Reports/Forms
Claims Management
Compensable, or not?
Hodge Podge
Solutions
100

A form, signed by the worker and supervisor, listing duties that fall under the HCP recommended restrictions and limitations, assigned to the injured worker.

What is the Modified Work Offer Form?

100

Name 3 services that Occupational Health Provides.

What is:

•Worker Compensation (Canada and USA)

•Medical Leave

•Short Term Disability

•Long Term Disability

•Alcohol and Drug Testing

•Health and Wellness Program

•Health promotion

•Claims Management Training

•WCB Clearance Training

100

Worker injured their back while shoveling snow in their driveway before heading to work.  Is this compensable?

What is No? Injury occurred at home. Regular commute to and from work are not considered compensable.

100

According to Occupational Health, what is the most important form to have signed before the worker is released.

What is the Modified Work Form?

100

Who pays worker while on site performing modified duties?

Who is the Employer?

200

This Consent Form allows Occupational Health to communicate with Health Care Providers regarding the worker's work related injury/illness.

What is the Access to Information Form/Consent Form?

200

The site has  ___ hours to report an injury to Occupational Health.

What is 48 hours?

200

Worker sustained an injury at work. During your investigation, you discover that the root cause of the incident was because the worker was not wearing appropriate PPE. Is this compensable?

What is Yes?  There was an incident on site, that resulted in an injury.

200

Can a worker refuse modified duties?

What is Yes?

A worker can refuse modified duties however, if the MWO is determined suitable by WCB the worker will not be paid by WCB.

Always get the refusal in writing.

200

Who pays for WCB Benefits?

Who is the employer?

300

A bystander's report of events as they recall.

What is a Witness Statement?

300

In order to be compensable, an injury must meet two conditions - What are they?

What is the injury must:

1. Arise out of  and

2  Occur in the course of employment

300

Worker was involved in a motor vehicle incident on her way to a company golf tournament, and sustained injuries. Is this compensable?

What is no? Trick question. In this scenario, the answer is no. Attending functions such as golf tournaments are considered voluntary activities. However, if she was expected to be there and had been directed by her supervisor to attend, then yes, this would be compensable.

300

Any medical condition that existed prior to a work-related injury.

What is a pre-existing condition?

300

Worker reports bullying and harassment on the job site what do you do?

1. Acknowlege the employee's concerns

2. Document your convesation

3. Engage, HR/LR when applicable

400

A report outlining the series of events that lead to the incident and identifies the root cause the incident.

What is the incident investigation report?

400

The active process of minimizing the impact of an impairment, resulting from injury, illness or disease, on an individual’s capacity to effectively participate in the workplace.’

(Shirley 1995)

What is Claims Management?

400

Worker claims they developed anxiety and clinical depression from stress associated with the company reorganization. Is this Compensable?

What is No?  If condition arose from regular business activities such as promotion, demotion, relocation, performance management meetings and reorganization, to name a few, this would not be considered compensable.

400

Any temporary changes to the worker's job tasks, functions or workload.

What are modified duties?

400

Worker has been cleared to work modified duties but only for half of the day.  Who pays the worker?

Combination. Employer pays for the hours worked, and WCB pays for the hours not worked.

500

A WCB form completed by the worker, detailing their discription of the injury. 

What is the WCB Worker Report?

500

Once supervision has been notified of an injury/illness, what is the supervisor's next step?

What is assess the need for first aid/medical attention?

The well being of the worker is always our #1 priority, whether or not we agree with the injury/illness's validity or probability.

500

Worker was injured when involved in horseplay on work premises, during work hours.  Is this compensable?

What is No?  Workers' action was not directed from a supervisor and the tasks were not related to work activities.

500

A form of insurance that ensures that if a worker is injured, they will be protected monetarily and provided medical and rehabilitation. In return, the employer is protected from lawsuits.

What is Workers Compensation?

500

The employer is required to report to WCB when.

HINT: 3 

what is:

1. When the worker seek medical attention

2. Lost Time

3. The worker requires modified duties beyond the date of incident