  5. Contact Risk Management.
  6. Advise your administrator of the workplace injury without sharing personal information about the employee.

While the employee is recovering:

  1. Contact EH&S via ehs@csusb.edu to complete an Incident Analysis for prevention soon after the incident.
  2. Advise your administrator of the root cause of the injury and lessons learned that will prevent reoccurrence. The lessons learned should also be shared with other colleagues to integrate safety throughout campus operations. Remember personal medical details and the name of the employee is private health information.
  3. Maintain regular contact with the injured employee, but be sure to refrain from discussing work responsibilities.
  4. Provide Risk Management with the work status (doctor's note) and provide updated statuses when they expire.
  5. Review the employee's position description for modified duty options and work with Risk Management to implement transitional work as needed.
  6. Let the employee know transitional work options are available that will follow medical restrictions when possible.

Return to Work:

  1. Provide HR and Risk Management with a copy of the employee's return to work date and work status supporting an employee's return to work.
  2. Set up an appointment with HR to review modified duty options and set up an appointment with the employee.
  3. Periodically check-in with the employee to assess the return to work transition.
University Designated Medical Clinics
Clinic Location Physical Address Contact Information  

Healthpointe
 

Colton

290 N. 10th St. #100
Colton, CA 92324 

Office: (909) 264-2500
Fax: (909) 264-2510  
Healthpointe Website

 
Kaiser on the Job Fontana

Fontana Medical Center Medical Office Building 2, 6th Floor 
9961 Sierra Ave. Fontana, CA 92335 

(909) 427-3917   
Kaiser on the Job Riverside

Riverside Medical Center Medical Office Building 1, 4th Floor, Module 4J 
10800 Magnolia Ave., Riverside, CA 92505

(951) 353-4322   
Desert Urgent Care
(Palm Desert Campus)
Coachella 1293 Sixth St., Coachella CA 92236  (760) 341-8800