5.2.8 Work Related Injury or IllnessAll staff are responsible for individual safety.
Employees are required to report promptly—within twenty-four (24) hours
at most—to the person in charge any accident, injury or illness that is work related even if the
injury does not appear to be serious. If the injured or ill person requires medical attention, the person in charge should arrange to send that
person to the nearest medical facility designated for the location. The
medical facility designated for the location must be posted in the main
office of the location and may be found via the web at York [INSERT LINK TO YORK]. In the event of a work related injury or illness, the employee must be given the Workers' Compensation Claim Form (DWC 1)
within twenty-four (24) hours of the location's knowledge of the injury
or illness. The employee must complete the DWC 1 and return it promptly
to the person in charge. The person in charge must complete the
employer portion of the form.
The person in
charge must report the claim to York Risk Services Group within
twenty-four (24) hours of his or her knowledge of the injury or illness,
whether or not the injury or illness causes time lost from work or requires
medical treatment, by completing and submitting the Employer's Report of Occupational Injury or Illness (Form 5020). Form 5020 along with the DWC 1 must be submitted via fax to 866-548-2637 or via the web at York (in the upper right, click "SYSTEMS LOGIN" and then select "California 5020").
In addition, if a serious injury, serious illness, or death of an employee occurs in a place of employment or in connection with any employment, California requires the employer to report immediately (within eight hours) to the nearest District Office of the Division of Occupational Safety and Health (Cal/OSHA); see Reporting Work-Connected Injuries. For additional information see 8.7.1 - Responding to an Injury [INSERT LINK].
If an employee is released to work with restrictions, the
person in charge may provide transitional work (light duty) whenever
appropriate and/or engage in the interactive process to discuss reasonable accommodations.
Contact the Human Resources Department for an evaluation and
recommendation.Making knowingly false or fraudulent material
statements or material representations for the purpose of obtaining or
denying workers' compensation benefits or payments is a felony that can
result in fines and/or imprisonment.The archdiocese may not be
liable for payment of workers' compensation benefits for any injury or
illness that arises from a staff member's voluntary participation in
off-duty, recreational, social, or athletic activity that is not part of
the staff member's work-related duties.Additional information on
how to respond to an injury, illness or accident can be found in Chapter 8, Health and
Safety [INSERT LINK]. Contact the Human Resources Department at 213-637-7494 for
assistance or further details on how to report a work-related injury or
illness.See Work-Related Injury Reporting.