GO 300-10 Transitional Duty Assignment Flashcards
Bona Fide Offer of Employment (BFOE)
A written offer of a transitional duty assignment that
abides by requirements set by the TOI and that contains work restrictions given by the
approved City of Houston and TOI medical provider.
Texas Workers’ Compensation Work Status Report (DWC Form-73).
A report by an occupationally injured employee’s treating physician indicating the work status and activity restrictions of the injured employee. The DWC Form-73 also serves as a release to any type of
transitional duty or a return to full duty with no restrictions. See the DWC Form-73 on the
department’s Intranet Portal for complete details.
Transitional Duty
A process that allows an injured or ill employee to return to work in a less than full-duty capacity.
When applicable, efforts shall be made to provide an employee with a transitional duty
assignment when the employee is unable to perform his essential job duties due to an
_____injury or illness.
occupational
Within ____hours after being released by the treating physician to work transitional duty (also
known as light duty), the employee shall provide his immediate supervisor a Texas Workers’
Compensation Work Status Report (DWC Form-73) or the treating physician’s statement.
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Once a transitional duty assignment is approved by the division commander, the _____
shall immediately provide the employee with a bona fide offer of employment (BFOE) that
conforms to the employee’s work and/or activity restrictions as set by the treating physician.
supervisor
Once the BFOE is completed, the _______shall immediately email the DWC Form-73 or the
treating physician’s statement and the signed BFOE to the department’s Health and Safety Unit
(HSU). Then within 24 hours after the BFOE is signed, the supervisor shall send the following
documents to HSU via interoffice mail.
supervisor
Once the concerned division commander has approved an employee to work transitional duty,
supervisors shall ensure that the following actions are taken:
a. Notify the division’s timekeeper.
b. Add the injured or ill employee’s name to the division’s Injured or Ill Employees and
Transitional Duty Report. This form is available on the department’s Intranet Portal.
While on transitional duty status, an employee is responsible for submitting a copy of a
completed DWC Form-73 or treating physician’s statement to his regular assigned supervisor
every _____calendar days or after every visit to the treating physician (whichever is more
frequent).
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The initial request for a transitional duty assignment due to a non-occupational injury or illness
shall be made via email or in person to the employee’s immediate _____.
supervisor
Upon receiving an employee’s initial request for a transitional duty assignment and the treating
physician’s statement, the ______ shall submit an email to the employee and their division
commander
supervisor
Upon receiving an employee’s initial request for a transitional duty assignment and the treating
physician’s statement, the supervisor shall submit an email to the employee and their division
commander copying their chain of command to the level of division commander and include the
following:
a. Employee’s name, employee number, classification, regular assignment, and duty requirements.
b. A request to the division commander for a transitional duty assignment for the employee.
c. Detailed description of the work restrictions placed on the employee by the treating physician.
d. If recommending a specific assignment and/or location for the employee to perform the transitional duty assignment (e.g., at the division working a desk or an administrative position), then the following information regarding the proposed transitional duty assignment must be provided:
1. Shift start and end time.
2. Number of hours scheduled to work each week.
3. Regular days off.
4. Location of assignment.
5. Detailed description of the duties to be performed.
6. Confirmation that the job duties of the proposed transitional duty assignment fall within
the scope of the employee’s work restrictions as set by the treating physician.
Additionally, the ______ shall forward the treating physician’s statement with prescribed
work restrictions to the division commander for filing in the division’s transitional duty file.
supervisor
Once the concerned division commander has approved an employee to work transitional duty,
supervisors shall ensure that the following actions are taken:
a. Notify the division’s timekeeper.
b. Add the injured or ill employee’s name to the division’s Injured or Ill Employees and Transitional Duty Report.
c. Place copies of all paperwork related to the transitional duty request in the division’s transitional duty file.
If transitional duty is approved for NON-OCCUPATIONAL INJURY or ILLNESS, it is limited to ____ calendar days.
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