E110.3 On-the-Job Injury/Illness (12/13/2018)

Question 1

[E110.3 On The Job Injury/Illness]

Who will be responsible for the investigation of any on the job injury or illness to include the completion of all documentation?

Answer 1

Injured member’s BC/Section Supervisor

Question 2

[E110.3 On The Job Injury/Illness]

Who may be contacted for assistance with investigating an IOJ?

Answer 2

The Safety Chief

Question 3

[E110.3 On The Job Injury/Illness]

Who shall a member notify immediately of an IOJ?

Answer 3

Immediate Supervisor

Question 4

[E110.3 On The Job Injury/Illness]

Who should be notified on an IOJ on an emergency scene?

Answer 4

Command

Question 5

[E110.3 On The Job Injury/Illness]

In regards to an IOJ on the emergency scene, command will be responsible for ensuring this is filled out in RMS:

Answer 5

The Casualty Module

Question 6

[E110.3 On The Job Injury/Illness]

Once notified of the IOJ, the Supervisor must do what?

Answer 6

Notify dispatch and request an injury page

Question 7

[E110.3 On The Job Injury/Illness]

Who all will be assigned to the call type IOJ-INV once created by dispatch?

Answer 7

• Member’s unit
• Member’s BC/Section Supervisor

Question 8

[E110.3 On The Job Injury/Illness]

What happens if the member’s BC cannot respond for the IOJ?

Answer 8

Another BC will be assigned to the IOJ

Question 9

[E110.3 On The Job Injury/Illness]

In the event the member’s BC cannot respond and a different BC is assigned, the member’s immediate supervisor will ensure:

Answer 9

• The incident reporting is completed and
• The casualty module is completed in RMS

Question 10

[E110.3 On The Job Injury/Illness]

If an ambulance is not required for transport, but the member needs to be taken to the hospital, who will take them?

Answer 10

• BC/Section Supervisor, or
• Safety Chief

Question 11

[E110.3 On The Job Injury/Illness]

What must be completed if the BC transports the member?

Answer 11

First Report of Injury (FROI)

Question 12

[E110.3 On The Job Injury/Illness]

If the injury is minor and the member does not wish to seek medical treatment, the BC or Safety Chief shall complete the FROI as a _________ _________ and submit it to who?

Answer 12

• Precautionary Report
• Submit to Workers’ Compensation Office

Question 13

[E110.3 On The Job Injury/Illness]

Regardless the extent or intervention needed, who shall be notified of every IOJ?

Answer 13

BC/Section Supervisor

Question 14

[E110.3 On The Job Injury/Illness]

Photographs will be taken of what (3)?

Answer 14

1. Location where the injury occurred
2. Mechanism of injury
3. Any other pertinent info

Question 15

[E110.3 On The Job Injury/Illness]

The investigation will endeavor to:

Answer 15

• ID the cause of injury
• Provide an intervention or remediation plan

Question 16

[E110.3 On The Job Injury/Illness]

The FROI will automatically create emails to who (3)?

Answer 16

1. The member
2. Safety Chief
3. Workers’ Compensation Office

Question 17

[E110.3 On The Job Injury/Illness]

Who can place a member off duty due to injury?

Answer 17

Medical Provider

Question 18

[E110.3 On The Job Injury/Illness]

If the member decides to seek medical treatment at some later time, they must notify who?

Answer 18

Workers’ Compensation Office

Question 19

[E110.3 On The Job Injury/Illness]

A member who seeks medical treatment also has to submit one of these 2 forms within 24 hours of the visit:

Answer 19

1. Texas Workers’ Compensation Work Status Report Form 73 (DWC73) or
2. Emergency Room Work Status Report Form

Question 20

[E110.3 On The Job Injury/Illness]

The member will provide the medical provider with a copy of the _______ ____ ________ for both of these positions, as well as the __________ _____ _________ checklist:

Answer 20

• Essential Job Tasks
• Fire fighter and Chief’s Aide
• Chief’s Aide Qualification Checklist

Question 21

[E110.3 On The Job Injury/Illness]

Operations members will report all status changes by when?

Answer 21

1000 on the day of their shift

Question 22

[E110.3 On The Job Injury/Illness]

Staff members will report all status changes by when?

Answer 22

The time they would normally arrive at the work site

Question 23

[E110.3 On The Job Injury/Illness]

If at any time the member is placed on no duty status, who all must turn in the DWC73 to the Workers’ Compensation Group?

Answer 23

1. Member
2. Member’s BC
3. Safety Chief

Question 24

[E110.3 On The Job Injury/Illness]

If the medical provider places the member on any duty restrictions, the member shall report where and by when on the first regular business day?

Answer 24

• Wellness
• By 0700

Question 25

# [E110.3 On The Job Injury/Illness] What are the 2 light duty job assignments?

Answer 25

1. Chief's Aide 2. Light Duty 40

Question 26

# [E110.3 On The Job Injury/Illness] Besides their BC, who else may the light duty member drive around (4)?

Answer 26

1. Another BC on member's shift 2. Safety Chief 3. Shift Commander 4. FTO

Question 27

# [E110.3 On The Job Injury/Illness] Chief's Aides will be assigned to a reduced work hour schedule and will participate in mandatory:

Answer 27

Physical conditioning

Question 28

# [E110.3 On The Job Injury/Illness] What time will chief's aides report for duty?

Answer 28

1030

Question 29

# [E110.3 On The Job Injury/Illness] Chief's Aides who report to shit on these days\_\_\_\_\_\_\_\_\_, shall report to Wellness on these days __________ for mandatory physical training that begins at what time?

Answer 29

- Sunday through Wednesday - Monday through Thursday mornings - 0730

Question 30

# [E110.3 On The Job Injury/Illness] once the Aide has completed the mandatory physical conditioning, where do they report?

Answer 30

Off duty for the remainder of the shift

Question 31

# [E110.3 On The Job Injury/Illness] What will a member do as a Chief's Aide on their assigned Kelly day?

Answer 31

Normal Kelly day actions

Question 32

# [E110.3 On The Job Injury/Illness] When is the only time a Chief's Aide can work AT?

Answer 32

Being assigned to an incident beyond the work schedule

Question 33

# [E110.3 On The Job Injury/Illness] Who will assign members to Light Duty 40 spots?

Answer 33

Risk Management Division Chief

Question 34

# [E110.3 On The Job Injury/Illness] The Light Duty 40 required schedule is:

Answer 34

Monday-Thursday 0700-1700 excluding holidays

Question 35

# [E110.3 On The Job Injury/Illness] Light Duty 40 members will be charged what for holidays?

Answer 35

Exceptional Vacation

Question 36

# [E110.3 On The Job Injury/Illness] Where do Light Duty 40 members report?

Answer 36

Wellness

Question 37

# [E110.3 On The Job Injury/Illness] Light Duty 40 members will do what on their Kelly?

Answer 37

Normal Kelly actions

Question 38

# [E110.3 On The Job Injury/Illness] If a member that refused the 2 light duty offerings, but later decides they would like to accept one, who shall they contact?

Answer 38

Workers' Compensation Office

Question 39

# [E110.3 On The Job Injury/Illness] Supervisors who receive info about suspected Workers' Compensation fraud must report that info to who?

Answer 39

Workers' Compensation Group