HomeMy WebLinkAbout014 - L&I Accident Claims ADMINISTRATIVE ORDER NO. 14
TO: Management T m
FROM: Gary Crutchfi anager
DATE: March 18, 1999
SUBJECT: LABOR & INDUSTRIES ACCIDENT CLAIMS
EFFECTIVE IMMEDIATELY, the following policy and procedure shall be implemented:
1 . It is the responsibility of each Department Head to notify the Personnel
Division immediately, in writing, when an employee suffers an on-the-job
accident and illness requiring medical assistance. The notification should
include the employee's name, date of accident or illness, nature of accident or
illness.
2 . It is the responsibility of each Department Head to keep the Personnel
Division informed of number of days of lost work time due to an on-the-job
injury, and number of days of restricted work following the injury.
3. It is the responsibility of the Personnel Division to log the accident or illness
on the OSHA Form No. 200 if necessary.
4. It is the responsibility of the Personnel Division to make copies and distribute
to each department the OSHA Form No. 200 for posting. (This form must be
posted during the month of February each year for the previous year).
5. It is the responsibility of each Department to post the OSHA Form No. 200 for
employee review from February 1 until March 1 of each year.