Workers' Compensation

• The employee is responsible for immediately reporting their injury or illness to their supervisor/manager/chair.
• The employee must report to ERM for a referral to Kaiser on the Job (KOJ) or Concentra Occupational Health for medical treatment. The employee should continue to keep all medical appointments.
• OFF-WORK STATUS: If the physician takes the employee off work, it is the employee's responsibility to notify their department supervisor/manager/chair and the Workers' Compensation team of their work status. The employee must provide the Workers' Compensation team with a copy of the physician's work status report.
• LIGHT-DUTY WORK RELEASE: If the physician releases the employee to light-duty, it is the employee's responsibility to provide the Workers' Compensation team with a copy of the work status report detailing their work restrictions. A determination will then be made regarding the availability of light or modified work.
• FULL-DUTY WORK RELEASE: If the employee is released to full-duty work, the employee must provide the Workers' Compensation team with a copy of the doctor's release note before reporting to work.
• The employee is responsible for cooperating with the claims administrator and providing all documentation to the claims administrator on a timely basis.

The following procedures must be followed by the supervisor when a work-related illness or injury has occurred in the workplace.

1. Arrange for appropriate medical treatment for the employee.

• Refer to How to Get Help for Medical Events (PDF)

2. Contact ERM to report the injury as soon as you have knowledge of the employee injury, and provide regular updates regarding the employee's work status.

Keep the Workers' Compensation team informed of all updates to the employee's work status, including: off duty status, releases to light and full duty work.  Provide the Workers' Compensation team with copies of all reports and notes from the treating physician(s).

Note: Serious injuries and illnesses must be reported by ERM to Cal-OSHA within 8-hours of the supervisor’s knowledge of the injury, regardless of the day or time the Supervisor was notified. (After hours, contact UPD to report the injury.)

Cal/OSHA, defines a serious injury or illness as one involving

• inpatient hospitalization, regardless of length of time, for other than medical observation or diagnostic testing;
• amputation;
• loss of an eye; or
• serious degree of permanent disfigurement.

3. Complete the Supervisor/Manager/Chair section of the 'Employee's Report of Work-Related Incident, Injury or Illness' (page 2) .PDF. Fax a copy of the form to ERM (fax: 415-338-0597) as soon as possible, but no later than 24 hours from the date the injury is reported to the Supervisor.  ERM will send the employee the DWC1 form after the injury is reported by the Supervisor.