All About Leaves…And Not On Trees!
Down w/ JPP…Yeah You Know Me!
Did I Do That?? [In your best Steve Urkel voice] Yay or Nay
Name That FORM in 1 Note!
Enter If You Don't Do It THEY WILL COME…OSHA!
200

This is applied when an EE goes on a WC LOA before TTD can be paid

What is the 7 day waiting period

200

WC EE is eligible to go through JPP at this point

What is at MMI?

200

"I was sitting in the gate house and got stung by a bee"…

What is Nay - Only when the EE is at more risk than the general pubic will an insect bite/sting be compensable

200

This required form is to be completed by a supervisor when an EE reports a work-related injury or illness

What is the HR 203

200

All work related injuries must be entered into the Safety and Health Reporting System within this # of days

What is  7 calendar days

400

TTD plus this = close to and EE's net pay

What is Supplemental Leave

400

The JP Coordinator looks within this # of miles for alternate positions for EE's in the JPP

What is 50 miles

400

"I was making my rounds and my knee popped"…

What is Nay - There was no injury by accident and therefore, not Workers Comp

400

This required form is to be completed and approved before an EE can use the WC time code 9680 or 9685

What is the HR 205

400

# of years the OSHA 300 and 300A logs must be kept in a confidential file

What is 5 years

600

An EE should be placed on an LOA effective this day; when the injury is NOT offender related

What is the 8th day

600

To be Separated Due to Unavailability for Workers' Comp, an EE has to be out of work on WC Leave or working Light Duty for how long

What is 1 year

600

"I dislocated my elbow while playing basketball at the EE appreciation day event"…

What is Nay - The EE was not within the course and scope of employment and therefore, not Workers Comp

600

This required form is to be completed and approved before an EE can use the WC time code 9680 or 9685

What is the HR 205

600

# of years the OSHA 300 and 300A logs must be kept in a confidential file

What is 5 years

800

An EE is paid by DAC for this holiday while on WC LOA - TTD [paid by CorVel]

What is NO Holiday

800

This form is NOT part of  WC or  JPP

What is the ADA Accommodations Request Form

800

"I was carrying a bag of dog food from my car into the office for a friend and tripped over the curb and broke my knee cap"…

What is Nay - EE was not within the course and scope of employment and therefore, not Workers Comp

800

This required form is to be completed when an EE is returning to work from a WC LOA with or without restrictions

What is the HR 207

800

Entry location for designated administrative staff to enter work-related injuries

What is the OPUS Web Application

1000

What is the OPUS Web Application

What is the certified return to work letter

1000

Having this happen will not affect an EE's WC Claim or further treatment

What is Separation from Employment

1000

"I was returning to the office from lunch in my own car and was rear ended by a truck at a stop light"…

What is Nay - Lunch breaks are not considered work time and therefore, not Workers Comp

1000

These 2 required forms are to be completed when a WC EE working light duty and is released to full duty

What are the HR 207 and the PAR - Personnel Action Request Form

1000

Length of time DAC has to report a fatality to NC-DOL

What is 8 hours

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