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CLAIMS & INJURY
MANAGMENT
OHS5110 BY CAITLIN HOWARD
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CONTENTS
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OBJECTIVES OF THE
SESSION
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Claims and injury
management Workers’ compensation is a legislative privilege
Provides compensation- both financial and
rehabilitation services
Provided to workers suffering injury/disability arising
out of or during the course of employment
Including accidents or illness/diseases
Compulsory for an employer to have Workers’
Compensation Insurance Policy
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Responsibilities of injury
management personnel General Manager
Supervisor
Occupational Health Nurse (OHN)
Line Management
Injury Management coordinator (IMC)
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Process of injury claims
Employee to inform Supervisor
Injury is to be treated ASAP
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Process of injury claims Employee referred for medical review – medical
professional (OHN - gatehouse onsite)
Inform GM within the 12hrs of being reported to OHN
Complete an injury incident report
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Process of injury claims
Reported in company data management system (DMS)
Injury to be reviewed by Doctor – provide a ‘First’
medical certificate
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Process of injury claim
Establish a Case Management Team to coordinate the
employee’s return to work
Create a Return to Work Plan
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Process of injury claim Notify company workers compensation department
Any Restricted Work Cases (RTW) or Lost Time
Cases(LTC) need to document:
Occurrence report
Mining injury report form
Mines record book
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Process of injury claim Lodge a claim- use Form 2B (workers comp form on
Workcover website)
Employee information kit offered by company
File a claim for insurance payout
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Example of workers comp form
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Process of injury claims Injury Management – review
Injury Management case closure
injury management process is complete when employee
can sustain normal duties without restrictions
If employee is unable to return to normal duties, case
referred to HR for further management
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W.A. legislation & relevant resources
Workers’ Compensation and Injury Management Act
1981
Workers’ Compensation and Injury Management
Regulations 1982
Workcover WA
Department of Mines & Petroleum (DMP) Resources
Safety
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Injury claim optimal practice Effective risk management & early intervention
Develop working relationship with rehabilitation agency
and specialised medical practice
Competent injury/rehabilitation management
Commitment by injured worker to return to work
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Notification of injury/illness received by OHN
Injury/illness reported to IMC, supervisor & department
manager
Medical certification is provided to company, incident is
recorded in HSEC DMS as appropriate
JCS reviewed by employees medical provided
Is injury/illness work
related?
Are restricted duties
required?
Return to work plan developed and implemented as per the company
Rehabilitation and Return to Work processes
Is employee entitled to
worker's compensation?
Workers Compensation procedures followed
Employee returns to work
as normal
Employee follows Return to
work plan until
resolution/finalisation
YE
S
YE
S
YE
S
N
O
N
O
N
O
Summary: Injury & illness management flowchart
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Conclusion
Legislation for the management of injury is important in
successful company management
Appropriate resources and injury care legislation are
essential for minimising both financial and physical cost
for employee and employer
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ReferencesJournals
Cornally, S. (1986). Management's participation in rehabilitation. Success versus failure. Journal of Occupational Health & Safety – Australia & New Zealand, 3(4), 382 – 387.
Weaver, M. (2006). Specialist medical practices in industrial health. In Barrett, T. & Browne, D. (Eds.) Rehabilitation. Work and Beyond. (pp. 51 - 66). Perth: Vineyard.
Yates, R. (2006). Employers' perceptions of claims/injury management and rehabilitation in South Australia. Asia Pacific Journal of Human Resources, (44) 1, 102–122,
Websites
Department of Mines & Petroleum (DMP) Resources Safety. (2006). (Retrieved March 13, 2013) from http://www.dmp.wa.gov.au/
WorkCover Western Australia. (2005). Guidelines for Injury Management in the Workplace. (Retrieved March 11, 2013) from http://www.workcover.wa.gov.au
WorkCover Western Australia. (2005). Workers‟ Compensation Code of Practice (Injury Management) 2005. (Retrieved March 11, 2013) from http://www.workcover.wa.gov.au
WorkCover Western Australia. (2005). Workers‟ Compensation and Injury Management in WA. Guidance Notes for the Code of Practice (Injury Management) 2005. (Retrieved March 11, 2013) from http://www.workcover.wa.gov.au