Workplace Injury Prevention and Claims Management Tips

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This content provides valuable insights and tips on workplace injury prevention, claims management, and work reintegration. It covers areas such as hiring practices, day-of-injury procedures, accident investigation, required forms, and work reintegration obligations. Readers can learn about best practices for ensuring a safe work environment, handling injuries effectively, and complying with WSIB regulations.

  • Workplace injury
  • Claims management
  • Work reintegration
  • Health and safety
  • WSIB regulations
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  1. The Office of the Employer Adviser Claims Tips and Work Reintegration Peterborough WSPS November 3, 2015 Lee Anne Farrow, Employer Specialist Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  2. Claims Management Tips For 2015 Hiring Practices Day of Injury Accident Investigation Forms Work Reintegration Return To Work Document, Document, Document! Appeals WSIB Clearance Certificates Claims Cost Management Record of Employment Legislation WSIB eServices 1 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  3. Tip No. 1 - Hiring Practices Request professional references, not personal contacts Worker Orientation is essential: - Verbally communicated - Follow-up with written policies - What to do if accident occurs, RTW program - Physical demonstration of position - Proper use of personal protective equipment - Health and Safety chats - Annual update and review of policies 2 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  4. Tip No. 2 Day Of Injury Determine severity of injury First Aid vs Medical Attention Return To Work envelope Taxi account Individual who accompanies injured party reminds Worker and Health Care Practitioners of RTW Policy and Procedures at workplace 3 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  5. Tip No. 3 Accident Investigation Purpose is to obtain details of what happened for WSIB reporting and Prevention Photographs and/or videos of work area Witness statements from Co-Worker(s) and Supervisor Interview Injured Worker and have Worker write incident report Use of translator, if required 4 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  6. Tip No. 4 Forms Form 6 Form 7 Form 8 FAF 5 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  7. Tip No. 5 - Work Reintegration Return To Work Obligation Re-Employment Obligation Penalties WSIB Work Transition Specialist WSIB Return To Work Specialist 6 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  8. Tip No. 6 Return To Work Time of Hiring - Orientation Day of Injury Next Scheduled Shift Verbal Return To Work (RTW) Job Offer Follow-Up With Written RTW Job Offer Regular Contact With Worker Weekly Return To Work Plans / Journals Weekly/Bi-Weekly Functional Abilities Form WSIB Return To Work Specialist WSIB Work Transition Specialist Annual Review of RTW Successes, Failures and Trends 7 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  9. Tip No. 7 Document, Document, Document Critical to document everything, particularly all Return To Work efforts, conversations with the worker and WSIB Always keep WSIB informed! 8 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  10. Tip No. 8 - Appeals Know Your Time Limits WSIB Direction Of Authorization New Forms Intent To Object Form (ITO) Appeal Readiness Form (ARF) Participant Form (PF) Respondent Readiness Form (RRF) Oral vs. Written Hearing Downside Risk Workplace Safety & Insurance Appeals Tribunal 9 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  11. Tip No. 9 - WSIB Clearance Certificates Who is your worker? Clearance Certificate Mandatory for Construction workers (Bill 119) WSIB Independent Operator Questionnaire (non- construction) E-Clearance Certificate 10 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  12. Tip No. 10 Claims Cost Management MAP NEER CAD-7 Cost Relief - Second Injury Enhancement Fund (SIEF) - Cost Transfer - Third Party Cost Transfer Monitor WSIB Monthly Accident Cost Statements Rebate vs. Surcharge Workwell 11 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  13. Tip No. 11 Record of Employment Use of appropriate code: illness/injury quit other provide further information / explanation 12 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  14. Tip No. 12- Legislation Workplace Safety and Insurance Act Human Rights Code Occupational Health and Safety Act Employment Standards Act Human Resources Service Canada 13 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  15. Tip No. 13 WSIB e-Services eForm 7 eClearance ePayment ePremium eRegistration eStatement eWISR 14 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  16. Tip No. 14 Office of the Employer Adviser Confidential service Advice Representation Education Presentations and Webinars Website 15 Follow us on Twitter! Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  17. WORK REINTEGRATION (WR) PRINCIPLES Combines RTW and re-employment as a process Brings WT assessment in-house (formerly LMR assessment) High expectations for employer participation Non-cooperation penalties Maintain dignity and productivity of a worker Respond to RTW barriers with early support and intervention Best prospects for successful WR achieved by maximizing opportunities with the accident employer 16 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  18. RTW Co-operation Obligations Initiate early contact and maintain appropriate communication throughout the worker s recovery Identify and secure RTW opportunities for the worker Give the WSIB all relevant information concerning the worker s WR Ensure that appropriate documentation is maintained Notify the WSIB of any dispute or disagreement 17 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  19. The Boards Role Meet with the WPPs at the worksite within 12 weeks after the date of injury if parties unable to arrange suitable and available work WSIB proactively engages appropriate medical support Help worker overcome his/her health recovery barrier Provide dispute resolution services Enforces WPP obligations Provides Work Transition (WT) if WPP unsuccessful 18 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  20. RTW Hierarchy Pre-injury job with the injury (accident) employer Pre-injury job with the injury employer, with accommodation Work comparable in nature and earnings to pre-injury job with the injury employer, with accommodation where required Alternate suitable work with the injury employer, with accommodation where required Work comparable in nature and earnings to pre-injury job in the labour market with accommodation where required Alternate suitable work in the labour market, with accommodation where required 19 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  21. Suitable Work Post-injury work that is Safe- worker has the functional ability to perform the tasks safely and to travel Productive necessary skills to perform the tasks that provides objective benefit to employer s business Consistent with the worker s functional abilities, and that, when possible, restores the worker s pre-injury earnings In a unionized environment, the WSIB strives to respect the terms ofthe collective agreement whenever possible. Human Rights Code trumps collective agreement 20 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  22. ACCOMMODATION WSIB expects employers to provide accommodation if it results in suitable work becoming available Any modification to the work or the workplace, including reduced hours reduced productivity requirements provision of assistive devices WR must respect human rights legislation 21 ( Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  23. Resolving Disputes Worker notifies employer that job is not suitable and provides reasons Employer considers the reasons, and discusses issue with worker If WPPs unable to resolve a dispute themselves, the WSIB will assist the WPPs to reach agreement on the issue, or make a determination as to whether or not the offered work is suitable A dispute over job suitability does not mean WPPs being unco-operativein RTW activities 22 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  24. Written Notice of Non-compliance Prior to making a finding or non-compliance or re- employment breach WSIB warns WPP about penalty Done orally (where possible) and in writing Non-cooperation penalties effective 7 WSIB business days after the date of the written notice Small Business (< 20 workers, 14 WSIB business days) 23 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  25. Non-Co-operation Penalties Penalty starts 7 business days from date on written notice Initial Penalty first 14 days of breach Ongoing Penalty 15th day of breach + Worker 50% LOE 100% LOE 100% LOE + 100% WT Costs Up to 12 Months Employer 50% LOE 24 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  26. Re-employment in WR Distinct obligation in addition to RTW Worker has a re-employment right if 1. worker unable to work because of a work-related injury 2. worker employed with the injury employer for at least one year before the date of injury, and 3. employer regularly employs 20 or more workers injury/disease # 2 and #3 do not apply to Construction industry 25 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  27. Duration of Re-employment Obligation Employer must re-employ worker until the earliest of the second anniversary of the date of injury one year after the worker is medically able to perform the essential duties of their pre-injury employment, or the date on which the worker reaches 65 years of age In the Construction industry the above applies plus: the date the worker declines an offer from the employer 26 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  28. Concurrent WR and Re-Employment Obligations An employer that breaches both a co-operation and re- employment obligation in the same claim will get a single penalty The WSIB will choose the penalty which will most likely lead to positive RTW outcome for the worker If breach at different periods in claim, may get more than one penalty 27 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

  29. QUESTIONS? Office of the Employer Adviser (OEA) Toll Free Telephone: 1-800-387-0774 Toronto Telephone: 416-327-0020 Email: askoea@ontario.ca Website: www.employeradviser.ca Follow us on Twitter: @askoea C. Office of the Employer Adviser 2015 28 Expert. Confidential. Free. www.employeradviser.ca 1-800-387-0774

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