On the Job Injuries (OJI)

All employees are directed to report all on-the-job injuries immediately to their supervisor. Supervisors and injured employees should complete the following forms:

1st Report of Injury-If treatment is sought, the prescription and treatment authorization forms must be completed.
Treatment Auth & Rx Form-Please complete these forms only if treatment is sought.

ON-THE-JOB PROCEDURES
OJI Filing Claims Protocol


Once all forms are completed, they should be emailed to Risk Management at RiskManagement@hcde.org   
Supervisors should then send the employee to a treatment facility with the Treatment Authorization form (TAF).
Treatment facility or emergency room will provide employee with a Return to Work Authorization form.
Supervisor should email this to Risk Management at RiskManagement@hcde.org

NOTICE TO SUPERVISORS

  • LIFE THREATENING EMERGENCIES: If an injury is life threatening, call 9-1-1 and have employee transported to nearest emergency room.
  • TIMELY NOTIFICATION: In order to properly direct treatment for all OJI injuries, please see that Risk Management receives written notification of employee injury within 24 hours of the incident.
  • COVERED TREATMENT: Supervisors must tell employee not to use HMO or PPO Medical Insurance Card for On-the-Job Injuries or OJI prescription medications.
  • AFTER-HOURS INJURIES: If an employee work injury occurs on weekdays before 8:00 am or after 4:00 pm or on weekends, the employee should be sent (with completed treatment authorization form and HSI Rx form) to the nearest hospital emergency room.